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Let mutually exclusive exits reshape event probability18 min readAug 28, 2026

Competing Risks and Cumulative Incidence

Understand cause-specific hazards, cumulative incidence, why Kaplan–Meier can overstate event probability, and how Fine–Gray models answer a different question.

Prepared by Mark · Primary sources below

In this guide

  1. The first event changes the future risk set
  2. Ordinary censoring gives the wrong probability
  3. Cause-specific hazard describes current event flow
  4. Cumulative incidence answers absolute probability
  5. Fine–Gray models the subdistribution hazard
  6. Covariates can act through competing pathways
  7. Financial applications need complete event labels
  8. Report both mechanisms and probabilities

Direct answer

Competing risks arise when several mutually exclusive events can occur first and one event prevents observing another. A loan may default, prepay, mature, or be sold; prepayment removes that loan from future default risk. The cause-specific hazard describes the instantaneous rate of one cause among units still free of every event, while cumulative incidence gives the actual probability that a cause occurs first by a horizon. Treating competing events as ordinary independent censoring makes one-minus-Kaplan–Meier overstate cause probability.

The first event changes the future risk set

Time to default is not observed in isolation when prepayment or maturity can happen first. Once either occurs, later default under the original contract is impossible.

These events compete because their ordering is mutually exclusive for the first-event question. The event taxonomy must follow the economic process.

Combining all exits estimates time to any exit. Separating them asks which exit occurs first, and a hypothetical world without competitors asks a stronger, less observable question.

Ordinary censoring gives the wrong probability

Kaplan–Meier treats censored units as representative of those remaining at risk. A competing event instead reveals that the target event can no longer occur first.

Censoring prepaid loans while estimating default effectively imagines they retained the same future default opportunity as continuing loans.

One minus that Kaplan–Meier curve therefore estimates a net quantity under removal of competitors and generally exceeds real-world default cumulative incidence.

Cause-specific hazard describes current event flow

For cause k, the cause-specific hazard is the instantaneous rate of cause k among units with no event yet.

A Cox model can censor other causes to estimate covariate associations with this hazard. Here censoring is a risk-set device, not an estimate of actual cause probability.

Cause-specific hazard ratios are useful for mechanism and etiologic questions, but they do not map directly to cumulative incidence without all causes' hazards.

Cumulative incidence answers absolute probability

The cumulative incidence function for cause k is the probability that cause k occurs first by time t.

It combines the current cause-specific hazard with the probability of surviving every cause until each time. Competing hazards therefore shape the target probability.

The cause-specific cumulative incidences sum to the probability of any event, leaving event-free survival as the remainder.

Fine–Gray models the subdistribution hazard

Fine–Gray regression links covariates to a subdistribution hazard constructed to model cumulative incidence directly.

Its risk set retains people with a prior competing event through weighting conventions. The resulting subdistribution hazard ratio is not an ordinary current-risk rate ratio.

Use it when covariate association with cumulative incidence is the target. Do not translate its coefficient into a direct probability multiplier.

Covariates can act through competing pathways

A borrower feature may increase both prepayment and default hazards. Faster prepayment can remove high-risk loans before default and lower observed default incidence.

Thus a covariate can raise the cause-specific default hazard yet have a weak or opposite association with default cumulative incidence.

This is not a contradiction. The two estimands answer different questions about current event flow and realized first-event probability.

Financial applications need complete event labels

Credit studies may distinguish default, prepayment, maturity, restructuring, and loan sale. Fund studies may separate liquidation, merger, and database disappearance.

Event misclassification moves observations between causes and changes every risk set. Ambiguous exit codes should not silently become censoring.

Independent loss to follow-up is still required for identification. Calendar cutoff differs from an unclassified disappearance correlated with distress.

Report both mechanisms and probabilities

Define the first-event question, event hierarchy, horizon, time origin, delayed entry, censoring, and how ties or ambiguous outcomes were resolved.

Plot event-free survival and each cumulative incidence so probabilities reconcile. Report absolute incidence at useful horizons with uncertainty.

Use cause-specific models for event dynamics and Fine–Gray only when its cumulative-incidence estimand matches the decision, clearly labeling every ratio.

Common questions

Why not censor prepayments in a default analysis?

That is valid for estimating a cause-specific hazard, but not for estimating real-world default probability with one minus Kaplan–Meier.

Can cumulative incidence decrease over time?

No. It is the accumulated probability that a cause has occurred first by a horizon, so it is nondecreasing.

Which is better, cause-specific Cox or Fine–Gray?

Neither universally. Cause-specific models address event dynamics; Fine–Gray targets covariate association with cumulative incidence.

Can competing-risk probabilities sum above one?

Properly estimated cause-specific cumulative incidences plus event-free survival reconcile to one at each horizon.

Sources and further reading

  • [1]Fine and Gray: A Proportional Hazards Model for the Subdistribution of a Competing Risk
  • [2]Austin, Lee, and Fine: Introduction to Survival Data with Competing Risks

What to remember

  1. A competing event prevents the target event from occurring first and must remain part of real-world event probability.
  2. Cause-specific hazard describes instantaneous event flow among units with no event; cumulative incidence describes the absolute probability of a cause by a horizon.
  3. Fine–Gray models association with cumulative incidence through a subdistribution hazard whose ratio is not a direct risk ratio or ordinary hazard ratio.

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