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Survival analysis is a collection of methods for the analysis of data that involve the time to occurrence of some event and, more generally, to multiple durations between occurrences of events. Apart from their extensive use in studies of survival times in clinical and health-related studies, these methods have found application in several other fields, including industrial engineering (e.g., reliability studies and analyses of equipment failure times), demography (e.g., analyses of time intervals between successive child births), sociology (e.g., studies of recidivism, duration of marriages), and labor economics (e.g., analysis of spells of unemployment, duration of strikes). The terms duration analysis, event-history analysis, failure-time analysis, reliability analysis, and transition analysis refer essentially to the same group of techniques, although the emphases in certain modeling aspects could differ across disciplines.

Thetimetoevent T is a positive random variable with distribution function

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In biostatistics and epidemiology, it is more common to use the survivorship function or survival function S(t) = 1 − F(t). Thus, S(t) is the probability of being free of events at time t. In clinical studies, where T is the time of death of a patient, one refers to T as the survival time and S(t)asthe probability of survival beyond t. Since time and duration must have an origin, the specific context determines an appropriate starting point from which T is measured. For example, consider a clinical trial of competing treatments in which patients entering the study are randomized to treatment conditions. The time origin is the time of randomization or initiation of treatment, and T is the time until the primary endpoint (e.g., death) is reached.

Censoring

In clinical studies, patients enter the study at different points in time. For example, a 5-year study might be planned with a 2-year recruitment phase in which patients enter randomly. Patient follow-up begins at entry and ends at death (or some terminal endpoint) if observed before the end of year 5. The survival time T is then known. If the terminal event is not reached by the end of study, T is not observed but we know that T > U, where U is the follow-up time from entry to the end of study. The survival times of these patients are censored, and U is called the censoring time. Censoring would also occur if a patient died from causes unrelated to the endpoint under study or withdrew from the study for reasons not related to the endpoint. Such patients are lost to follow-up.

The type of censoring described above is called right censoring. If the true event time T was not observed but is known to be less than or equal to V, we have a case of left censoring. If all that is known about T is that it lies between two observed times U and V (U > V), we say it is interval censored. For example, when periodic observations are made for the time to seroconversion in patients exposed to the human immunodeficiency virus, if seroconversion is observed, the time of conversion lies in the interval between the previous negative assessment and the first positive assessment. Right censoring occurs if seroconversion is not observed by the end of study, while left censoring is the case if the patient tests positive at the very first assessment.

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