Describing and analyzing complex disease history in retrospective studies

IF 2.2 4区 医学 Q3 HEMATOLOGY
Ariane Boumendil , Myriam Labopin
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引用次数: 0

Abstract

Blood-related diseases are complex diseases with diverse origins, treatments and prognosis. In haematology studies, investigators are interested in multiple outcomes and multiple prognostic variables that may change value over the course of follow-up. These time-dependent variables can be of different nature. Time-dependent events such as treatment with haematopoeitic stem cell transplant (HCT) and acute or chronic graft-versus-host disease (GVHD) typically interact with outcomes respectively after diagnosis or HCT. Longitudinal measurement such as immune response do influence survival after HCT. Effect of these time-dependent variables on outcomes can be investigated using different approaches, such as time-dependent Cox regression, landmark analysis, multi-state models or joint modelisation. In this paper we review basic principles of these different approaches using examples from haematological studies.

在回顾性研究中描述和分析复杂的病史
血液相关疾病是一种复杂的疾病,其起源、治疗和预后各不相同。在血液学研究中,研究人员对可能在随访过程中改变价值的多种结果和多种预后变量感兴趣。这些与时间相关的变量可能具有不同的性质。时间依赖性事件,如血液病干细胞移植(HCT)和急性或慢性移植物抗宿主病(GVHD)的治疗,通常分别与诊断或HCT后的结果相互作用。免疫反应等纵向测量确实会影响HCT后的存活率。这些时间相关变量对结果的影响可以使用不同的方法进行研究,如时间相关Cox回归、里程碑分析、多状态模型或联合建模。在这篇论文中,我们使用血液学研究的例子来回顾这些不同方法的基本原理。
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来源期刊
CiteScore
4.20
自引率
0.00%
发文量
42
审稿时长
35 days
期刊介绍: Best Practice & Research Clinical Haematology publishes review articles integrating the results from the latest original research articles into practical, evidence-based review articles. These articles seek to address the key clinical issues of diagnosis, treatment and patient management. Each issue follows a problem-orientated approach which focuses on the key questions to be addressed, clearly defining what is known and not known, covering the spectrum of clinical and laboratory haematological practice and research. Although most reviews are invited, the Editor welcomes suggestions from potential authors.
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