Solved – Kaplan-Meier multiple group comparisons

kaplan-meiermultiple-comparisonsnonparametricrsurvival

Let's say I have the following data frame

library(survival)
library(multcomp)
data(cml)
cml$group<-sample(1:5, 507, replace=T)
plot(survfit(Surv(time=cml$time, cml$status)~factor(cml$group)))
(survdiff(Surv(time=cml$time, cml$status)~factor(cml$group)))

I want to perform multiple comparison test comparing (logrank) for example group0 vs. all other groups or even every group with each other?

Is it necessary to correct for multiple comparisons? If yes, is there a nice way of plotting these multiple comparisons (as for example in plot.TukeyHSD() in aov())?

I have posted the same question in https://stackoverflow.com/questions/11176762/kaplan-meier-multiple-group-comparisons, but the answer presents multiple comparison test with parametric survival not with non parametric (as in my case).

Best Answer

One of the issues of inference that arises in event history models is that hazard functions and survival functions in different groups can cross each other at different points in time. For example both the following conditions can be true:

  1. Those individuals in group A who experience the event (i.e. who "do not survive") may do so relatively quickly, while individuals in group B who experience the event take longer to do so.
  2. The overall survival in group A may be higher than in group B.

So when you ask about wanting to make comparisons among groups what specifically do you want to compare? Median survival time? The hazard at time t? The survival at time t? The time until survival "flattens" (for some meaning of "flatten")? Something else?

Once you have a well-formulated question about what you would like to compare, multiple comparisons adjustments make sense. Some cases (comparisons at each point in time t, for example) might make the definition of family in the FWER multiple comparison adjustment methods problematic, which might incline one towards the FDR methods, since they scale/do not rely on a definition of family.

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