Accelerated failure time model Created 2026-10-07 Updated 2026-10-14
An accelerated failure time model changes the time scale of a common event-time distribution. In a log-location-scale representation, with common and positive scale . An additive change in multiplies all time quantiles by the same factor. A larger time multiplier indicates longer survival, whereas a larger hazard multiplier in a proportional hazards model indicates faster failure.
Covariate 2026-10-05
A covariate is an observed explanatory variable used to model the conditional distribution of a response. A vector of covariates can enter a linear predictor, a treatment-effect adjustment or a hazard multiplier. Conditioning on a covariate does not itself establish that its effect is causal.
Cox rank-likelihood deletion consistency Created 2026-10-05 Updated 2026-10-06
Assume independent individual event times with positive time-constant hazard multipliers and a common baseline hazard whose cumulative hazard tends to infinity. Transforming each event time by that cumulative hazard then gives independent exponential event times with corresponding rates, so all event orders exist. Their complete-order probabilities select each next label proportionally to its remaining multiplier. Marginalizing over the position of a deleted label leaves the order law of the other exponential times, hence the same sequential formula without that label. This proves the deletion identity used when unobserved ranks are summed out. It does not supply a likelihood function for censoring times; ignoring censoring in observed survival analysis still needs independent censoring.
For events tied within a risk set, put , and . The Efron approximation to Cox partial likelihood removes the average tied-event hazard multiplier from the denominator at each successive event. Unlike the Breslow approximation for tied event times, it accounts approximately for depletion of the risk set within the group. Factors independent of can be dropped for estimation. This is an approximation for coarsened continuous event times, not a full interval-observation likelihood.
Hazard multiplier Created 2026-10-05 Updated 2026-10-14
In a proportional hazards model , the hazard multiplier is the relative hazard against the reference multiplier one. In a Cox proportional-hazards model it is . Ratios of two time-constant multipliers give constant hazard ratios; time-dependent multipliers require a corresponding extension.
Use the usual semiparametric Cox proportional-hazards model with observed covariates :
The covariates are implicit in the question's regression fit, even though the displayed data notation only lists exit times and event indicators. Assume entry at a common origin, time-constant covariates, distinct observed times and independent censoring. Write and . Conditional on a single event at in its risk set, the chance that individual supplies it is
The baseline hazard cancels. Consequently estimate by maximizing Cox partial likelihood
For example, the score and information of Cox partial likelihood follow by differentiation. Define , and . Then
When a finite identifiable maximum exists, iterate until convergence. The observed Fisher information also gives the usual asymptotic coefficient uncertainty. Censored subjects enter the relevant risk sets, even though they supply no numerator event factor.
After fitting , estimate the cumulative hazard of the reference subject by the Breslow estimator
Its jump at an event is the observed event count divided by the total fitted hazard multiplier at risk. The estimate is an integrated baseline hazard, with hazard represented by a measure placing these jumps at observed event times. If a smooth ordinary hazard function is wanted, smooth these increments with a chosen kernel and bandwidth; differentiating the step function as an ordinary function would incorrectly give zero away from the jumps. The fitted individual cumulative hazard is over that individual's follow-up. The invariances below concern this Cox partial likelihood fit and this Breslow estimator; they need not hold for a fully parametric proportional-hazards fit or an arbitrarily smoothed hazard estimator.
Write the Cox proportional-hazards model as , where is the hazard multiplier and is the unspecified baseline hazard. At an untied event time , let be the risk set immediately before the event and its failing individual. With independent censoring conditional on the covariates, the conditional probability that individual supplies the next event, given an event at that time and the risk set, is obtained by dividing its instantaneous event rate by the aggregate rate:
More precisely this is the limit of the conditional probability for one event in a short interval; simultaneous events have smaller-order probability in the continuous model. Multiplication of these successive conditional contributions gives the Cox partial likelihood
Censored individuals remain in each risk set until their censoring time but supply no numerator. Conditioning removes the baseline hazard; this is a partial likelihood for , rather than a complete likelihood for event and censoring times.
Ties require an observation model or an approximation. Suppose a recorded tie hides the order of continuous events, with no intervening entry or censoring. Put for the tied event set and . An exact marginal contribution for the coarsened ranks is the sum of the ordinary rank contributions over every possible order:
For example, if fail together while remains at risk, the two possible orders give
The risk set is depleted after the first of the two events. This expression concerns the missing event order; it is not the full likelihood of an interval in which the events occurred.
