bio-clinical-biostatistics-survival-analysis

bio-clinical-biostatistics-survival-analysis is a skill for Claude Code, Codex from GPTomics/bioSkills. It costs 116 tokens per session (9,509 once invoked), scanned A, original, MIT.

A time-to-event analysis tool for clinical trials, where the outcome is how long it takes until an event such as disease progression or death. It includes methods for censoring, competing events, and situations where treatment effects change over time.

In plain words
What is it for?
Use it for Cox regression, survival probabilities, restricted mean survival time, competing-risk analysis, weighted log-rank tests, and recurrent-event models.
Why use it?
It helps avoid misleading conclusions when standard proportional-hazards assumptions do not hold or when another event prevents the outcome being measured. It lets the analysis match the trial’s actual question.

Skill for Claude CodeCodex

Written for no agent in particular: nothing here depends on one.

Good fit Use it for Cox regression, survival probabilities, restricted mean survival time, competing-risk analysis, weighted log-rank tests, and recurrent-event models.

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Install with agentmods
npx agentmods add skills/gptomics/bioskills/survival-analysis
Install

Getting it into your agent

One page per mod, every tool's command on it. A separate URL per tool would split the same page into five that compete with each other.

Any agent
npx skills add GPTomics/bioSkills --skill survival-analysis
Clone the repo
git clone --depth 1 https://github.com/GPTomics/bioSkills

Made for: Claude Code, Codex.

Wrote this? Show the measurements

A badge with what this costs and how it scanned, read live from this page, so it follows the numbers instead of freezing them. Markdown for a README, HTML for a documentation site or a project page.

agentmods badge for bio-clinical-biostatistics-survival-analysis

README.md
[![agentmods](https://agentmods.dev/badge/skills/gptomics/bioskills/survival-analysis/github.svg)](https://agentmods.dev/skills/gptomics/bioskills/survival-analysis)
Your own site
<a href="https://agentmods.dev/skills/gptomics/bioskills/survival-analysis"><img src="https://agentmods.dev/badge/skills/gptomics/bioskills/survival-analysis/github.svg" alt="Measured on agentmods" height="20"></a>

Or the 80×15 button, for a site that already has a row of RSS and ATOM ones. Only the verdict fits; the numbers stay here.

agentmods 80×15 button for bio-clinical-biostatistics-survival-analysis

Your own site · 80×15
<a href="https://agentmods.dev/skills/gptomics/bioskills/survival-analysis"><img src="https://agentmods.dev/badge/skills/gptomics/bioskills/survival-analysis.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 116 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 9,509 The whole file, excluding the scripts and references it only reads on demand.
Security scan A 0 findings. A grade says what 26 rules found in the file — not that it is safe.
Origin original No closer match found in the catalogue.
Token cost

What it costs to keep this loaded

Counted locally with the o200k_base tokenizer, which is exact for GPT models; Claude uses its own tokenizer and its counts differ. Treat this as one consistent yardstick across the catalogue rather than a bill. Prices are per million input tokens.

ModelPer sessionOnce invoked
Fable 5.1 $0.00116 $0.09509
Opus 5 $0.00058 $0.04755
Sonnet 5 $0.00023 $0.01902
Haiku 4.5 $0.00012 $0.00951

Measured 6d ago against content hash 0c7e52fe9d06, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-09, from the pricing page.

Security

Grade A, and why

bio-clinical-biostatistics-survival-analysis scanned grade A with 0 findings against 26 rules in 11 categories — prompt injection, anti-refusal, data exfiltration, privilege escalation, supply chain, agent snooping, system-prompt leakage, SSRF and excessive agency — measured 6d ago.

The scan reads SKILL.md. This mod also ships 1 executable file (examples/survival_clinical.py), listed below but not scanned — reading those needs a real analyzer, not pattern matching.

A static scan of the body, not an audit. Every finding is printed with the line that produced it so you can judge whether it matters here. A mod is markdown that instructs an agent; that is exactly why what it instructs is worth reading.

Nothing flagged

None of the 26 patterns this scan looks for appear in this file: no shell pipes, no recursive deletes, no credential paths, no hidden text, no instruction-override or anti-refusal phrasing, no agent-config snooping. That is not a guarantee, it is the absence of the things that are checkable.

Origin

Copies of this mod

1 near-identical copy found in the catalogue:

clinical-biostatistics/survival-analysis/SKILL.md · 469 lines

How it starts

The opening of the file, as written. The whole thing — 469 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Version Compatibility

Reference examples tested with: lifelines 0.27+, scikit-survival 0.21+, statsmodels 0.14+, pandas 2.1+, numpy 1.26+. R packages cited (still the SOTA for survival): survival 3.8+, survRM2, cmprsk, riskRegression, mstate, flexsurv, icenReg, rpsftm.

