Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jul 26;23(7):e27633.
doi: 10.2196/27633.

Web-Based Survival Analysis Tool Tailored for Medical Research (KMplot): Development and Implementation

Affiliations

Web-Based Survival Analysis Tool Tailored for Medical Research (KMplot): Development and Implementation

András Lánczky et al. J Med Internet Res. .

Abstract

Background: Survival analysis is a cornerstone of medical research, enabling the assessment of clinical outcomes for disease progression and treatment efficiency. Despite its central importance, no commonly used spreadsheet software can handle survival analysis and there is no web server available for its computation.

Objective: Here, we introduce a web-based tool capable of performing univariate and multivariate Cox proportional hazards survival analysis using data generated by genomic, transcriptomic, proteomic, or metabolomic studies.

Methods: We implemented different methods to establish cut-off values for the trichotomization or dichotomization of continuous data. The false discovery rate is computed to correct for multiple hypothesis testing. A multivariate analysis option enables comparing omics data with clinical variables.

Results: We established a registration-free web-based survival analysis tool capable of performing univariate and multivariate survival analysis using any custom-generated data.

Conclusions: This tool fills a gap and will be an invaluable contribution to basic medical and clinical research.

Keywords: Cox regression; Kaplan-Meier plot; follow-up; internet; multivariate analysis; survival.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
Kaplan-Meier curves showing main concepts used in survival analysis, including the (A) hazard rate (high/low) and (B) median survival. The green arrow shows the visually determined median survival and the blue arrow shows the survival probability at 50 months.
Figure 2
Figure 2
A cut-off plot can be used to visualize the correlation between the used cut-off values and the achieved P values (A) and hazard rate (HR) (B). The red circle identifies the best cutoff. The computation of false discovery rate across all P values provides correction for multiple hypothesis testing.

References

    1. Duck G, Nenadic G, Filannino M, Brass A, Robertson DL, Stevens R. A survey of bioinformatics database and software usage through mining the literature. PLoS One. 2016;11(6):e0157989. doi: 10.1371/journal.pone.0157989. https://dx.plos.org/10.1371/journal.pone.0157989 - DOI - DOI - PMC - PubMed
    1. Ősz Á, Pongor LS, Szirmai D, Győrffy B. A snapshot of 3649 web-based services published between 1994 and 2017 shows a decrease in availability after 2 years. Brief Bioinform. 2019 May 21;20(3):1004–1010. doi: 10.1093/bib/bbx159. http://europepmc.org/abstract/MED/29228189 - DOI - PMC - PubMed
    1. Goksuluk D, Korkmaz S, Zararsiz G, Karaagaoglu A. easyROC: an interactive web-tool for ROC curve analysis using R language environment. R Journal. 2016;8(2):213. doi: 10.32614/rj-2016-042. - DOI
    1. Budczies J, Klauschen F, Sinn BV, Győrffy B, Schmitt WD, Darb-Esfahani S, Denkert C. Cutoff Finder: a comprehensive and straightforward Web application enabling rapid biomarker cutoff optimization. PLoS One. 2012;7(12):e51862. doi: 10.1371/journal.pone.0051862. https://dx.plos.org/10.1371/journal.pone.0051862 - DOI - DOI - PMC - PubMed
    1. Wang X, Ji X. Sample size estimation in clinical research: from randomized controlled trials to observational studies. Chest. 2020 Jul;158(1S):S12–S20. doi: 10.1016/j.chest.2020.03.010. - DOI - PubMed

Publication types