Variance Estimation for the Inverse Probability of Treatment Weighted Kaplan Meier Estimator

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Hauptverfasser: Zhang, Zhiwei, Shao, Yongwu, Ye, Zhishen
Format: Preprint
Veröffentlicht: 2025
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author Zhang, Zhiwei
Shao, Yongwu
Ye, Zhishen
author_facet Zhang, Zhiwei
Shao, Yongwu
Ye, Zhishen
contents In a widely cited paper, Xie and Liu (henceforth XL) proposed to use inverse probability of treatment weighting (IPTW) to account for possible confounding in observational studies with survival endpoints subject to right censoring. Their proposal includes an IPTW Kaplan-Meier (KM) estimator for the survival function of a treatment-specific potential failure time, which can be used to evaluate the causal effect of one treatment versus another. The IPTW KM estimator is remarkably simple and highly effective for confounding bias correction. The method has been implemented in SAS's popular procedure LIFETEST for analyzing survival data and has seen widespread use. This letter is concerned with variance estimation for the IPTW KM estimator. The variance estimator provided by XL does not account for the variability of the IPTW weight when the propensity score is estimated from data, as is usually the case in observational studies. In this letter, we provide a rigorous asymptotic analysis of the IPTW KM estimator based on an estimated propensity score. Our analysis indicates that estimating the propensity score does tend to result in a smaller asymptotic variance, which can be estimated consistently using a plug-in variance estimator. We also present a simulation study comparing the variance estimator we propose with the XL variance estimator. Our simulation results confirm that the proposed variance estimator is more accurate than the XL variance estimator, which tends to over-estimate the sampling variance of the IPTW KM estimator.
format Preprint
id arxiv_https___arxiv_org_abs_2511_01110
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Variance Estimation for the Inverse Probability of Treatment Weighted Kaplan Meier Estimator
Zhang, Zhiwei
Shao, Yongwu
Ye, Zhishen
Methodology
In a widely cited paper, Xie and Liu (henceforth XL) proposed to use inverse probability of treatment weighting (IPTW) to account for possible confounding in observational studies with survival endpoints subject to right censoring. Their proposal includes an IPTW Kaplan-Meier (KM) estimator for the survival function of a treatment-specific potential failure time, which can be used to evaluate the causal effect of one treatment versus another. The IPTW KM estimator is remarkably simple and highly effective for confounding bias correction. The method has been implemented in SAS's popular procedure LIFETEST for analyzing survival data and has seen widespread use. This letter is concerned with variance estimation for the IPTW KM estimator. The variance estimator provided by XL does not account for the variability of the IPTW weight when the propensity score is estimated from data, as is usually the case in observational studies. In this letter, we provide a rigorous asymptotic analysis of the IPTW KM estimator based on an estimated propensity score. Our analysis indicates that estimating the propensity score does tend to result in a smaller asymptotic variance, which can be estimated consistently using a plug-in variance estimator. We also present a simulation study comparing the variance estimator we propose with the XL variance estimator. Our simulation results confirm that the proposed variance estimator is more accurate than the XL variance estimator, which tends to over-estimate the sampling variance of the IPTW KM estimator.
title Variance Estimation for the Inverse Probability of Treatment Weighted Kaplan Meier Estimator
topic Methodology
url https://arxiv.org/abs/2511.01110