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Problems in regression modeling of randomized clinical trials

Authors: T J, Cleophas;

Problems in regression modeling of randomized clinical trials

Abstract

Data modeling can be applied to improving the precision of clinical studies and multiple regression modeling is increasingly used for this purpose.To assess the uncertainties and risks of misinterpretations commonly encountered in regression analyses and rarely communicated in research papers.Regression analyses add uncertainties to the data in the form of subjective judgments and uncertainty about the appropriate transformation of the data. Additional flaws include; the assumption that baseline characteristics are independent of treatment efficacies; the loss of sensitivity of testing if the models do not fit the data well enough; the risk that clinical phenomena like toxicity effects and complete remissions go unobserved; the risk of clinically unrealistic results if multiple variables are included.Regression analyses, although a very good tool for exploratory research, are not sufficiently reliable for randomized clinical trials.

Keywords

Models, Statistical, Drug-Related Side Effects and Adverse Reactions, Endpoint Determination, Research Design, Humans, Regression Analysis, Reproducibility of Results, Randomized Controlled Trials as Topic

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Powered by OpenAIRE graph
Found an issue? Give us feedback
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
Top 10%
Top 10%
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