总结和展示临床试验的数据

Gregory L Ginn, Clare Campbell-Cooper
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引用次数: 0

摘要

临床试验依赖于严格的数据准备和分析,以确保稳健、可靠的结果。关键组件包括定义分析总体、处理缺失数据以及评估主要和次要端点。分析人群,如治疗意向和方案,在解释现实世界和理想条件下的治疗效果方面起着关键作用。缺失数据的处理是一个关键的挑战,它采用多重输入和最大似然估计等技术来最小化偏差并保持有效性。疗效数据分析围绕预定义的终点,主要终点推动试验成功和监管批准,次要终点为治疗效果提供更广泛的见解。利用混合效应模型和Kaplan-Meier曲线等统计工具,亚组和纵向分析提供了对差异治疗效果和基于时间的结果的细致理解。安全性分析,包括不良事件报告和事件时间模型,对于评估治疗风险至关重要。比较安全性分析使用逻辑回归和Cox比例风险模型等方法评估治疗之间的不良事件、严重不良事件和风险-收益平衡。通过整合这些方法,临床试验提供全面的治疗评估,指导监管决策和推进医学知识。这种系统的方法确保了研究结果既科学严谨又具有临床相关性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Summarizing and presenting data from clinical trials
Clinical trials rely on rigorous data preparation and analysis to ensure robust, reliable outcomes. Key components include defining analysis populations, handling missing data and evaluating primary and secondary endpoints. Analysis populations, such as intent-to-treat and per-protocol, play a pivotal role in interpreting treatment efficacy under both real-world and ideal conditions. Handling of missing data, a critical challenge, employs techniques such as multiple imputation and maximum likelihood estimation to minimize bias and preserve validity. Efficacy data analysis revolves around predefined endpoints, with primary endpoints driving trial success and regulatory approval, and secondary endpoints providing broader insights into treatment effects. Subgroup and longitudinal analyses offer nuanced understandings of differential treatment effects and time-based outcomes, leveraging statistical tools such as mixed-effects models and Kaplan–Meier curves. Safety analyses, including adverse event reporting and time-to-event models, are essential for assessing treatment risks. Comparative safety analysis evaluates adverse events, serious adverse events and risk–benefit balances between treatments using methods such as logistic regression and Cox proportional hazards models. By integrating these methodologies, clinical trials provide comprehensive evaluations of treatments, guiding regulatory decisions and advancing medical knowledge. This systematic approach ensures that findings are both scientifically rigorous and clinically relevant.
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