R: Create Aalen-Johansen estimates of multi-state survival from...

survfit.matrix {survival} | R Documentation

## Create Aalen-Johansen estimates of multi-state survival from a matrix of hazards.

### Description

This allows one to create the Aalen-Johansen estimate of P, a matrix with one column per state and one row per time, starting with the individual hazard estimates. Each row of P will sum to 1. Note that this routine has been superseded by the use of multi-state Cox models, and will eventually be removed.

### Usage

    ## S3 method for class 'matrix'
    survfit(formula, p0, method = c("discrete", "matexp"),
            start.time, ...)

### Arguments

`formula` | a matrix of lists, each element of which is either NULL or a survival curve object.
`p0` | the initial state vector. The names of this vector are used as the names of the states in the output object. If there are multiple curves then `p0` can be a matrix with one row per curve.
`method` | use a product of discrete hazards, or a product of matrix exponentials. See details below.
`start.time` | optional; start the calculations at a given starting point
`...` | further arguments used by other survfit methods

### Details

On input the matrix should contain a set of predicted curves for each possible transition, and NULL in other positions. Each of the predictions will have been obtained from the relevant Cox model. This approach for multistate curves is easy to use but has some caveats. First, the input curves must be consistent. The routine checks as best it can, but can easy be fooled. For instance, if one were to fit two Cox models, obtain predictions for males and females from one, and for treatment A and B from the other, this routine will create two curves but they are not meaningful. A second issue is that standard errors are not produced.

The names of the resulting states are taken from the names of the vector of initial state probabilities. If they are missing, then the dimnames of the input matrix are used, and lacking that the labels '1', '2', etc. are used.

For the usual Aalen-Johansen estimator the multiplier at each event time is the matrix of hazards H (also written as I + dA). When using predicted survival curves from a Cox model, however, it is possible to get predicted hazards that are greater than 1, which leads to probabilities less than 0. If the `method` argument is not supplied and the input curves are derived from a Cox model this routine instead uses the approximation expm(H-I) as the multiplier, which always gives valid probabilities. (This is also the standard approach for ordinary survival curves from a Cox model.)

### Value

a survfitms object

### Note

The R syntax for creating a matrix of lists is very fussy.

### Author(s)

Terry Therneau

### See Also

`survfit`

### Examples

    etime <- with(mgus2, ifelse(pstat==0, futime, ptime))
    event <- with(mgus2, ifelse(pstat==0, 2*death, 1))
    event <- factor(event, 0:2, labels=c("censor", "pcm", "death"))

    cfit1 <- coxph(Surv(etime, event=="pcm") ~ age + sex, mgus2)
    cfit2 <- coxph(Surv(etime, event=="death") ~ age + sex, mgus2)

    # predicted competing risk curves for a 72 year old with mspike of 1.2
    # (median values), male and female.
    # The survfit call is a bit faster without standard errors.
    newdata <- expand.grid(sex=c("F", "M"), age=72, mspike=1.2)

    AJmat <- matrix(list(), 3,3)
    AJmat[1,2] <- list(survfit(cfit1, newdata, std.err=FALSE))
    AJmat[1,3] <- list(survfit(cfit2, newdata, std.err=FALSE))
    csurv  <- survfit(AJmat, p0 =c(entry=1, PCM=0, death=0))

[Package survival version 3.2-7 Index]