Benchmarking survival outcomes: A funnel plot for survival data
Abstract
Benchmarking is commonly used in many healthcare settings to monitor clinical performance, with the aim of increasing cost-effectiveness and safe care of patients. The funnel plot is a popular tool in visualizing the performance of a healthcare center in relation to other centers and to a target, taking into account statistical uncertainty. In this paper we develop methodology for constructing funnel plots for survival data. The method takes into account censoring and can deal with differences in censoring distributions across centers. Practical issues in implementing the methodology are discussed, particularly in the setting of benchmarking clinical outcomes for hematopoietic stem cell transplantation. A simulation study is performed to assess the performance of the funnel plots under several scenarios. Our methodology is illustrated using data from the EBMT benchmarking project.
Cite
@article{arxiv.2104.12688,
title = {Benchmarking survival outcomes: A funnel plot for survival data},
author = {Hein Putter and Dirk-Jan Eikema and Liesbeth C. de Wreede and Eoin McGrath and Isabel Sanchez-Ortega and Riccardo Saccardi and John A. Snowden and Erik W. van Zwet},
journal= {arXiv preprint arXiv:2104.12688},
year = {2021}
}
Comments
24 pages, 4 figures, 1 table