Methods
Survival analysis (time-to-event modeling)
Also called: time-to-event analysis, censoring
Survival analysis models how long until an event happens, while correctly handling patients whose follow-up ends before the event (censoring).
Many clinical outcomes, such as recurrence, recanalization, reoperation or death, are about when something happens, not only whether it happens. Survival analysis models the time to an event and produces curves showing the probability of remaining event-free over time.
Its key feature is handling censoring: a patient last seen at two years without the event still contributes information up to two years, even though their later outcome is unknown. Ignoring censoring or treating such patients as event-free biases results.
Classic methods include Kaplan-Meier curves and Cox proportional hazards models. Machine-learning versions include random survival forests and gradient-boosted survival models, which are judged with the concordance index and time-dependent calibration.
Tools that use this
- Aneurysm Recanalization StudioIndividualized risk of major recanalization after endovascular coiling over 12 to 48 months, with packing density what-ifs. C-index 0.83 on 3,530 aneurysms.
- Adjacent Segment Disease Prediction StudioTime-to-event risk of adjacent segment disease after lumbar fusion at 1, 2, 3 and 5 years, from sagittal alignment, levels fused and surgical technique.
- Open Spina Bifida Frailty and SurvivalFrom findings at birth, predict frailty and the chance of survival at ages 5, 25, 35 and 40 for children born with open spina bifida.
- ManuscriptAIPredict the chance a bioRxiv or medRxiv preprint is published within 90 days to 2 years, with time to publication, journal recommendations and SHAP feedback.
- Surgical Malpractice Claims ForecasterWhen a surgical malpractice claim is likely to be paid, how much, and whether trial is worth the risk. Trained on NPDB payment reports, backtested on unseen years.
Related terms
Educational reference. Not medical advice and not for clinical decision-making.