Reconstructing the Kaplan–Meier Estimator as an M-estimator

Abstract

The Kaplan-Meier (KM) estimator, which provides a nonparametric estimate of a survival function for time-to-event data, has wide application in clinical studies, engineering, economics and other fields. The theoretical properties of the KM estimator including its consistency and asymptotic distribution have been extensively studied. We reconstruct the KM estimator as an M-estimator by maximizing a quadratic M-function based on concordance, which can be computed using the expectation-maximization (EM) algorithm. It is shown that the convergent point of the EM algorithm coincides with the traditional KM estimator, offering a new interpretation of the KM estimator as an M-estimator. Theoretical properties including the large-sample variance and limiting distribution of the KM estimator are established using M-estimation theory. Simulations and application on two real datasets demonstrate that the proposed M-estimator is exactly equivalent to the KM estimator, while the confidence interval and band can be derived as well.