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Statistics in Medicine
Article . 2014 . Peer-reviewed
License: Wiley Online Library User Agreement
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Article . 2014
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A joint test for progression and survival with interval‐censored data from a cancer clinical trial

A joint test for progression and survival with interval-censored data from a cancer clinical trial
Authors: Finkelstein, Dianne M.; Schoenfeld, David A.;

A joint test for progression and survival with interval‐censored data from a cancer clinical trial

Abstract

Clinical trials often assess efficacy by comparing treatments on the basis of two or more event‐time outcomes. In the case of cancer clinical trials, progression‐free survival (PFS), which is the minimum of the time from randomization to progression or to death, summarizes the comparison of treatments on the hazards for disease progression and mortality. However, the analysis of PFS does not utilize all the information we have on patients in the trial. First, if both progression and death times are recorded, then information on death time is ignored in the PFS analysis. Second, disease progression is monitored at regular clinic visits, and progression time is recorded as the first visit at which evidence of progression is detected. However, many patients miss or have irregular visits (resulting in interval‐censored data) and sometimes die of the cancer before progression was recorded. In this case, the previous progression‐free time could provide additional information on the treatment efficacy. The aim of this paper is to propose a method for comparing treatments that could more fully utilize the data on progression and death. We develop a test for treatment effect based on of the joint distribution of progression and survival. The issue of interval censoring is handled using the very simple and intuitive approach of the Conditional Expected Score Test (CEST). We focus on the application of these methods in cancer research. Copyright © 2014 John Wiley & Sons, Ltd.

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Keywords

Clinical Trials as Topic, Models, Statistical, conditional expected score test (CEST), PRO logistic model, interval-censored failure time data, Antineoplastic Agents, Breast Neoplasms, Triazoles, Disease-Free Survival, Applications of statistics to biology and medical sciences; meta analysis, progression-free survival (PFS), Bias, Data Interpretation, Statistical, Letrozole, Nitriles, Disease Progression, Humans, Female

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    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).
    6
    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.
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    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
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!
6
Average
Average
Average
bronze
Related to Research communities
Cancer Research