The choice of time scales in survival analysis has implications: calendar time versus patients’ time-to-event

Abstract Background In the EvaCoM project, a retrospective cohort study of Germany-wide health insurance data of 29607 geriatric patients with fractures, the use of different time scales led to contradicting estimates in the Cox proportional hazards model. Here, the impact of quality audit, resulting in certification, of healthcare providers was of interest, with possible time scales being calendar time in which the audit acts or a patient’s time-to-event. For the analysis the patients were divi