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Report on Cox Proportional Hazards Regression Analysis

Category: Corporate Governance Paper Type: Report Writing Reference: APA Words: 1350

Introduction of Cox Proportional Hazards Regression Analysis

By assuming the various situations of the patients and incidents the survival curve can be created in effective manners. It is particularly used for the computation of the probabilities for the occurrence of the event according to the particular point of the time as in this analysis this conducted to measure the probabilities the patients that are divided into treatment groups. These are two groups. The survival analysis is particularly conducted in order to determine the survival time (risk of dying) for the Survival Curve data where the patients are divided into treatment groups. The particular required data is utilized In order to run Cox regression and the Cox regression is applied to measuring the probabilities of the risk of dying if the patients. These successive probabilities are multiplying with earlier computed probabilities in order to attain the particular final estimates.  The survival are analysis are consider as the more generally use bale analysis in the study of the medical field (Manish Kumar Goel, 2010 ). It is also known as the time to time analysis that is refers for setting the methods in order to the analyse the time length for the according to the occurrence of the well-defined end point of the interest.  The one of the most important and unique feature for the survival of the data is typically not for all of the patients who are suffered from the disease and experiences the worst conditions such as; death during the entire periods of the observations. Hence for few patients; the actual survival time is referred as unknown (Schober, 2018).  

Developed Hypotheses of Cox Proportional Hazards Regression Analysis:

The below given hypothesis are developed to measure Cox regression analysis that is lasso referred as the survival analysis.  In this hypothesis development the alternative and null hypothesis is developed for conducting the survival analysis.     

H0: The risk of dying is not related to the patient treatment group. (Null Hypothesis)

H1: The risk of dying is related to the patient treatment group. (Alternative Hypothesis)

Discussion of Cox Proportional Hazards Regression Analysis

The process of the survival analysis is considered as the censoring in usual words and it be accounted for the analysis that are particularly utilized for the valid inferences and these are allowed by it. Furthermore the time of the survival has been usually skewed and the usefulness of the methods has been limited in it which is particularly utilized for the normal data distribution. Being the part of the ongoing series of the heart patients the various statically methods are utilized to experiences and explains time to event data (Longjian Liu MD, 2018). The semi parametric and nonparametric methods are utilized for it particular the estimator of the Kaplan-Meier log-rank test, and Cox proportional hazards model and long rank test models are also the part of it. These methods are by far the most commonly used techniques for such data in medical literature. The formula for Cox proportional hazards model is given below;

 The below give data in table is representing probability of the survivors at the end.

Serial Time (years)

Status At Serial Time (1=event; 0=censored)

Group (1 Chemo or 2 Placebo)

1

1

1

2

1

1

3

1

1

4

1

1

4.5

1

1

5

0

1

0.5

1

2

0.75

1

2

1

1

2

1.5

0

2

2

1

2

3.5

1

2


The above given data is particularly used for applying the residual curve in order to measure the expected result in this study. For the both of the groups the survival curve is generated in the below given images.

 

 

 

 

 

 

 

Group 1

Event Time (years)

No. of Events

No. at Risk

Probability

 1

1

6

0.833

  2

1

5

0.667

  3

1

4

0.500

  4

1

3

0.333

  4.5

1

2

0.167

 

 

 

 

 

Group 2

Event Time (years)

No. of Events

No. at Risk

Probability

 0.5

1

6

0.833

  0.75

1

5

0.667

  1

1

4

0.500

  2

1

2

0.250

  3.5

1

1

0.000

 

Mean and median for group 1

Mean

95% CI lower limit

95% CI upper limit

  3.250

1.991

4.509

Median

 

 

  3.000

0.600

5.400

Mean and median for group 2

Mean

95% CI lower limit

95% CI upper limit

  1.750

0.675

2.825

Median

 

 

  1.0

−0.200

2.200

Cox Regression
The Cox regression has been applied on the particular data that is collected during the experimentation and the outcomes are explained accordingly. (Singh, 2011)

SUMMARY OUTPUT

Regression Statistics

Multiple R

0.572825

R Square

0.328128

Adjusted R Square

0.260941

Standard Error

0.448956

Observations

12

ANOVA

 

df

SS

MS

F

Significance F

Regression

1

0.984384

0.984384

4.883788

0.051567

Residual

10

2.015616

0.201562

Total

11

3

 

 

 

 

Coefficients

Standard Error

t Stat

P-value

Lower 95%

Upper 95%

Lower 95.0%

Upper 95.0%

Intercept

1.96018

0.245271

7.991907

1.19E-05

1.413683

2.506676

1.413683

2.506676

Serial Time (years)

-0.19207

0.086915

-2.20993

0.051567

-0.38573

0.001583

-0.38573

0.001583

The above given analysis of the regression is representing that there is the negative relationship among the risk of dying and the patient treatment group with in particular time. It shows that it is not necessary that the risk of dying can be minimized by particular treatment during the suggested time. In this observation and effect the level of significance is 0.05 that is not less than 0.05 but it is appropriately equal to 0.05. In the above given table of the Regression Statistics the value of the adjusted R square is 0.26 that shows due to the 1% change in treatment the risk of dying can be changed 26%. The confidence interval is considered as the 95%.The above given graph is representing the normal probability curve for the patients group who are under treatment. It represent by enhancing the time of the treatment the risk of dying can be reduced. The effective treatment for the long time period can increase the chances to spend good life.

This above given graph is designed to explains the residuals that are occurs during the Cox regression. The numbers of these residuals are increasing as well with the passage of time.   Conclusion of Cox Proportional Hazards Regression Analysis

It has been concluded that the fundamentals of the survivals curves of the Kaplan-Meier has been explained in the above given discussion along with the utilization of the comparison of the two small groups  such as the details of the analysis is explained in extensive manners in the above given part. In spite of the results that are occurs with the greater variances among these small groups the rank of the log tested is shown. Both of these curves are not significantly different. The critical important points are illustrated by this hypothetical data. The Cox survival curve has been applied to measure the mortality instead of the concerns of the clinics along with the rates at the fixed periodic intervals. The results of this analysis are more similar with the study of the (Rich, 2010).

References of Cox Proportional Hazards Regression Analysis

Longjian Liu MD, 2018. Advanced Biostatistics and Epidemiology Applied in Heart Failure Study. Epidemiology and Research Methods,.

Manish Kumar Goel, P. K. J. K., 2010 . Understanding survival analysis: Kaplan-Meier estimate. Int J Ayurveda Research, 1(4), p. 274–278.

Rich, J. T. N. J. G. P. R. C. V. C. C. J. N. B. &. W. E. W., 2010. A practical guide to understanding Kaplan-Meier curves.. Otolaryngology-Head and Neck Surgery, , 143(3), p. 331–336..

Schober, P. &. V. T. R., 2018. Survival Analysis and Interpretation of Time-to-Event Data.. Anesthesia & Analgesia, 127(3), p. 792–798.

Singh, R. &. M. K., 2011. Survival analysis in clinical trials: Basics and must know areas.. Perspectives in Clinical Research, 2(4), p. 145..

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