Bayesian Survival Analysis Using the rstanarm R Package

TL;DR

This paper introduces how the rstanarm R package can be used to fit a wide range of Bayesian survival models, making Bayesian survival analysis more accessible for applied research.

Contribution

It provides a user-friendly implementation of Bayesian survival models in rstanarm, including various hazard and AFT models with flexible features.

Findings

Supports all types of censoring and truncation

Includes standard and flexible parametric models

Demonstrates practical examples

Abstract

Survival data is encountered in a range of disciplines, most notably health and medical research. Although Bayesian approaches to the analysis of survival data can provide a number of benefits, they are less widely used than classical (e.g. likelihood-based) approaches. This may be in part due to a relative absence of user-friendly implementations of Bayesian survival models. In this article we describe how the rstanarm R package can be used to fit a wide range of Bayesian survival models. The rstanarm package facilitates Bayesian regression modelling by providing a user-friendly interface (users specify their model using customary R formula syntax and data frames) and using the Stan software (a C++ library for Bayesian inference) for the back-end estimation. The suite of models that can be estimated using rstanarm is broad and includes generalised linear models (GLMs), generalised linear mixed models (GLMMs), generalised additive models (GAMs) and more. In this article we focus only on the survival modelling functionality. This includes standard parametric (exponential, Weibull, Gompertz) and flexible parametric (spline-based) hazard models, as well as standard parametric accelerated failure time (AFT) models. All types of censoring (left, right, interval) are allowed, as is delayed entry (left truncation), time-varying covariates, time-varying effects, and frailty effects. We demonstrate the functionality through worked examples. We anticipate these implementations will increase the uptake of Bayesian survival analysis in applied research.