Aalen–Johansen estimator Created 2026-10-06 Updated 2026-10-07
The Aalen–Johansen estimator is a product of empirical state-transition matrices over event times. In competing risks, the estimated cumulative incidence function for cause jumps by , while overall survival is updated using all event causes. Right censoring changes subsequent risk sets but does not itself create a probability jump.
For competing risks, a cumulative incidence function jumps by the displayed Aalen–Johansen estimator increment. A person right-censored at exactly the event time remains in the immediately preceding risk set under the usual events-before-censoring tie convention. Censoring changes the next risk set, not the current event numerator or survival jump.
For the numerical competing risks update, the estimated probability of remaining event-free just before the tied time is
There were no intervening events, so the cumulative incidence functions did not jump between the two stated times. The Aalen–Johansen estimator uses the risk set immediately before the event time, including the subject censored at that same time under the usual events-before-censoring tie convention. Therefore the cause- increment is , and
For a consistency check, and ; these sum to one. The censoring does not create an incidence jump and leaves subjects for subsequent follow-up. Dividing by would instead assume that the censored subject had already left before the event time, contrary to the stated immediately preceding risk set. This is a cumulative incidence update with tied censoring.
The last lung-cancer failure before five years is at 4.85, where the displayed net survival estimate is 0.392. The other-death net survival estimate remains 0.498 from 4.096 until 5.065. Thus the two supplied curves imply net five-year death estimates of for lung cancer and for other causes. Their sum is 1.110, already showing that they cannot be probabilities of two disjoint actual causes of death.
In competing risks, let and be the cause-specific hazards while alive, with cumulative hazards . Treating the other cause as censored estimates the net survival . The actual probability of death from cause by time is the cumulative incidence function
Since , the net probability generally overstates the cumulative incidence function: death from the other cause prevents a later death of cause . This discrepancy exists even for independent latent cause-specific failure times. Moreover, Kaplan–Meier estimates are not generally exactly unbiased in finite samples even for their proper target. The plotted complements are not unbiased estimators of , and are not even consistent for that target in general.
For the desired probabilities, use the Aalen–Johansen estimator , with all-cause survival and independent study censoring. Removing competing deaths from subsequent risk sets is correct for estimating cause-specific hazards; the error is interpreting the separate net survival complements as cumulative incidence functions. A hypothetical elimination-of-a-cause interpretation of net survival would require additional causal assumptions.
For mutually exclusive event types, let be the first event time and its type. The cause-specific hazard for cause is
It is a rate conditional on having had no event of any cause. The cumulative incidence function, also called the cumulative risk function, is the actual probability .
The total hazard function is , giving . Surviving every cause to time and then experiencing cause gives
In competing risks, is generally not , because competing events remove individuals before they can experience cause . This formula does not require assuming independent latent failure times for the different causes.
For the survivor functions, and . The product rule gives
Integrating from 0 to , using , yields
The three terms partition the possible histories: A occurs first by time , B occurs first by time , or neither has occurred by . The first two are the cumulative incidence functions for the two competing risks, while the third is the survival probability of their minimum. The initial value assumes nonnegative event times with no atom at zero.