Web-based survival analysis tool tailored for medical research (KMplot): Development and implementation
Open accessPublished version of a preprint
Abstract
BACKGROUND: Survival analysis is a cornerstone of medical research, enabling the assessment of clinical outcomes for disease progression and treatment efficiency. Despite its central importance, no commonly used spreadsheet software can handle survival analysis and there is no web server available for its computation. OBJECTIVE: Here, we introduce a web-based tool capable of performing univariate and multivariate Cox proportional hazards survival analysis using data generated by genomic, transcriptomic, proteomic, or metabolomic studies. METHODS: We implemented different methods to establish cut-off values for the trichotomization or dichotomization of continuous data. The false discovery rate is computed to correct for multiple hypothesis testing. A multivariate analysis option enables comparing omics data with clinical variables. RESULTS: We established a registration-free web-based survival analysis tool capable of performing univariate and multivariate survival analysis using any custom-generated data. CONCLUSIONS: This tool fills a gap and will be an invaluable contribution to basic medical and clinical research.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
With the exception of PSPH, high expression of genes coding for HK2, LDHA, PHGDH, PSAT1, SHMT2, MTHFD2, c-Myc, and ATF4 were strongly associated with a patient's shortened survival in 1925 lung cancer patients.
“The dataset consisted of 1925 lung cancer patients.”
From 20-Hydroxyecdysone Confers Antioxidant and Antineoplastic Properties in Human Non-Small Cell Lung Cancer Cells (2023) · cites this paper as [27]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Controlling the False Discovery Rate: A Practical and Powerful Approach to Multiple Testing
Benjamini, Y., & Hochberg, Y. (1995) · Journal of the Royal Statistical Society Series B: Statistical Methodology · doi:10.1111/j.2517-6161.1995.tb02031.x · Cited by 109,482 · see citing works
Regression Models and Life-Tables
Cox, D. R. (1972) · Journal of the Royal Statistical Society Series B: Statistical Methodology · doi:10.1111/j.2517-6161.1972.tb00899.x · Cited by 39,793 · see citing works
Nonparametric Estimation from Incomplete Observations
Kaplan, E. L., & Meier, P. (1958) · Journal of the American Statistical Association · doi:10.1080/01621459.1958.10501452 · Cited by 39,158 · see citing works
Statistical Aspects of the Analysis of Data From Retrospective Studies of Disease
(1959) · JNCI: Journal of the National Cancer Institute · doi:10.1093/jnci/22.4.719 · Cited by 14,689 · cited 1× · see citing works
“A second limitation is the exclusive use of the Cox proportional-hazards model to compute significance, and other tests such as the Cochran-Mantel-Haenszel test [25,26] or the Gehan-Breslow-Wilcoxon test [27,28] are not implemented.”
ggplot2: Elegant Graphics for Data Analysis
Wickham, H. (2009) · doi:10.1007/978-0-387-98141-3 · Cited by 14,447 · see citing works
Comprehensive molecular portraits of human breast tumours
The Cancer Genome Atlas Network (2012) · Nature · doi:10.1038/nature11412 · Cited by 12,129 · see citing works
Modeling Survival Data: Extending the Cox Model
Therneau, T. M., & Grambsch, P. M. (2000) · Statistics for Biology and Health · doi:10.1007/978-1-4757-3294-8 · Cited by 8,674 · see citing works
Some Methods for Strengthening the Common χ 2 Tests
Cochran, W. G. (1954) · Biometrics · doi:10.2307/3001616 · Cited by 3,718 · cited 1× · see citing works
“A second limitation is the exclusive use of the Cox proportional-hazards model to compute significance, and other tests such as the Cochran-Mantel-Haenszel test [25,26] or the Gehan-Breslow-Wilcoxon test [27,28] are not implemented.”
A Generalized Kruskal-Wallis Test for Comparing K Samples Subject to Unequal Patterns of Censorship
Breslow, N. E. (1970) · Biometrika · doi:10.1093/biomet/57.3.579 · Cited by 1,418 · see citing works
Pirker, R., Pereira, J. R., Szczęsna, A., von Pawel, J., Krzakowski, M. J., Ramlau, R., Vynnychenko, I. O., Park, K., Yu, C.-T., Ganul, V., et al. (2009) · The Lancet · doi:10.1016/s0140-6736(09)60569-9 · Cited by 1,346 · see citing works
Budczies, J., Klauschen, F., Sinn, B. V., Győrffy, B., Schmitt, W., Darb‐Esfahani, S., & Denkert, C. (2012) · PLoS ONE · doi:10.1371/journal.pone.0051862 · Cited by 1,226 · see citing works
Self-citationGyőrffy, B., Lánczky, A., & Szállási, Z. (2012) · Endocrine Related Cancer · doi:10.1530/erc-11-0329 · Cited by 970 · see citing works
Self-citationA practical guide to understanding Kaplan‐Meier curves
Rich, J. T., Neely, J. G., Paniello, R. C., Voelker, C. C. J., Nussenbaum, B. A., & Wang, E. W. (2010) · Otolaryngology · doi:10.1016/j.otohns.2010.05.007 · Cited by 969 · see citing works
Lánczky, A., Nagy, Á. M., Bottai, G., Munkácsy, G., Szabó, A., Santarpia, L., & Győrffy, B. (2016) · Breast Cancer Research and Treatment · doi:10.1007/s10549-016-4013-7 · Cited by 769 · see citing works
Self-citationGraphical methods for assessing violations of the proportional hazards assumption in cox regression
Hess, K. R. (1995) · Statistics in Medicine · doi:10.1002/sim.4780141510 · Cited by 550 · see citing works
Sample Size Estimation in Clinical Research
Wang, X., & Ji, X. (2020) · Chest · doi:10.1016/j.chest.2020.03.010 · Cited by 452 · cited 1× · see citing works
“A few representative examples used in these tools in medical research include an online calculator for receiver operator characteristics [3], a tool to determine optimal cut-off values for clinical tests [4], and a sample size calculator for randomized clinical trials [5].”
