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Re: st: confidence intervals of predicted risk after stcox
From
Steve Samuels <[email protected]>
To
[email protected]
Subject
Re: st: confidence intervals of predicted risk after stcox
Date
Tue, 30 Oct 2012 16:09:05 -0400
Mario wrote to me privately. When this happens I refer the writer to the
FAQ paragraph that starts "Do not request private replies...".
> My problems are:
>
> 1. If i gen survival probability and not risk, the upper and lower
> limits of ci seem inverted:
>
They should be inverted. You previously computed CIs for the failure ("risk") curve, now
you are computing the CIs for the survival curve. A high risk for failure implies a low
risk for survival and vice-versa. This is mathematically so because F = 1 -S, as you
previously calculated. Thus the upper and lower limits for the two curves are
switched.
> Gen survlb15 = base15^exp(lb)
> gen survub15 = base15^exp(ub)
> gen surv15 = base15^exp(xb)
> sum survlb15 surv15 survub15
>
> variable | obs mean std. Dev. Min max
> -------------+--------------------------------------------------------
> survlb15 | 48 .7716674 .2110915 .381534 .9887756
> surv15 | 48 .5276728 .343838 .0012602 .9593767
> survub15 | 48 .2910488 .3057171 8.11e-21 .8586743
>
>
> 2. To compare the survival result at 15 months obtained in subjects
> with age40 = 20 and drug = 3, i used the stata command survci
> (-survci- sj11-4: St0217_1 ? Initially written by yulia marchenko of
> statacorp and thereafter adjourned by matthew cefalu (the stata
> journal (2011), number 1, pp. 64?81 pointwise confidence intervals
> for the covariate-adjusted survivor function in the cox model).
>
> The code i used is:
> Survci, at(age40=20 drug=3) outfile(age20_drug3).
>
> The results of survci at 15 months are:
> _t _d _surv _se _lb _ub
> 15 1 .85324285 .07846486 .6101214 .95029744
>
> those of my code are the same as regard surv15 but very different as
> regard the confidence intervals (lower and upper)
>
> surv15 survlb15 survub15
> .8532429 .9722255 4089079
>
There are two mistakes here.
1. The minor one is that the -survci- gives CIs for someone
with with age = 20 and drug = 3, whereas the *15 values
you show are averages over the entire sample. There's no
reason to expect similarity.
2. The major mistake is that your original CIs reflect only variability of
the estimated betas, whereas -survci- properly takes into account the fact
that the baseline survival probability is also an estimate.
Steve
> -----------------------------------------
>
> date: Fri, 26 oct 2012 17:15:04 -0400
> from: Steve samuels <[email protected]>
> subject: Re: St: Confidence intervals of predicted risk after stcox
>
> mario, when i run your code, and sum the new variables, i get:
>
> Variable | obs mean std. Dev. Min max
> - -------------+--------------------------------------------------------
> lb15 | 48 .2283326 .2110915 .0112244 .6184661
> risk15 | 48 .4723272 .343838 .0406233 .9987398
> ub15 | 48 .7089512 .3057171 .1413257 1
>
> i see nothing strange about them. What is it that does not make sense to you?
>
>
> Steve
>
> on oct 26, 2012, at 6:45 am, [email protected] wrote:
>
> Hi all,
>
> i use stata/ic 12.1 for windows (32-bit).
>
> I run a cox model to calculate for each patient the predicted probability
> of event at 15 months, using predict xb, predict basesurv and adjiusting
> the baseline risk
>
> webuse cancer, clear
> gen age40=age-40
> stcox age40 i.Drug
> predict xb, xb
> predict basesurv, basesurv
> sum basesurv if _t<16
> scalar base15 = r(min)
> gen risk15 = 1 - base15^exp(xb)
>
> i ask if it is possible to have also the 95% confidence intervals of these
> estimate.
>
> I try:
>
> Predict se_xb, stdp
> gen lb = xb - invnormal(0.975)*se_xb
> gen ub = xb + invnormal(0.975)*se_xb
> gen lb15 = 1 - base15^exp(lb)
> gen ub15 = 1 - base15^exp(ub)
>
> but the results seems do not have sense.
>
> Thanks for your consideration.
>
> Mario petretta
> dpt. of internal medicine, cardiology and heart surgery
> naples university federico ii -italy
>
>
Mario, when I run your code, and sum the new variables, I get:
Variable | Obs Mean Std. Dev. Min Max
-------------+--------------------------------------------------------
lb15 | 48 .2283326 .2110915 .0112244 .6184661
risk15 | 48 .4723272 .343838 .0406233 .9987398
ub15 | 48 .7089512 .3057171 .1413257 1
I see nothing strange about them. What is it that does not make sense to you?
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