Modeling time-to-event (survival) data using classification tree analysis.

Journal: Journal of evaluation in clinical practice
Published Date:

Abstract

RATIONALE, AIMS, AND OBJECTIVES: Time to the occurrence of an event is often studied in health research. Survival analysis differs from other designs in that follow-up times for individuals who do not experience the event by the end of the study (called censored) are accounted for in the analysis. Cox regression is the standard method for analysing censored data, but the assumptions required of these models are easily violated. In this paper, we introduce classification tree analysis (CTA) as a flexible alternative for modelling censored data. Classification tree analysis is a "decision-tree"-like classification model that provides parsimonious, transparent (ie, easy to visually display and interpret) decision rules that maximize predictive accuracy, derives exact P values via permutation tests, and evaluates model cross-generalizability.

Authors

  • Ariel Linden
    Linden Consulting Group, LLC, Ann Arbor, MI, USA.
  • Paul R Yarnold
    Optimal Data Analysis, LLC, Chicago, IL, USA.