Competing risk and the cox proportional hazard model

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Abstract

We propose a heuristic for evaluating model adequacy for the Cox proportional hazard model by comparing the population cumulative hazard with the baseline cumulative hazard. We illustrate how recent results from the theory of competing risk can contribute to analysis of data with the Cox proportional hazard model. A classical theorem on independent competing risks allows us to assess model adequacy under the hypothesis of random right censoring, and a recent result on mixtures of exponentials predicts the patterns of the conditional subsurvival functions of random right censored data if the proportional hazard model holds.

Keywords: Competing risk; Relative risk; Cox proportional hazard; Censoring; Model adequacy