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Pharmaceutical Statistics
Article . 2020 . Peer-reviewed
License: Wiley Online Library User Agreement
Data sources: Crossref
https://dx.doi.org/10.48550/ar...
Article . 2020
License: arXiv Non-Exclusive Distribution
Data sources: Datacite
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Non‐proportional hazards in immuno‐oncology: Is an old perspective needed?

Authors: Dominic Magirr;

Non‐proportional hazards in immuno‐oncology: Is an old perspective needed?

Abstract

AbstractA fundamental concept in two‐arm non‐parametric survival analysis is the comparison of observed versus expected numbers of events on one of the treatment arms (the choice of which arm is arbitrary), where the expectation is taken assuming that the true survival curves in the two arms are identical. This concept is at the heart of the counting‐process theory that provides a rigorous basis for methods such as the log‐rank test. It is natural, therefore, to maintain this perspective when extending the log‐rank test to deal with non‐proportional hazards, for example, by considering a weighted sum of the “observed ‐ expected” terms, where larger weights are given to time periods where the hazard ratio is expected to favor the experimental treatment. In doing so, however, one may stumble across some rather subtle issues, related to difficulties in the interpretation of hazard ratios, that may lead to strange conclusions. An alternative approach is to view non‐parametric survival comparisons as permutation tests. With this perspective, one can easily improve on the efficiency of the log‐rank test, while thoroughly controlling the false positive rate. In particular, for the field of immuno‐oncology, where researchers often anticipate a delayed treatment effect, sample sizes could be substantially reduced without loss of power.

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Keywords

FOS: Computer and information sciences, Neoplasms, Sample Size, Humans, Applications (stat.AP), Medical Oncology, Statistics - Applications, Survival Analysis, Proportional Hazards Models

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
20
Top 10%
Top 10%
Top 10%
Green
bronze