生存措施的参数化,第一部分:自组织的后果

O. Szász, A. Szász
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引用次数: 4

摘要

寿命分析经常使用Kaplan-Meier生存概率非参数估计(KM)的测量数据的参数函数描述。累积威布尔分布函数(WF)是参数化KM的首选方法。但其他一些(如Gompertz, logistic函数)也被广泛应用。我们证明了累积双参数威布尔函数满足所有要求。威布尔函数是生存的一般自组织行为的结果,因此显示了自相似死亡率作为时间的函数。其发生的普遍性和肿瘤生长的普遍性都符合WF。WF参数化需要两个独立的参数,这两个参数可以从KM估计的中值和平均值中获得,这使得对KM图的参数逼近变得容易。分布熵和其他熵描述都很好地支持了参数化的有效性。目标是找到最合适的挖掘km -plot中固有信息的方法。在1180例癌症患者的真实研究中,双参数WF与非参数KM生存曲线拟合,对临床结果提供了满意的描述。KM图3个特征参数中的2个(即中位数点、平均值点或拐点)足以重建参数拟合,为不同患者组生存曲线的比较提供支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Parametrization of Survival Measures, Part I: Consequences of Self-Organizing
Lifetime analyses frequently apply a parametric functional description from measured data of the Kaplan-Meier non-parametric estimate (KM) of the survival probability. The cumulative Weibull distribution function (WF) is the primary choice to parametrize the KM. but some others (e.g. Gompertz, logistic functions) are also widely applied. We show that the cumulative two-parametric Weibull function meets all requirements. The Weibull function is the consequence of the general self-organizing behavior of the survival, and consequently shows self-similar death-rate as a function of the time. The ontogenic universality as well as the universality of tumor-growth fits to WF. WF parametrization needs two independent parameters, which could be obtained from the median and mean values of KM estimate, which makes an easy parametric approximation of the KM plot. The entropy of the distribution and the other entropy descriptions are supporting the parametrization validity well. The goal is to find the most appropriate mining of the inherent information in KM-plots. The two-parameter WF fits to the non-parametric KM survival curve in a real study of 1180 cancer patients offering satisfactory description of the clinical results. Two of the 3 characteristic parameters of the KM plot (namely the points of median, mean or inflection) are enough to reconstruct the parametric fit, which gives support of the comparison of survival curves of different patient’s groups.
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