The Concordance Index decomposition: a measure for a deeper understanding of survival prediction models

The Concordance Index (C-index) is a commonly used metric in Survival Analysis to evaluate how good a prediction model is. This paper proposes a decomposition of the C-Index into a weighted harmonic mean of two quantities: one for ranking observed events versus other observed events, and the other for ranking observed events versus censored cases. This decomposition allows a more fine-grained analysis of the pros and cons of survival prediction methods. The utility of the decomposition is demonstrated using three benchmark survival analysis models (Cox Proportional Hazard, Random Survival Forest, and Deep Adversarial Time-to-Event Network) together with a new variational generative neural-network-based method (SurVED), which is also proposed in this paper. The demonstration is done on four publicly available datasets with varying censoring levels. The analysis with the C-index decomposition shows that all methods essentially perform equally well when the censoring level is high because of the dominance of the term measuring the ranking of events versus censored cases. In contrast, some methods deteriorate when the censoring level decreases because they do not rank the events versus other events well.