Nonparametric Estimation from Incomplete Observations
Abstract
In lifetesting, medical follow-up, and other fields the observation of the time of occurrence of the event of interest (called a death) may be prevented for some of the items of the sample by the previous occurrence of some other event (called a loss). Losses may be either accidental or controlled, the latter resulting from a decision to terminate certain observations. In either case it is usually assumed in this paper that the lifetime (age at death) is independent of the potential loss time; in practice this assumption deserves careful scrutiny. Despite the resulting incompleteness of the data, it is desired to estimate the proportion P(t) of items in the population whose lifetimes would exceed t (in the absence of such losses), without making any assumption about the form of the function P(t). The observation for each item of a suitable initial event, marking the beginning of its lifetime, is presupposed. For random samples of size N the product-limit (PL) estimate can be defined as follows: List and label the N observed lifetimes (whether to death or loss) in order of increasing magnitude, so that one has 0≤t 1ǐ≤t 2ǐ≤ … ≤t N ǐ. Then P(t)= II. [(N – r)/(N – r + 1)], where r assumes those values for which tr ≤t and for which tr ǐ measures the time to death. This estimate is the distribution, unrestricted as to form, which maximizes the likelihood of the observations. Other estimates that are discussed are the actuarial estimates (which are also products, but with the number of factors usually reduced by grouping); and reduced-sample (RS) estimates, which require that losses not be accidental, so that the limits of observation (potential loss times) are known even for those items whose deaths are observed. When no losses occur at ages less than t, the estimate of P(t) in all cases reduces to the usual binomial estimate, namely, the observed proportion of survivors.
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The observed 1-year persistence rate is substantially lower than the >85% reported in many weight loss GLP-1 RCTs and the ~50% in real-world diabetes GLP-1 studies.
“This 1-year persistence rate is substantially lower than the more than 85% persistence rate reported in many weight loss GLP-1 treatment RCTs 7,13,[27][28][29] and the real-world diabetes treatment GLP-1 studies with around 50% persistent.15,16”
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Real-world T2DM treatment GLP-1 studies have found 1-year persistence rates around 50%.
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From Real-world persistence and adherence to glucagon-like peptide-1 receptor agonists among obese commercially insured adults without diabetes. (2024) · cites this paper as [15]
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- Authors
- Kaplan, E. L., & Meier, P.
- Affiliations
- University of California Radiation Laboratory
- University of Chicago (US)
- Venue
- Journal of the American Statistical Association
- Publisher
- Informa UK Limited
- Published
- 1958-06
- Volume
- 53
- Issue
- 282
- Pages
- 457-481
- ISSN
- 0162-1459 (ISSN-L)
- 1537-274X
- OpenAlex
- W4293241248
- Cited by
- 39,158
- References
- 16
- Citations by year
- 2026: 886 · 2025: 862 · 2024: 915 · 2023: 1025 · 2022: 1026 · 2021: 1078 · 2020: 1028 · 2019: 909 · 2018: 944 · 2017: 965 · 2016: 950 · 2015: 961 · 2014: 1137 · 2013: 1046 · 2012: 1056
- FWCI
- 3.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Statistical Association (publishedVersion)
- Topics
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Distribution Estimation and Applications
- Physical Sciences › Mathematics › Statistics and Probability › Probability and Statistical Research
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods and Inference
- Keywords
- nonparametric estimation, censored data, survival analysis, Kaplan-Meier estimator, lifetime distributions, clinical follow-up
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.
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