Survival Analysis with R and Excel: A Comprehensive Guide for Actuaries

Survival Analysis is a statistical approach to studying the time until a specific event occurs, such as death, relapse, or failure. For actuaries, it’s essential for modeling lifespans, calculating insurance premiums, and assessing risk factors. This tutorial provides a step-by-step guide to conducting Survival Analysis in R, emphasizing Kaplan-Meier estimates, the Cox Proportional-Hazards Model, and integrating Excel for data management and reporting.

Step 1: Install Necessary Packages

Open R or RStudio. Install the survival package using install.packages("survival"), then load it with library(survival).

Step 2: Load and Explore Data

If your data is in Excel, use the readxl package to import it:
library(readxl)
data <- read_excel("survival_data.xlsx")
Explore the dataset using:
summary(data)
head(data)
After cleaning or transforming the data, save it back to Excel with:
library(openxlsx)
write.xlsx(data, "cleaned_survival_data.xlsx")

Step 3: Kaplan-Meier Survival Estimates

Create a survival object using Surv(time = data$time, event = data$status). Fit a Kaplan-Meier model with:
km_fit <- survfit(Surv(time = data$time, event = data$status) ~ 1)
Plot the survival curve:
plot(km_fit, xlab = "Time", ylab = "Survival Probability", main = "Kaplan-Meier Curve")
Export Kaplan-Meier results to Excel:
write.xlsx(data.frame(time = km_fit$time, survival = km_fit$surv), "kaplan_meier_results.xlsx")

Step 4: Cox Proportional-Hazards Model

Fit a Cox Proportional-Hazards Model with:
cox_model <- coxph(Surv(time, status) ~ covariate1 + covariate2, data = data)
View model details:
summary(cox_model)
Export model results to Excel:
write.xlsx(as.data.frame(summary(cox_model)$coefficients), "cox_model_results.xlsx")

Step 5: Log-Rank Test for Comparing Groups

Use survdiff(Surv(time, status) ~ group, data = data) to perform a log-rank test. Save the results to Excel:
write.xlsx(as.data.frame(survdiff(Surv(time, status) ~ group, data = data)), "log_rank_test_results.xlsx")

Step 6: Visualizing Survival Curves

Install and load the survminer package:
install.packages("survminer")
library(survminer)
Create advanced survival plots with:
ggsurvplot(km_fit, data = data, conf.int = TRUE, pval = TRUE, risk.table = TRUE)
Save the plot as an image with:
ggsave("survival_plot.png")

Step 7: Assessing Model Assumptions

Check the proportional-hazards assumption with:
cox.zph_test <- cox.zph(cox_model)
plot(cox.zph_test)
If assumptions are violated, consider stratification:
stratified_cox <- coxph(Surv(time, status) ~ strata(group) + covariate, data = data)

Conclusion

Survival Analysis in R is a vital tool for actuaries managing risk and predicting future events. By combining Kaplan-Meier estimates, Cox Proportional-Hazards Models, and Excel integration for data handling and reporting, you can create an efficient and powerful workflow. For questions or insights, leave a comment below. Happy analyzing!

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