APPLICATIONS OF GLOBAL STATISTICS IN ANALYZING QUALITY OF LIFE DATA

被引:22
作者
TANDON, PK
机构
[1] Sterling Research Group, Sterling Drug Inc., Malvern, Pennsylvania
关键词
D O I
10.1002/sim.4780090711
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
Quality of life (QOL) instruments usually consist of a number of components, each of which deals specifically with a particular functionally related dysfunction. In a clinical trial whose primary aim is the evaluation of the treatment by means of QOL instruments, analysis of each of the components usually consists of either univariate analysis of variance (ANOVA) or some non‐parametric methods. This multiple testing approach can produce an increase in false positive findings. One attempt to correct for this is the Bonferroni adjustment. Another approach is to apply global statistics (parametric or non‐parametric) for the null hypothesis of no treatment difference versus the alternative hypothesis that one treatment is uniformly better than the other for QOL instruments as a whole. Data from a randomized double‐blind trial of 111 congestive heart failure patients, which involved four QOL instruments, were analysed with univariate ANOVA, Bonferroni adjustment, parametric and non‐parametric global statistics. The global statistics complemented the univariate methods and made the presentation of QOL data very effective. I recommend the general use of global statistics in analysis of QOL data. Copyright © 1990 John Wiley & Sons, Ltd.
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页码:819 / 827
页数:9
相关论文
共 10 条
[1]  
Bergner M., Bobbitt R.A., Carter W.B., Gilson B.S., The Sickness Impact Profile: development and final revision of a health status measure, Medical Care, 19, pp. 787-805, (1981)
[2]  
Hunt S.M., McKenna S.P., McEwen J., A quantitative approach to perceived health, Journal of Epidemiology and Community Health, 34, pp. 281-285, (1980)
[3]  
Kaplan R.M., Bush J.W., Health related quality of life measurement for research evaluation and policy analysis, Health Psychology, 1, pp. 61-80, (1982)
[4]  
Spitzer W.O., Dobson A.J., Hall J., Chesterman E., Levi J., Shepherd R., Battista R.N., Catchlove B.R., Measuring the quality of life of cancer patients, Journal of Chronic Diseases, 34, pp. 585-597, (1981)
[5]  
Meier P., Statistics and medical experimentation, Biometrics, 31, pp. 511-529, (1975)
[6]  
O'Brien P.C., Procedures for comparing samples with multiple endpoints, Biometrics, 40, pp. 1079-1087, (1984)
[7]  
Pocock S.J., Geller N.J., Tsiatis A.A., The analysis of multiple endpoints in clinical trials, Biometrics, 43, pp. 487-498, (1987)
[8]  
Kaplan R.M., Validity of quality of well‐being scale as an outcome measure in chronic obstructive pulmonary disease, Journal of Chronic Diseases, 37, pp. 85-95, (1984)
[9]  
Tandon P.K., Stander H., Dyke S.H., Massey T.J., DiBanco R., Schwarz R.P., Assessment of the quality of life of patients with heart failure in randomized controlled drug trial, Heart Failure, 4, 2, (1988)
[10]  
Gilson B.S., Gilson J., Bergner M., Bobbitt R.A., Kressel S., Pollard W.E., Vesselago M., The sickness impact profile: development of an outcome measure of health care, American Journal of Public Health, 65, pp. 1304-1310, (1975)