杂项:临床试验中带有随机后响应指标的半参数两样本检验

Miscellanea. Semiparametric two-sample tests in clinical trials with a post-randomisation response indicator

Biometrika · 1997
被引 6
ABS 4

中文导读

研究了在随机临床试验中,利用随机后获得的响应指标(如肿瘤缩小)来改进两治疗组生存比较的统计检验方法,发现对估计生存概率差异的效率提升更明显。

Abstract

In many clinical trials involving survival endpoints, one has additional data on some binary indicator of ‘response’, such as initial tumour shrinkage in cancer trials. This paper studies the case of randomised clinical trials where the response indicator is available shortly after randomisation, and where one can assume that, within each stratum defined by the response indicator, a two treatment-group proportional-hazards model holds. The same model may also describe some incompletely randomised or observational studies. Asymptotic relative efficiencies for Kaplan-Meier-based estimators versus maximum partial likelihood estimators are examined under this model for estimating either the difference in survival probabilities at a specified time or the parameter estimated by the logrank numerator. It is shown that the efficiency gains using the model are more promising when estimating the difference in survival probabilities. An example is given comparing the long-term survival experience of two groups of patients with advanced Hodgkin's disease

临床试验生存分析半参数统计比例风险模型