Medical College of Wisconsin
CTSIResearch InformaticsREDCap

Comparing treatments in the presence of crossing survival curves: an application to bone marrow transplantation. Biometrics 2008 Sep;64(3):733-740

Date

01/15/2008

Pubmed ID

18190619

Pubmed Central ID

PMC2754119

DOI

10.1111/j.1541-0420.2007.00975.x

Scopus ID

2-s2.0-49749103124 (requires institutional sign-in at Scopus site)   58 Citations

Abstract

In some clinical studies comparing treatments in terms of their survival curves, researchers may anticipate that the survival curves will cross at some point, leading to interest in a long-term survival comparison. However, simple comparison of the survival curves at a fixed point may be inefficient, and use of a weighted log-rank test may be overly sensitive to early differences in survival. We formulate the problem as one of testing for differences in survival curves after a prespecified time point, and propose a variety of techniques for testing this hypothesis. We study these methods using simulation and illustrate them on a study comparing survival for autologous and allogeneic bone marrow transplants.

Author List

Logan BR, Klein JP, Zhang MJ

Author

Brent R. Logan PhD Director, Professor in the Data Science Institute department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Biometry
Bone Marrow Transplantation
Disease-Free Survival
Humans
Kaplan-Meier Estimate
Lymphoma, Follicular
Models, Statistical
Survival Analysis
Transplantation, Autologous
Transplantation, Homologous