The role of covariates in estimating treatment effects and risk in long-term clinical trials

被引:39
作者
Ford, I [1 ]
Norrie, J [1 ]
机构
[1] Univ Glasgow, Robertson Ctr Biostat, Glasgow G12 8QQ, Lanark, Scotland
关键词
parameter estimation; exponential regression; proportional hazards model; risk modelling;
D O I
10.1002/sim.1294
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
This paper reviews previously published work showing that the impact of including covariates in models used to estimate the magnitude of treatment effects in long-term clinical trials is different from what would be predicted from results for the normal linear model. Typically, models with and without covariates cannot simultaneously be valid. A case is made for the use of data from clinical trials to model the future risk and potential benefits of treatment in individual subjects. The methods and results are illustrated using data from the West of Scotland Coronary Prevention Study. Copyright (C) 2002 John Wiley Sons, Ltd.
引用
收藏
页码:2899 / 2908
页数:10
相关论文
共 43 条
[1]  
Aalen O O, 1994, Stat Methods Med Res, V3, P227, DOI 10.1177/096228029400300303
[2]  
ANDERSON GL, 1995, BIOMETRIKA, V82, P527, DOI 10.1093/biomet/82.3.527
[3]  
[Anonymous], 1997, Am J Cardiol, V79, P756
[4]   Subgroup analysis and other (mis)uses of baseline data in clinical trials [J].
Assmann, SF ;
Pocock, SJ ;
Enos, LE ;
Kasten, LE .
LANCET, 2000, 355 (9209) :1064-1069
[5]  
BRETAGNOLLE J, 1988, SCAND J STAT, V15, P125
[6]   The west of Scotland coronary prevention study: economic benefit analysis of primary prevention with pravastatin [J].
Caro, J ;
Klittich, W ;
McGuire, A ;
Ford, J ;
Norrie, J ;
Pettitt, D ;
McMurray, J ;
Shepherd, J .
BRITISH MEDICAL JOURNAL, 1997, 315 (7122) :1577-1582
[7]   A QUANTITATIVE STUDY OF THE BIAS IN ESTIMATING THE TREATMENT EFFECT CAUSED BY OMITTING A BALANCED COVARIATE IN SURVIVAL MODELS [J].
CHASTANG, C ;
BYAR, D ;
PIANTADOSI, S .
STATISTICS IN MEDICINE, 1988, 7 (12) :1243-1255
[8]   MULTIVARIATE GENERALIZATIONS OF THE PROPORTIONAL HAZARDS MODEL [J].
CLAYTON, D ;
CUZICK, J .
JOURNAL OF THE ROYAL STATISTICAL SOCIETY SERIES A-STATISTICS IN SOCIETY, 1985, 148 :82-117
[9]   PARTIAL LIKELIHOOD [J].
COX, DR .
BIOMETRIKA, 1975, 62 (02) :269-276
[10]  
COX DR, 1972, J R STAT SOC B, V34, P187