Survival Models & Mortality

the Kaplan-Meier estimator

/ KAP-lan MY-er /

Suppose you follow a group of patients (or insured lives, or machines) and want to estimate the survival function directly from the data — without assuming any formula. A real complication is that you rarely observe everyone until they die: some are still alive when the study ends, some drop out early. These incompletely observed lives are called censored. The Kaplan-Meier estimator is the standard, distribution-free way to build a survival curve from exactly this kind of messy, partly-censored data.

It works by stepping through the distinct times at which deaths actually occur and chaining together the survival odds. At each death time you ask: of those still under observation and at risk just before, what fraction survived past this instant? That fraction is one minus deaths-over-at-risk at that moment. The estimated survival curve is the running product of all those fractions up to a given time — which is why it is also called the product-limit estimator. Censored lives count toward the at-risk pool only up to the moment they drop out, so they reduce later denominators without being treated as deaths. The result is a staircase that steps down only at observed death times.

Kaplan-Meier is the workhorse of clinical trials, reliability testing, and any survival study where you cannot wait for everyone to die — it is how 'median survival' and 'five-year survival' get reported. For actuaries it is a non-parametric companion to a graduated life table: useful when you want the data to speak for itself, with the honest caveat that the right-hand tail of the curve, based on very few survivors, is shaky, and that it assumes censoring is unrelated to a person's underlying risk.

If 100 are at risk and 5 die at month 6, then 80 remain at risk and 4 die at month 9, the KM survival estimate at month 9 is (1 - 5/100) x (1 - 4/80) = 0.95 x 0.95 = 0.9025.

The estimate is a running product of 'survived this death time' fractions, stepping down only when a death is seen.

Kaplan-Meier assumes non-informative censoring — that those who drop out are not systematically sicker or healthier than those who stay. If dropouts are different (e.g. the very ill leave the study), the curve is biased.

Also called
Kaplan-Meier estimatorproduct-limit estimatorKM curve乘积极限估计量K-M 估计生存曲线估计