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临床研究生存分析

使用 scikit-survival 组织含删失资料的生存分析,明确研究终点、模型评价和结果解释范围。

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适用环境:Requires Python 3.11+, uv, and the pinned scikit-survival 0.28.0 stack for executable examples. Bundled CLIs are local and network-free by default.

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获准使用的研究数据与终点定义 生存时间、事件信息及分析环境 阅读本节完整说明
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可复查的生存分析流程 模型评价与研究限制说明 阅读本节完整说明
环境与依赖
Verified 2026-10-01: Latest stable: scikit-survival 0.28.0, released 2026-07-05. Python: 3.11 or later; PyPI wheels cover CPython 3.11-3.14 on Linux x86-64, macOS x86-64/ARM64, and Windows x86-64. Runtime bounds: NumPy >… 阅读本节完整说明
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  2. 按照原文准备所需工具、依赖与输入资料。
  3. 阅读对应使用步骤与输入输出说明,在自己的环境中验证结果。

使用提示摘自原文,配套文件保留来源版本;实际运行条件以各包说明为准。

正文

获取原文件

references/data-handling.md

Verified for scikit-survival 0.28.0 on 2026-10-01.

Standard right-censored outcome

scikit-survival estimators expect a one-dimensional NumPy structured array with exactly two fields:

  1. a boolean event indicator (True=event observed, False=right-censored);
  2. a floating-point observed time (event or censoring time).

Field names are configurable, but field order and meaning are fixed.

from sksurv.util import Surv

y = Surv.from_arrays(
    event=[True, False, True],
    time=[2.5, 4.0, 7.25],
    name_event="event",
    name_time="time",
)
assert y.dtype.names == ("event", "time")

Surv.from_arrays() accepts boolean or strict 0/1 event values. Surv.from_dataframe(event, time, data) accepts pandas and, in 0.28, Polars DataFrames:

y = Surv.from_dataframe("event", "time", frame)

Do not use astype(bool) on unvalidated strings: "False" is a non-empty string and therefore converts to True. Validate accepted values explicitly.

Competing-risk outcome is different

Surv is not the input contract for nonparametric competing-risk cumulative incidence. Use two arrays:

# 0 = right-censored; 1..K = mutually exclusive causes
event_code = frame["status"].to_numpy(dtype=int)
observed_time = frame["time"].to_numpy(dtype=float)

Validate integer cause codes before the integer cast: .to_numpy(dtype=int) can silently truncate fractional labels. Positive cause codes must be understood before modeling. Do not collapse them to boolean until the estimand explicitly requires all-cause event status or a cause-specific hazard outcome. See competing-risks.md.

Minimum validation

Before splitting:

  • event and time lengths match feature rows;
  • standard event values are boolean/0/1;
  • competing-risk codes are non-negative integers and 0 means censoring;
  • time is numeric, finite, and strictly positive;
  • outcomes are not included among predictors;
  • feature names are unique and schema roles are explicit;
  • repeated entities, temporal ordering, or sites are identified for the split;
  • every planned training/CV fold contains events and enough comparable pairs; event-stratified CV in the bundled trainer also requires censored rows;
  • missingness is described, but imputation is not yet fitted.

The bundled validator checks outcome coding, positive finite times, feature exclusion, and the local CSV schema. Group independence, fold support, temporal ordering and missingness interpretation require the study-specific review above. Strictly positive times are a helper policy; some native nonparametric APIs permit zero.

Validate bounded local CSV input:

python skills/scikit-survival/scripts/validate_survival_csv.py \
  --input data.csv \
  --event-column event \
  --time-column time \
  --feature-columns x1,x2,group \
  --structured-output outcome.npy

The .npy file contains a non-object structured array and can be loaded with numpy.load(path, allow_pickle=False).

Split before learned preprocessing

This order is mandatory:

  1. validate types and outcome coding;
  2. split rows;
  3. fit imputation, encoding, scaling, and feature selection on training rows;
  4. transform validation/test rows with training-fitted state;
  5. fit the survival estimator;
  6. evaluate once on the held-out rows.

Computing medians, category levels, scaling moments, univariate scores, or regularization paths on all rows leaks validation/test information.

from sklearn.model_selection import train_test_split

X_train, X_test, y_train, y_test = train_test_split(
    X,
    y,
    test_size=0.25,
    stratify=y["event"],
    random_state=20260723,
)

Event stratification does not guarantee balanced follow-up times. Inspect each split. Use group-aware splitting for repeated entities and time-respecting splitting for future-deployment questions. A random split is not automatically appropriate.

