期刊文献+

Regression Model to Analyze Differential Response to Treatment in Randomized Controlled Clinical Trial

Regression Model to Analyze Differential Response to Treatment in Randomized Controlled Clinical Trial
下载PDF
导出
摘要 The primary aim of clinical trials is to investigate whether a treatment is effective for a particular disease or condition. Randomized controlled clinical trials are considered to be the gold standard for evaluating the effect of a certain intervention. However, in clinical trials, even after randomization, there are situations where the patients differ substantially with respect to the baseline value of the outcome variable. Many a times the response to interventions depends on the baseline values of the outcome variable. When there are baseline-dependent treatment effects, differences among treatments vary as a function of baseline level. Although variation in outcome associated with baseline value is accounted for in ANCOVA, analysis of individual differences in treatment effect is precluded by the homogeneity of regression assumption. This assumption requires that expected differences in outcome among treatments be constant across all baseline levels. To overcome this difficulty, Weigel and Narvaez [7] proposed a regression model for two treatment groups to analyze individual response to treatments in randomized controlled clinical trials. The authors reviewed the model suggested by Weigel and Narvaez and extended further for three or more treatment groups. The utility of the model was demonstrated with real life data from a randomized controlled clinical trial of bronchial asthma.
出处 《Journal of Mathematics and System Science》 2013年第9期419-425,共7页 数学和系统科学(英文版)
关键词 Regression model differential response placebo effect clinical trial. 治疗效果 临床试验 回归模型 随机化 反应 差分对 基线值 协方差分析
  • 相关文献

参考文献8

  • 1LJ. Fleiss, The Design and Analysis of Clinical Experiments. John Wiley & Sons, New York (1986).
  • 2P. Steven, Clinical Trials - A Methodologic Perspective, John Wiley & Sons, Inc. United States of America (1997).
  • 3JNS. Mathews, An Introduction to Randomized Controlled Clinical Trials. Arnold - A member of the Hodder Headline Group, London (2000) 64-77.
  • 4C. Shein-Chung, L. Jen-Pei, Design and Analysis of Clinical Trials: Concept and Methodologies, John Wiley & Sons Inc., New York (1998) 281-284.
  • 5WG. Snedecor, GW. Cochran, Statistical Methods, Oxford & IBH Publishing Co. New Delhi, 6th Ed. (1967) 419-446.
  • 6RM. Weigel, M. Narvaez, Multiple regression analysis of differential response to treatment in randomized controlled clinical trials. Control Clin Trials.12 (1992) 378-394.
  • 7P. Armitage, G. Berry, Statistical Methods in Medical Research, Blackwell Scientific Publications, London, 2nd Ed. (1987) 282-295.
  • 8AK Mathai, A Multiple Linear Regression Model in Controlled Clinical Trials, Statistical Methods and Application in Biology and Medicine - Proceedings of first joint Conference ofISMS & IBSIR, Bangalore (1999) 129-131.

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部