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Re: instant hazard rate/survival

To: "'Maggie Cheang'" <mcheang@mac.com>, "'Prof Brian Ripley'" <ripley@stats.ox.ac.uk>
Subject: Re: instant hazard rate/survival
From: "vincent vinh-hung" <conrvhgv@az.vub.ac.be>
Date: Wed, 28 Sep 2005 11:46:38 +0200
Cc: "'Terry Therneau'" <therneau@mayo.edu>, <s-news@lists.biostat.wustl.edu>
In-reply-to: <C28F84D0-9AD3-410C-920F-7CF911F4861D@mac.com>
Thread-index: AcXECl2oX1Dqyn0uR4q9Z1Lfme+ZvAABBXFQ
Many thanks for your question that I did not dare asking
and for the instructive responses.
Another example of plotting hazard can be found in
Retsky M et al, breast cancer research:
http://breast-cancer-research.com/content/6/4/R372
Regarding plot of hazard ratio across time,
perhaps most convenient is:
somefittedcoxmodel <- coxph(yourmodel)
plot(cox.zph (somefittedcoxmodel, transform='identity'))
Regards,
Vincent Vinh-Hung

-----Original Message-----
From: s-news-owner@lists.biostat.wustl.edu 
[mailto:s-news-owner@lists.biostat.wustl.edu] On Behalf Of Maggie Cheang
Sent: Wednesday, September 28, 2005 10:55 AM
To: Prof Brian Ripley
Cc: Terry Therneau; s-news@lists.biostat.wustl.edu
Subject: Re: [S] instant hazard rate/survival

I really appreciate your advice. I am a beginner in survival  
analysis, in fact, in S/R.
Maybe i should clarify what I would like to do.
I would like to look to plot both the instant hazard rate of a  
biomarker positive and negative expression respectively, and also the  
hazard ratio of the positive in respect to the negative expression,  
adjusting with other factors, such as tumor size and age.
I read this reference paper (Estrogen receptors and distinct patterns  
of breast cancer relapse, by Kenneth R. Hess et al, Breast cancer  
research and treatment 78: 105-118, 2003). In the paper, the authors  
plot the a smooth hazard graph, and also hazard ratio.
I am not quite sure how the author draw the smooth hazard ratio, but  
I like the idea that plotting the hazard ratio across time, to  
visualize the changes.

Thanks in advance.
Maggie



On 28-Sep-05, at 1:18 AM, Prof Brian Ripley wrote:

> On Tue, 27 Sep 2005, Maggie Cheang wrote:
>
>
>> Thanks for Terry to reply for my qustion.
>>
>
> Note that it is implicit in Terry's answer that the hazard is smooth.
> You have to make some asssumption here, and his includes how smooth  
> it is.
>
>
>> That comes to my second question,
>> is there a simple way to plot the Hazard ratio from a coxph?
>>
>
> What hazard ratio is that?  Note the theory underlying coxph does  
> not assume that hazards are smooth but that they are very rough.
>
>
>> anyone familiar with the muhaz package?
>>
>
> Yes, and it is discussed (alongside similar ideas) in the MASS on- 
> line complements.  See http://www.stats.ox.ac.uk/pub/MASS4/ 
> #Complements .
>
>
>
>> thanks a bunch
>> Maggie
>> On Tuesday, September 27, 2005, at 06:24AM, Terry Therneau  
>> <therneau@mayo.edu> wrote:
>>
>>
>>> The simplest way that I know to get an estimate of the
>>> hazard is to use smoothing splines.
>>>
>>> fit <- survfit(Surv(time, status) ~ sex, data=lung)
>>>
>>> temp1 <- smooth.spline(fit[1]$time, 1-fit[1]$surv, df=5)
>>> temp2 <- smooth.spline(fit[2]$time, 1-fit[2]$surv, df=5)
>>>
>>> plot( predict(temp1, deriv=1), type='l')
>>> lines(predict(temp2, deriv=1), col=2)
>>>
>>>
>>> ------
>>>  The lung cancer data set is part of Splus (it's used in several
>>> manual pages as an example).  The plot shows the males to have a
>>> higher initial hazard than the females.
>>>
>>>  You choice of 5 degrees of freedom for the spline was completely
>>> arbitrary.
>>>
>>>     Terry Therneau
>>>
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>
> -- 
> Brian D. Ripley,                  ripley@stats.ox.ac.uk
> Professor of Applied Statistics,  http://www.stats.ox.ac.uk/~ripley/
> University of Oxford,             Tel:  +44 1865 272861 (self)
> 1 South Parks Road,                     +44 1865 272866 (PA)
> Oxford OX1 3TG, UK                Fax:  +44 1865 272595
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Maggie Cheang
mcheang@mac.com


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