Bias by censoring for competing events in survival analysis

In survival analysis, competing events preclude the occurrence of the event of interest. The censoring of competing events is common in medical studies but leads to biased cumulative incidence estimators. Competing risks methods, such as the non-parametric Aalen-Johansen method or the semi-parametri...

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Hauptverfasser: Coemans, Maarten (VerfasserIn) , Verbeke, Geert (VerfasserIn) , Döhler, Bernd (VerfasserIn) , Süsal, Caner (VerfasserIn) , Naesens, Maarten (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 13 September 2022
In: The BMJ
Year: 2022, Jahrgang: 378, Pages: 1-8
ISSN:1756-1833
DOI:10.1136/bmj-2022-071349
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1136/bmj-2022-071349
Verlag, lizenzpflichtig, Volltext: https://www.bmj.com/content/378/bmj-2022-071349
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Verfasserangaben:Maarten Coemans, Geert Verbeke, Bernd Döhler, Caner Süsal, Maarten Naesens

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520 |a In survival analysis, competing events preclude the occurrence of the event of interest. The censoring of competing events is common in medical studies but leads to biased cumulative incidence estimators. Competing risks methods, such as the non-parametric Aalen-Johansen method or the semi-parametric Fine and Gray model, alleviate this bias and should be preferred above the Kaplan-Meier method and the Cox model, respectively. As an illustrative example, in a large European cohort, we report on the differences in the cumulative incidence estimates of graft failure after kidney transplantation, caused by censoring for recipient death. 
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