Before using code patterns, verify installed versions match. If versions differ:

  • Python: pip show <package> then help(module.function) to check signatures
  • R: packageVersion('<pkg>') then ?function_name

If code throws ImportError, AttributeError, or TypeError, introspect the installed package and adapt the example to match the actual API rather than retrying.

Time-to-Event Analysis for Clinical Trials

"Analyze time-to-event endpoint" -> Estimate a hazard, survival probability, cumulative incidence, or restricted mean time using a method calibrated to (a) whether proportional hazards holds, (b) whether competing events exist, (c) whether censoring is informative, and (d) which estimand the trial targets under ICH E9(R1).

The Single Most Important Modern Insight -- PH Almost Never Holds

In modern oncology with checkpoint inhibitors, targeted therapies, crossover, and depleted high-risk subjects over follow-up, proportional hazards (PH) violations are the rule, not the exception. The Cross-Pharma NPH Working Group (Lin et al 2020 Stat Biopharm Res; Magirr-Burman 2021 Stat Biopharm Res 15(2):295) documented systematic PH violations across phase III oncology trials, particularly delayed-effect patterns from checkpoint inhibitors.

The Cox HR is a time-averaged log-hazard ratio under PH violation (Xu-O'Quigley 2000), which may or may not be the estimand of interest. RMST (Royston-Parmar 2013) provides a clinically interpretable, hazard-free alternative.

Algorithmic Taxonomy

Method Estimand Inference Strength Fails when
Log-rank (unstratified) Test of S_A(t) = S_B(t) all t Permutation / asymptotic chi-square Standard; preserves Type-I under PH Underpowered under non-PH; treats all events equally
Stratified log-rank Same null within strata, pooled Asymptotic Preserves stratification factor from randomisation Stratification factor must be pre-specified
Weighted log-rank G(rho, gamma) Direction-specific test under non-PH Asymptotic High power for delayed/early/middle effects Weight choice must match true effect time profile; chasing weight = p-hacking
Cox PH Conditional log-HR Wald, LR, score Standard; semi-parametric; covariate adjustment PH violation makes HR a misleading summary; check via cox.zph
Stratified Cox Same; baseline hazards differ by stratum Wald Handles non-PH by stratification Loses inference on stratification variable; cannot interact treatment with strata
Time-varying Cox (tt()) Time-dependent log-HR Wald Quantifies non-PH explicitly Interpretability — no single "the HR"; choose g(t) carefully
Flexible parametric (Royston-Parmar) Time-varying log-HR via splines Wald Smooth S(t), HR(t); supports extrapolation Spline choice affects results; software in R stpm2/stpm3
RMST Difference in mean survival truncated at tau Wald with delta or pseudo-obs regression Hazard-free; clinically interpretable in time units tau choice; min follow-up across arms constrains tau
MaxCombo Maximum over weighted log-rank family Asymptotic multivariate normal Robust to range of NPH patterns Can reject in opposite directions on same data (Magirr 2022 critique)
Fine-Gray subdistribution HR Conditional subdistribution HR Wald Direct CIF modeling Andersen-Keiding 2012 critique: violates causal hazard semantics
Cause-specific Cox Conditional cause-specific HR Wald Causally interpretable Predicts hazards, not CIFs; need both for CIF prediction
Multi-state Cox (mstate) Transition-specific HRs Wald Subsumes competing risks; handles relapse/remission More complex; more parameters to estimate
Andersen-Gill (recurrent) Rate ratio Robust (cluster) Wald Most efficient under exchangeability Assumes exchangeable events
PWP (recurrent) Conditional event-order HR Stratified Wald Handles event-order qualitative heterogeneity More strata = more parameters; smaller per-stratum n
Interval-censored Cox (NPMLE) Cumulative hazard Likelihood ratio Correct for periodic-assessment data Slower; software in R icenReg

Read the full file on GitHub · 469 lines

Files

What ships with it

2 files beside SKILL.md in the same directory: the scripts, references and assets a skill reads on demand. Not counted in the per-session cost; read them before you install if any of them is executable.

Changes

What this file has done since we first saw it

Hashed on every crawl. A supply-chain change to an agent config is a question of when, not whether, so the history is kept rather than the latest state alone.

  1. 6d ago First seen · 469 lines · 116 tokens per session scan A 0c7e52fe9d06

Subscribe to this mod's changes

bio-clinical-biostatistics-survival-analysis is a skill published in the GitHub repository GPTomics/bioSkills (1,199 stars, last pushed 25d ago), licensed MIT. It adds 116 tokens to every session and 9,509 once invoked, about $0.0006 per session on Opus 5. A static security scan graded it A with 0 findings. No closer match exists in the catalogue, so it is treated as the original; first seen 2026-09-03.

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