Convenient alternatives are the Breslow approximation for tied event times and the Efron approximation for tied event times:
The first keeps the initial denominator at every event; the second removes an average share of the tied-event multipliers successively. In the example their denominators are and . These conventional partial-likelihood factors omit multiplicities independent of , which do not affect its estimate; they should not be mistaken for normalized probabilities of the unordered event set.
For genuinely discrete event times there is another exact construction. If individual event odds are proportional to , conditioning on exactly events gives the exact tied-set conditional likelihood
For the same three individuals this is . It is not generally equal to the continuous-time rank sum: the assumptions differ.
Large tie groups make naive summation over orders or subsets impractical. Recursion helps with the subset denominator, and Breslow or Efron avoids exhaustive enumeration. However, extensive ties can also indicate that time is measured too coarsely for an exact continuous-time ordering to be a useful target.
For example, if patients are assessed only at annual visits, use one row per patient-year still at risk and model the probability of an event in that interval. A grouped proportional-hazards model follows directly by integrating the hazard over the interval, with covariates constant there:
Fit the resulting person-period likelihood, with Bernoulli distributions for the interval event indicators and interval-specific intercepts. Many events in the same year are then ordinary observations rather than a combinatorial ordering problem. This requires a compatible interval-observation scheme and appropriate independent censoring; it avoids pretending that unobserved within-year event times are known.
A frailty model uses an unobserved nonnegative random hazard multiplier to represent variation in individual risk. In a proportional frailty model, conditional on the cumulative hazard function is , giving survivor . Averaging over the frailty random variable by the law of total probability yields
the Laplace transform of the frailty distribution evaluated at the baseline integrated hazard. This also applies to atoms by integration against the probability measure; the printed Dirac expression is not an ordinary continuous density.
In the given two-atom case, the Dirac delta function notation assigns probabilities and to and . These have mean one, fixing the frailty scale relative to the baseline hazard. With , the two conditional integrated hazards are and . Therefore
The frailty distribution among survivors shifts toward the smaller multiplier over time, reproducing the declining population hazard and limit one without changing either individual's constant conditional hazard.
A proportional hazards model assigns individual the hazard function , where is the baseline hazard for multiplier one and is a time-constant hazard multiplier. In a Cox proportional-hazards model, for a covariate vector and coefficient vector ; ratios are constant whenever the baseline is nonzero.
Assume independent individuals, independent censoring conditional on the covariates, and no tied events. Immediately before an event at , condition on its observed risk set and one event in a small time interval. The individual event probability is , while the total is . Their limiting ratio is . Multiplication over observed events gives the Cox partial likelihood
The unspecified baseline hazard cancels. This is the usual successive conditional event contribution defining the partial likelihood, not the full event-time likelihood conditioned simultaneously on all event times.
For the four individuals the successive event risk sets are , and . Individual leaves at its right censoring time and contributes no event numerator. Consequently
The last event contributes one and carries no further relative-risk information.
Because , the three possible complete event orders are , , and . Write and . Their partial likelihoods, with the final singleton factor omitted, are respectively
Adding first and gives , and therefore
Thus
This is Cox rank-likelihood deletion consistency: summing out the unobserved position of leaves the relative order information in the observed events. It is an algebraic marginalization of complete-order probabilities under time-constant hazard multipliers. It does not include the probability density function of the actual censoring time, establish the distribution of given all observed times, or justify informative censoring. Ignoring the censoring mechanism in the survival analysis still requires independent censoring given the modeled covariates.
The ordinary Nelson–Aalen estimator adds at event time . Under a fitted proportional hazards model, replace the number at risk by the sum of fitted hazard multipliers:
This is the Breslow estimator of the integrated baseline hazard, using fitted regression coefficients obtained by maximizing the Cox partial likelihood. The denominator arises because the total event intensity is ; with every multiplier equal to one it reduces to the Nelson–Aalen estimator.
The estimator is right-continuous, so already includes the event at . Subtracting it leaves only the events at and , whose risk sets are and . Hence
There is no increment at the censoring time . If the lower endpoint had instead been , an additional would be present. The final singleton event can increase the baseline hazard estimate even though its partial likelihood contribution is one.