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Comparison of restricted mean survival times between treatments based on a stratified Cox model

Zhang X.

Bio-Algorithms and Med-Systems

2013

Vol. 9, no. 4

183--189

Causal inference in survival analysis has been centered on treatment effect assessment with adjustment of covariates. The direct adjustment method is usually employed to find the survival function of a treatment. A Cox model that stratifies the cumulative hazard by treatment is an ideal choice for performing direct adjustment because the treatment effects are allowed to vary over time. A SAS macro was developed to implement comparison of direct adjusted survivals between treatments at a selected time point. The restricted mean survival time can be derived from a direct adjusted survival function. This statistic summarizes the survival outcome of a treatment. Comparison of restricted means provides assessment of treatment effect over a time interval. The first aim of this article was to provide an overview of the restricted mean survival time. The second aim was to introduce a SAS macro that computes the restricted mean survival times from direct adjusted survivals based on a stratified Cox model. Data preparation and macro invocation are illustrated in an analysis of survival data involving three types of stem cell transplants.