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 Aug 15;11(4):484-488.
eCollection 2021.

Bayesian statistics versus classical statistics in survival analysis: an applicable example

Affiliations

Bayesian statistics versus classical statistics in survival analysis: an applicable example

Moslem Taheri Soodejani et al. Am J Cardiovasc Dis. .

Abstract

Background: Heart disease is the leading cause of death in the world and 17 million people die from cardiovascular diseases around the world each year, so finding factors that affect the survival of these patients is of particular importance. Therefore, finding the best model to analyze patient survival can help to find more accurate results.

Methods: There are different methods to survival analysis that assess one or more risk factors; the classic Kaplan-Meier method, Cox regression, parametric survival models, and newer models such as Bayesian survival. Cox regression is most common and is generally used for time-dependent data, and the main difference between cox regression and Bayesian models is that the prior distribution in Bayesian models can affect the values of the parameters. Some survival analysis models have certain conditions that need to be considered before analyzing the data. In this paper, we use a dataset from Kaggle and discuss these conditions. This dataset contains medical records of 299 patients with heart failure collected at the Faisalabad Institute of Cardiology and the Allied Hospital in Faisalabad (Punjab, Pakistan) from April to December 2015.

Results: This paper discusses that if the effective sample size is not sufficient, Bayesian survival models can be used to achieve more accurate results because this model is not affected by the sample size. The results of both methods are shown on a sample of cardiac data and based on the results of Bayesian Cox regression model, it was observed that Age, Anemia, Ejection fraction, High blood pressure and Serum creatinine were effective on patient survival.

Conclusion: The Bayesian models are much more accurate to determine survival and determine risk factors when dealing with data on rare diseases or diseases with low mortality, including heart patients whose survival probability is higher than that of cancer patients.

Keywords: Bayesian; Heart failure; cox regression; survival.

PubMed Disclaimer

Conflict of interest statement

None.

References

    1. Taheri Soodejani M, Lotfi MH, Tabatabaei SM, Mohammadzadeh M, Dolatian M. Application of population attributable fraction in prevention of cardiovascular diseases. 2015:7–13.
    1. Triposkiadis F, Xanthopoulos A, Parissis J, Butler J, Farmakis D. Pathogenesis of chronic heart failure: cardiovascular aging, risk factors, comorbidities, and disease modifiers. Heart Fail Rev. 2020 [Epub ahead of print] - PubMed
    1. Rafati S, Baneshi MR, Bahrampour A. Factors affecting long-survival of patients with breast cancer by non-mixture and mixture cure models using the Weibull, log-logistic and Dagum distributions: a Bayesian approach. Asian Pac J Cancer Prev. 2020;21:485–490. - PMC - PubMed
    1. Van De Schoot R, Broere JJ, Perryck KH, Zondervan-Zwijnenburg M, Van Loey NE. Analyzing small data sets using Bayesian estimation: the case of posttraumatic stress symptoms following mechanical ventilation in burn survivors. Eur J Psychotraumatol. 2015;6:25216. - PMC - PubMed
    1. Gannon MA, de Bragança Pereira CA, Polpo A. Blending Bayesian and classical tools to define optimal sample-size-dependent significance levels. Am Stat. 2019;73:213–222.

LinkOut - more resources