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Biostatistics

Question
52 out of 76
 

Kaplan Meier is used for:



A Survival
B Incidence

C Prevalence
D Frequency

Ans. A Survival Ref: Basic & Clinical Biostatistics, by Dawson – Saunders & Trapp, Pg 191-193)

Survival Analysis

Several Statistical methods are available for analysis of survival data, of which three important ones are:

a. Survival rate – mostly used in relation to oncology to estimate 3- and 5-year Q survival with various types of cancer put on different treatment regimen.

b. Actuarial or Life table method: also sometimes referred to in medical literature as Cutler – Ederer method. To illustrate the calculations involved in actuarial analysis, the length of time the patients have been in study Q in frequency table. To determine the survival curve, the probability of death or outcome for each time period is calculated.

The second step is to compute the probability for survival. This probability is sometimes also called the hazard function Q or hazard rate.

Results from life table analysis are usually presented in a survival curve rather than a table.

c. The Kaplan Meier method of estimating survival is similar to actuarial analysis except that time since entry in the study is not divided into intervals for analysis. For this reason, it is especially appropriate in studies involving a small number of patients. Q

The Kaplan Meier product limit method involves fewer calculations than the actuarial method, primarily because survival is estimated each time a patient dies, so withdrawals are ignored. Q

It gives exact survival proportions Q because it uses exact survival times & hence the survival curve is step like rather than being a curve.

The other three options i.e. incidence, prevalence & frequency are indicators of disease occurrence & have got nothing to do with Kaplan Meier analysis.

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