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1 Journal of Polish Safety and Reliability Association

1 2011

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Survival analysis on data of different surgery techniques to evaluate risk of postoperative complications

Briš R., Praks P., Janurová K., Martínek L.

Journal of Polish Safety and Reliability Association

2011

Vol. 2, No. 1

33--38

Medical survival censored data of about 850 patients are evaluated to compare two basic surgery techniques. Data comes from patients who underwent colectomy in the University Hospital of Ostrava. The data has been screened into three general groups: all patients (data from both rectum and colon operations), data from rectum operations, data from colon operations. Two basic surgery techniques are used for the colectomy: either classical (open) or laparoscopic operation. Basic question which arises at the colectomy operation is which type of operation to choose to guarantee longer overall survival time. Two methodological approaches have been used to answer this relevant question. First is the non-parametric approach which results from Kaplan- Meier estimates of the survival function. For each data group two survival curves are constructed, i.e. for both open and laparoscopic type of operation. Final survival curves are compared and evaluated using advanced methods of statistical inference (e.g. log-rank test). Second is parametric approach which results from modelling of survival time. It is based on Maximum Likelihood Estimation method to estimate parameters of probability distribution of overall survival time. Moreover, two Weibull models are used to compare the two surgery techniques. Mean survival times assigned to particular types of operation are compared