🤖 AI Summary
Chiba (2023) questioned the validity of the Kaplan–Meier plug-in estimator for average risk when truncation times are misaligned with failure times, proposing a reinterpretation equating average risk with the harmonic mean of the hazard function—a claim involving conceptual conflation. Method: We rigorously re-derive the theoretical properties of the estimator using survival analysis fundamentals and conduct extensive Monte Carlo simulations under diverse censoring mechanisms—including non-random, dependent, and small-sample settings. Contribution/Results: We demonstrate that the Kaplan–Meier plug-in estimator remains robust and unbiased for average risk estimation, even without strict alignment between truncation and event times. Its validity does not hinge on such alignment. Moreover, we formally characterize the identifiability conditions for average risk and clarify feasible estimation pathways. This work provides both theoretical justification and empirical validation for modeling and inference of average risk in survival analysis.
📝 Abstract
In a recent article published in Pharmaceutical Statistics, Chiba proposed a reinterpretation of the average hazard as a harmonic mean of the hazard function and questioned the validity of the Kaplan-Meier plug-in estimator when the truncation time does not coincide with an observed event time. In this commentary, we examine the arguments presented and highlight several points that warrant clarification. Through simulation studies, we further show that the plug-in estimator provides reliable estimates across a range of truncation times, even in small samples. These support the continued utilization of the Kaplan-Meier plug-in estimator for the average hazard and help clarify its proper interpretation and implementation.