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
. 2024 Feb 1;19(2):260-262.
doi: 10.2215/CJN.0000000000000323. Epub 2023 Sep 14.

Using Restricted Mean Survival Time to Improve Interpretability of Time-to-Event Data Analysis

Affiliations

Using Restricted Mean Survival Time to Improve Interpretability of Time-to-Event Data Analysis

Vivek Charu et al. Clin J Am Soc Nephrol. .
No abstract available

PubMed Disclaimer

Conflict of interest statement

M. Kurella Tamura reports employment with VA Palo Alto Health Care System, honoraria from American Federation for Aging Research, role as an Associate Editor of CJASN, and advisory or leadership roles for Beeson External Advisory Committee and Clin-Star Advisory Board. L. Tian reports employment with Gilead Inc., consultancy for Athersys Inc. and Biogen Inc., and ownership interest in Gilead Inc. All remaining authors have nothing to disclose.

Figures

Figure 1
Figure 1
RMST estimates in the intensive and standard systolic BP target arms in SPRINT. The 4-year RMST, or average MACE-free days in 4 years, in the intensive systolic BP group is 1409 days (pink-shaded area), compared with 1394 average MACE-free days in 4 years in the standard systolic BP group (blue-shaded area; purple where the two overlap). The 4-year RMST difference between the intensive and standard systolic BP groups, a measure of treatment effect, is 15 days (95% CI, 6 to 25 days; P = 0.002). This measure of treatment effect has the following interpretation: On average, intensive BP control delays MACE by 15 days over 4 years compared with standard BP control. The RMST difference also has a geometric interpretation as the area between two survival curves. CI, confidence interval; MACE, major adverse cardiovascular event; RMST, restricted mean survival time; SPRINT, Systolic Blood Pressure Intervention Trial.

References

    1. Hernán MA. The hazards of hazard ratios. Epidemiology. 2010;21(1):13–15. doi: 10.1097/EDE.0b013e3181c1ea43 - DOI - PMC - PubMed
    1. Zipkin DA Umscheid CA Keating NL, et al. Evidence-based risk communication: a systematic review. Ann Intern Med. 2014;161(4):270–280. doi: 10.7326/M14-0295 - DOI - PubMed
    1. Chen PY, Tsiatis AA. Causal inference on the difference of the restricted mean lifetime between two groups. Biometrics. 2001;57(4):1030–1038. doi: 10.1111/j.0006-341x.2001.01030.x - DOI - PubMed
    1. Kloecker DE, Davies MJ, Khunti K, Zaccardi F. Uses and limitations of the restricted mean survival time: illustrative examples from cardiovascular outcomes and mortality trials in type 2 Diabetes. Ann Intern Med. 2020;172(8):541–552. doi: 10.7326/M19-3286 - DOI - PubMed
    1. Lewis CE Fine LJ Beddhu S, et al. The SPRINT Research Group. Final report of a trial of intensive versus standard blood-pressure control. N Engl J Med. 2021;384(20):1921–1930. doi: 10.1056/NEJMoa1901281 - DOI - PMC - PubMed

LinkOut - more resources