Long-term survival with non-proportional hazards: results from the Dutch Gastric Cancer Trial.

Autor: Putter, H., Sasako, M., Hartgrink, H. H., van de Velde, C. J. H., van Houwelingen, J. C.
Zdroj: Statistics in Medicine; Sep2005, Vol. 24 Issue 18, p2807-2821, 15p
Abstrakt: Randomized clinical trials with long-term survival data comparing two treatments often show Kaplan-Meier plots with crossing survival curves. Such behaviour implies a violation of the proportional hazards assumption for treatment. The Cox proportional hazards regression model with treatment as a fixed effect can therefore not be used to assess the influence of treatment of survival. In this paper we analyse long-term follow-up data from the Dutch Gastric Cancer Trial, a randomized study comparing limited (D1) lymph node dissection with extended (D2) lymph node dissection. We illustrate a number of ways of dealing with survival data that do not obey the proportional hazards assumption, each of which can be easily implemented in standard statistical packages. Copyright © 2005 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index