Developing Multivariate Survival Trees with a Proportional Hazards Structure

In this paper, a tree-structured method is proposed to extend Classification and Regression Trees (CART) algorithm to multivariate sur- vival data, assuming a proportional hazard structure in the whole tree. The method works on the marginal survivor distributions and uses a sandwich estimator of variance to account for the association between survival times. The Wald-test statistics is defined as the splitting rule and the survival trees are developed by maximizing between-node separation. The proposed method intends to classify patients into subgroups with distinctively different prognosis. However, unlike the conventional tree-growing algorithms which work on a subset of data at every partition, the proposed method deals with the whole data set and searches the global optimal split at each partition. The method is applied to a prostate cancer data and its performance is also evaluated by several simulation studies.