easyROC: An Interactive Web-tool for ROC Curve Analysis Using R Language Environment
Göksülük, D., Korkmaz, S., Zararsız, G., & Karaağaoğlu, A. E. (2016) · The R Journal · doi:10.32614/rj-2016-042 · Cited by 375 · see citing works
A generalized two-sample Wilcoxon test for doubly censored data
Gehan, E. A. (1965) · Biometrika · doi:10.1093/biomet/52.3-4.650 · Cited by 334 · see citing works
Borgan, Ø. (2001) · Statistics in Medicine · doi:10.1002/sim.956 · Cited by 80 · see citing works
Mishra, N. K., Southekal, S., & Guda, C. (2019) · Frontiers in Genetics · doi:10.3389/fgene.2019.00624 · Cited by 68 · see citing works
Pak, K., Oh, S., Goh, T. S., Heo, H. J., Han, M., Jeong, D. C., Lee, C., Sun, H., Kang, J., Choi, S., et al. (2020) · Journal of Medical Internet Research · doi:10.2196/16084 · Cited by 60 · see citing works
A Survey of Bioinformatics Database and Software Usage through Mining the Literature
Duck, G., Nenadić, G., Filannino, M., et al. (2016) · PLoS ONE · doi:10.1371/journal.pone.0157989 · Cited by 57 · see citing works
Giannoni, A., Baruah, R., Leong, T., Rehman, M. B., Pastormerlo, L. E., Harrell, F. E., Coats, A. J. S., & Francis, D. P. (2014) · PLoS ONE · doi:10.1371/journal.pone.0081699 · Cited by 49 · see citing works
Liu, K., Jin, M., Li, X., Liu, H., & Wei, S. (2018) · Cancer Management and Research · doi:10.2147/cmar.s163432 · Cited by 49 · see citing works
Ősz, Á., Pongor, L. S., Szirmai, D., & Győrffy, B. (2017) · Briefings in Bioinformatics · doi:10.1093/bib/bbx159 · Cited by 11 · see citing works
Self-citationHazard Ratio Estimation in Small Samples
Xu, R., Shaw, P. A., & Mehrotra, D. V. (2017) · Statistics in Biopharmaceutical Research · doi:10.1080/19466315.2017.1369899 · Cited by 8 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Shuvalov, O., Kirdeeva, Y., Fefilova, E., Netsvetay, S., Zorin, M., Vlasova, Y., Fedorova, O., Daks, A., Parfenyev, S., & Barlev, N. (2023) · Metabolites · doi:10.3390/metabo13050656 · Cited by 21 · see citing works
Cholesterol efflux protein, ABCA1, supports anticancer functions of myeloid immune cells
Bendre, S. V., Wang, Y., Hajyousif, B., K C, R., Bhogale, S. G., Pradeep, D., Krawczynska, N., Schane, C. P., Weisser, E., Singh, A., et al. (2026) · Science Advances · doi:10.1126/sciadv.adx5490 · Cited by 8 · see citing works
Prognostic significance and immune characteristics of GPR27 in gastric cancer
Pan, J., & Gao, Y. (2023) · Aging · doi:10.18632/aging.205023 · Cited by 6 · see citing works
- Authors
- Lánczky, A., & Győrffy, B.
- Affiliations
- Semmelweis University (HU)
- Corresponding author
- Győrffy, Balázs
- Venue
- Journal of Medical Internet Research
- Publisher
- JMIR Publications Inc.
- Published
- 2021-07-26
- Volume
- 23
- Issue
- 7
- Pages
- e27633
- ISSN
- 1438-8871 (ISSN-L)
- PMC
- PMC8367126
- OpenAlex
- W3162350134
- Cited by
- 1,694
- References
- 26
- Citations by year
- 2026: 134 · 2025: 235 · 2024: 383 · 2023: 578 · 2022: 356 · 2021: 8
- FWCI
- 107.02
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Medical Internet Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Semmelweis Egyetem (2020-4.1.1.-TKP2020, TKP2020)
- Innovációs és Technológiai Minisztérium (2020.1.16-Jövő-2021-00013, 2020-4.1.1-TKP2020, TKP2020, 2018-2.1.17-TET-KR-00001, 2018-1.3.1-VKE-2018-00032)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bioinformatics and Genomic Networks
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gene expression and cancer classification
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Epidemiology
- Keywords
- survival analysis, Cox proportional hazards model, web-based tool, omics data, multivariate survival analysis, false discovery rate, clinical outcome prediction, bioinformatics software
- MeSH terms
- Humans, Software, Survival Analysis, Internet, Biomedical Research, Proteomics
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review