Past exam of the mathematics course of the University of Cambridge 2001 iii Paper 28 4 a Solution Created 2026-10-03 Updated 2026-10-14
The survival estimates favor the new treatment at the two reported times, with absolute survival differences at two years and at five years. These point differences alone do not establish efficacy. Randomization supports a causal comparison of the treatment assignments, but sampling variance, censoring, follow-up, protocol adherence and the prespecified endpoint still matter. One should not infer a statistically established benefit merely from two larger estimates.
A Kaplan–Meier estimator iswhere is the risk set and the event count. Its uncertainty depends on the actual risk sets, not just the initial group size. The Greenwood formula estimatesWithout the missing survival tables one cannot calculate these standard errors or the uncertainty of the group difference. In particular, replacing the estimator variance by the variance of an uncensored binomial proportion would generally be wrong.
I would advise presenting both curves with numbers at risk and confidence intervals, checking independent censoring, and reporting a prespecified overall comparison plus an effect estimate and interval. For an unadjusted log-rank test, write and . Its hypergeometric null variance isTerms with no possible variation contribute zero. This compares the entire event history rather than selecting two arbitrary times, uses the available risk sets, and avoids choosing favorable time points after examining the curves. It is especially effective under proportional hazards. Crossing curves can make a log-rank comparison insensitive; a prespecified restricted mean survival time difference or another suitable time-varying analysis may then be more informative. An overall comparison does not make a clinically important prespecified time-point contrast invalid.
The Kaplan–Meier median survival time is the first event time at which . Monotonicity of the reported estimates impliesIf the new-treatment curve never reaches one half during observed follow-up, its median is not estimable from that curve. The exact crossing times cannot be reconstructed from two survival probabilities: the standard curve could first cross at three or at four years and still have the same values at two and five years. The point estimates suggest benefit, but the evidence and exact medians require the missing event/censoring tables. Neither a conclusive agreement nor a conclusive rejection of benefit is justified from these numbers alone.
Past exam of the mathematics course of the University of Cambridge 2015 iii Paper 33 5 a i Solution Created 2026-10-03 Updated 2026-10-06
For a nonnegative random variable, . Tonelli theorem permits interchanging expectation and this nonnegative integral, giving the tail integral formula for moments:The equality also holds when the mean is infinite. Thus mean completion time is the total area under the survival function, while a restricted mean survival time integrates only to a specified follow-up horizon.
Past exam of the mathematics course of the University of Cambridge 2015 iii Paper 33 5 b i Solution Created 2026-10-03 Updated 2026-10-06
The Kaplan–Meier estimator is , with event count and risk set size . Its median is the first event time with estimated survival at most . Since and , the estimated median completion time is minutes.
The original last event exhausts the final risk set, so the fitted survival function drops to zero at and its conventional full area is finite. Integrate the right-continuous step function: its height is one before time one, and after each event the height is the newly computed survival value. There are three-minute gaps from to and from to . ThusUsing the exact risk-set products rather than rounded printed survival values gives . This is not the sample mean of the observed event-or-censoring times; right censoring changes the estimated survival weights.
If the final observation at is instead censored, every earlier Kaplan–Meier estimator value is unchanged and no event factor is inserted at . The median remains minutes, but the curve stays at at the end of follow-up. By terminal censoring and survival-mean identifiability, a full unrestricted mean is no longer determined nonparametrically by these observations. Extending the final positive step forever would give an infinite integral, but that plotting convention does not establish an infinite population mean. Extra assumptions about the unobserved tail would be needed for a finite full-mean estimate.
The restricted mean survival time through is still minutes in either version: the two curves differ only at or after the endpoint, which does not affect the area up to it. All these interpretations require independent censoring. Giving up may be related to how long a person would have taken to finish, so that assumption needs scientific justification in this study.
Past exam of the mathematics course of the University of Cambridge 2017 iii Paper 207 4 b ii Solution Created 2026-10-03 Updated 2026-10-05
If the final individual experiences an event at , the Kaplan–Meier estimator acquires the factor . ThusThe conventional fitted curve is zero thereafter. Its area gives the finite plug-in estimateThe area is a sum of rectangles: if are the event times, it equals . Censoring times within a constant segment do not alter its area.