Explicit heterogeneous pipeline

Use scikit-learn's ColumnTransformer when numeric and categorical columns need different imputers or when unseen categories must be handled explicitly.

from sklearn.compose import ColumnTransformer
from sklearn.impute import SimpleImputer
from sklearn.pipeline import make_pipeline
from sklearn.preprocessing import OneHotEncoder, StandardScaler
from sksurv.linear_model import CoxPHSurvivalAnalysis

numeric_pipe = make_pipeline(
    SimpleImputer(strategy="median"),
    StandardScaler(),
)
categorical_pipe = make_pipeline(
    SimpleImputer(strategy="most_frequent"),
    OneHotEncoder(
        handle_unknown="ignore",
        drop="first",
        sparse_output=False,
    ),
)
preprocess = ColumnTransformer(
    [
        ("numeric", numeric_pipe, numeric_columns),
        ("categorical", categorical_pipe, categorical_columns),
    ],
    sparse_threshold=0.0,
)
pipeline = make_pipeline(
    preprocess,
    CoxPHSurvivalAnalysis(alpha=0.1, ties="efron"),
)
pipeline.fit(X_train, y_train)

Keep the estimator in the same pipeline used by cross-validation so each fold fits its own preprocessing state.

scikit-survival encoder

sksurv.preprocessing.OneHotEncoder(allow_drop=True):

  • treats pandas category/object and Polars categorical/enum/string columns as categorical;
  • leaves non-categorical column order in place;
  • drops one category per categorical feature;
  • returns the same DataFrame library as its input;
  • requires fit and transform to use the same DataFrame library;
  • supports get_feature_names_out() and pipeline use.

It is convenient for already clean DataFrames:

from sklearn.pipeline import make_pipeline
from sksurv.preprocessing import OneHotEncoder

pipeline = make_pipeline(
    OneHotEncoder(),
    CoxPHSurvivalAnalysis(alpha=0.1),
)
pipeline.fit(X_train, y_train)

For custom files, an explicit ColumnTransformer usually makes missing-value, unknown-category, and scaling behavior easier to audit.

encode_categorical() is a one-shot transformation, not a fitted train/test transformer. Do not call it separately on all data or independently on train and test when category sets can differ.

Scaling and missing values

  • Scale Coxnet, survival SVM, IPC ridge, and other coefficient/penalty models.
  • Tree ensembles generally do not require scaling.
  • Impute inside the pipeline unless the selected estimator explicitly supports the observed missing-value pattern.
  • SurvivalTree, RandomSurvivalForest, and ExtraSurvivalTrees support missing-value splitting in current releases, but preprocessing may still be needed for categorical data and operational consistency.
  • Never impute event indicators or event/censoring times as ordinary features.

Missingness can be informative. A convenient imputer does not justify a missing-at-random assumption or transportability claim.

Feature selection

Feature selection is learned preprocessing and belongs inside inner CV:

pipeline = make_pipeline(
    preprocess,
    selector,
    estimator,
)

Do not use a standard classification SelectKBest score with structured survival outcomes unless the score function explicitly supports censoring. Coxnet or componentwise boosting can perform embedded selection, but regularization strength still requires fold-contained tuning.

Fixed "events per variable" thresholds are not universal guarantees. Consider effective degrees of freedom, censoring, shrinkage, separation, stability, and external validation instead of declaring a model valid from one ratio.

Built-in datasets

Current loaders:

  • load_aids(endpoint=...)
  • load_bmt()
  • load_cgvhd()
  • load_breast_cancer()
  • load_flchain()
  • load_gbsg2()
  • load_whas500()
  • load_veterans_lung_cancer()
  • load_arff_files_standardized(...)

load_bmt() returns event codes 0, 1, 2 and load_cgvhd() returns 0, 1, 2, 3; these are competing-risk outcomes. The remaining listed study loaders return the standard boolean right-censored outcome (subject to endpoint options).

These packaged datasets are useful for reproducing documentation, but they are real study datasets. The bundled CLIs and tests do not use them; they use synthetic data only. Do not treat examples as clinical advice or a substitute for data-use review.

load_arff_files_standardized(..., path_testing=...) concatenates train/test features to standardize and harmonize categories. Do not use its default transforms for independent validation. Read raw ARFF tables with sksurv.io.loadarff, extract outcomes explicitly, and fit preprocessing only on training folds.

In 0.28, dataset loaders accept an output_type option where documented, allowing pandas (default) or Polars feature output.

Unsupported or specialized structures

Standard estimators do not directly encode:

  • interval-censored outcomes;
  • ordinary left-censoring;
  • time-varying covariates in counting-process form;
  • recurrent-event dependence;
  • multi-state transitions;
  • delayed entry in the two-field Surv estimator outcome.

Some nonparametric APIs expose entry-time arguments, but that does not make every estimator support left truncation. Choose a method whose likelihood and input contract match the observation process.

Local-data safeguards

  • Use only authorized, appropriately de-identified local data.
  • Do not put row-level data in logs or model reports.
  • Do not load untrusted pickle/joblib model files.
  • Keep feature and row bounds proportionate to available resources.
  • Use descriptive script names; never create files named after packages such as sklearn.py or sksurv.py.

Sources

Official sources checked 2026-10-01:

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