Restricted mean survival time as a summary measure of time‐to‐event outcome

Many clinical research studies evaluate a time‐to‐event outcome, illustrate survival functions, and conventionally report estimated hazard ratios to express the magnitude of the treatment effect when comparing between groups. However, it may not be straightforward to interpret the hazard ratio clinically and statistically when the proportional hazards assumption is invalid. In some recent papers published in clinical journals, the use of restricted mean survival time (RMST) or τ ‐year mean survival time is discussed as one of the alternative summary measures for the time‐to‐event outcome. The RMST is defined as the expected value of time to event limited to a specific time point corresponding to the area under the survival curve up to the specific time point. This article summarizes the necessary information to conduct statistical analysis using the RMST, including the definition and statistical properties of the RMST, adjusted analysis methods, sample size calculation, information fraction for the RMST difference, and clinical and statistical meaning and interpretation. Additionally, we discuss how to set the specific time point to define the RMST from two main points of view. We also provide developed SAS codes to determine the sample size required to detect an expected RMST difference with appropriate power and reconstruct individual survival data to estimate an RMST reference value from a reported survival curve.     

Contrasting effects of urbanization on arboreal and ground-dwelling land snails: role of trophic interactions and habitat fragmentation

Urbanization generally reduces wildlife populations. Individual species responses, however, are often highly variable, and such variability can be explained by differences in species ecological traits. To examine this hypothesis, we focused on two co-occurring land snails, Ezohelix gainesi and Euhadra brandtii sapporo; the former is ground-dwelling and the latter is arboreal. We first estimated their population densities at nine sites distributed along an urbanization gradient: three were located in continuous natural forests, three at the edge of natural forests, and the rest in small isolated forests in urban areas. As a result, the ground-dwelling E. gainesi occurred at highest density in urban forests, followed by forest edges and continuous forests. By contrast, the arboreal E. b. sapporo occurred at highest density in continuous forests, but declined in forest edges and urban forests. We then conducted manipulative field experiments to quantify changes in predation pressure on these species. Ground-tethered E. gainesi and E. b. sapporo were repeatedly predated upon by forest-living mammals in continuous forests, but their survival rates increased in forest edges and urban forests. By contrast, canopy-tethered E. b. sapporo maintained high survival rates in all three forest types. The results indicate that a lack of mammalian predators enables ground-dwelling species to occur at high densities in urban forests, whereas the arboreal species was not affected by this predator relaxation effect. The combination of species-specific behavioural traits and changes in predator communities across an urbanization gradient has important effects on the biodiversity of urban ecosystems.

     

Correction to: contrasting effects of urbanization on arboreal and ground-dwelling land snails: role of trophic interactions and habitat fragmentation

Urban Ecosystems - The original version of the article unfortunately contained mistakes in the legends of Fig. 3. The legends (1) Blue square: Euhadra brandtii sapporo, ground is changed...