Both terminal estimates have poor reliability because the last risk set has size one: one observed outcome determines whether the entire remaining fitted tail stays positive or collapses to zero. The zero tail is an empirical endpoint convention, not evidence that every future member of the population must fail by . With earlier right censoring, the displayed finite area can be especially sensitive to this last event and does not remove uncertainty about the population tail. In the final-censoring case the full mean lacks a determined tail area; in the final-event case the conventional full fitted mean is finite and calculable, but should be reported with this limitation. A restricted mean survival time at a prespecified cutoff within reliable follow-up often avoids the unstable terminal extrapolation.
Past exam of the mathematics course of the University of Cambridge 2017 iii Paper 207 4 b i Solution Created 2026-10-03 Updated 2026-10-05
Let be the distinct observed event times, the risk set size immediately before , and the events there. Under independent censoring, the Kaplan–Meier estimator isIt starts at one, jumps down at events, and is unchanged by a pure censoring time; right censoring removes people from subsequent risk sets. If events and censorings coincide, the convention here processes events before censoring, so those censored at the recorded time are included just before the event. The estimated median is the first time the curve reaches or falls below . If it never does during observation, the median is not estimable from the observed curve without tail assumptions.
With one remaining individual censored at , no event factor is introduced. HenceThis is the terminal observed step value. With an empty risk set after , continued horizontal plotting is a convention and supplies no information about the true later survivor function. The tail rests on one person and is imprecise; this is terminal censoring and survival-mean identifiability. If , the unrestricted mean cannot be obtained nonparametrically from this censored tail: extending the last positive step to infinity would give an infinite area, which does not establish an infinite population mean. A restricted mean survival time up to a suitably supported finite cutoff remains estimable.
Survival analysis Created 2026-09-24 Updated 2026-10-13
Survival analysis studies the probability distribution of a survival time: how long from a specified starting point until a specified occurrence. The occurrence need not be death. It might be a machine's first breakdown, a customer's first renewal, or a person's recovery. The meaning of "survival" is simply that the chosen occurrence has not happened yet. Both the starting point and the outcome must be defined before interpreting a survival function.
The distinctive difficulty is incomplete observation. A machine still working when observation stops supplies a lower bound on its survival time, rather than an observed breakdown time. Right censoring lets us retain that information. The Kaplan–Meier estimator estimates a survival function using the changing risk sets, without choosing an exponential distribution or another particular survival distribution. A hazard function instead describes the current event rate among those still event-free; its cumulative hazard connects those local rates to the whole survival function.
This framework turns different follow-up lengths into usable evidence about waiting times. It supports questions such as the chance of remaining event-free for another year, or the restricted mean survival time within an observed horizon. Lu Tian's Stanford teaching materials introduce these interpretations in Survival Distributions, Hazard Functions, Cumulative Hazards, Section 1.1.
Survival function Created 2026-09-24 Updated 2026-10-14
For a nonnegative survival time , the survival function iswhere is the cumulative distribution function. Thus is the probability that the chosen occurrence is still in the future at time . We consistently use the strict inequality : a probability mass at has already left the survival function at itself. With this convention is a right-continuous function and a nonincreasing function taking values in . If , then ; if is finite with probability one, then as .
For and , conditional probability givesFor example, and mean that of those still event-free at year two remain event-free through year five. Their intervening event probability is , whereas the original population's probability of an occurrence in is . Conditioning changes the denominator.
The area under the survival function up to a horizon gives the restricted mean survival time. A positive terminal plateau in a plotted Kaplan–Meier estimator does not establish that the occurrence will never happen: terminal censoring and survival-mean identifiability explains why the unobserved tail remains undetermined.
Terminal censoring and survival-mean identifiability Created 2026-10-05 Updated 2026-10-06
If the last observed follow-up is a censoring time and the Kaplan–Meier estimator remains positive there, the observed curve does not determine the remaining tail area. Many possible completions give different full means, including finite and infinite ones. A horizontal plotting extension is not proof that the true mean is infinite. If the final risk set is exhausted by events, its Kaplan–Meier estimator factor is zero and the conventional fitted curve has finite area. This includes a unique last individual having an event, but an event tied with terminal censoring can leave a positive fitted survivor value when events are processed before censoring. The random endpoint still does not establish a population support bound. A restricted mean survival time avoids unsupported tail completion.