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Verfasst von:Pfirrmann, Markus [VerfasserIn]   i
 Hochhaus, Andreas [VerfasserIn]   i
 Lauseker, Michael [VerfasserIn]   i
 Saußele, Susanne [VerfasserIn]   i
 Hehlmann, Rüdiger [VerfasserIn]   i
 Hasford, Joerg [VerfasserIn]   i
Titel:Recommendations to meet statistical challenges arising from endpoints beyond overall survival in clinical trials on chronic myeloid leukemia
Verf.angabe:M. Pfirrmann, A. Hochhaus, M. Lauseker, S. Saußele, R. Hehlmann and J. Hasford
E-Jahr:2011
Jahr:20 May 2011
Umfang:6 S.
Fussnoten:Gesehen am 12.12.2022
Titel Quelle:Enthalten in: Leukemia
Ort Quelle:London : Springer Nature, 1997
Jahr Quelle:2011
Band/Heft Quelle:25(2011), 9, Seite 1433-1438
ISSN Quelle:1476-5551
Abstract:The aim of this work was to provide guidelines for appropriate statistical analyses regarding most common endpoints in clinical trials on chronic myeloid leukemia: hematologic, cytogenetic and molecular results, failure-free and event-free survival, and progression-free and overall survival. The reasons for the specified recommendations are explained and important issues are outlined by comprehensive examples. Particular attention is paid to the warning of the application of suboptimal methods that may lead to seriously biased results and conclusions. In the presence of a competing risk like death, Kaplan-Meier analysis should not be applied for time-to-remission endpoints. The appropriate method to estimate the probabilities of a time-to-remission endpoint is the calculation of its cumulative incidence function. However, the exact date of remission is hardly known. Detection of remission depends strongly on evaluation frequencies. Complex composite endpoints comprising many events with considerably heterogeneous severity imply difficulties with interpretation. Time-to-remission and complex composite endpoints are not recommended for primary judgment on efficacy. It is rather advisable to investigate remission status at a fixed time point as a primary endpoint, followed by progression-free and overall survival. For patients with the intended remission success at the time point of interest, relapse-free survival provides an additional primary outcome.
DOI:doi:10.1038/leu.2011.116
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1038/leu.2011.116
 DOI: https://doi.org/10.1038/leu.2011.116
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Computer Simulation
 Endpoint Determination
 Humans
 Kaplan-Meier Estimate
 Leukemia, Myelogenous, Chronic, BCR-ABL Positive
 Practice Guidelines as Topic
 Remission Induction
 Research Design
 Risk Factors
 Statistics as Topic
 Treatment Outcome
K10plus-PPN:1826778179
Verknüpfungen:→ Zeitschrift

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