Jung Sin-Ho, Ahn Chul
Department of Biostatistics and Bioinformatics, Duke University Medical Center, Box 3627, Durham, NC 27710, USA.
Stat Med. 2003 Apr 30;22(8):1305-15. doi: 10.1002/sim.1384.
Sample size calculation is an important component at the design stage of clinical trials. Controlled clinical trials often use a repeated measurement design in which individuals are randomly assigned to treatment groups and followed-up for measurements at intervals across a treatment period of fixed duration. In studies with repeated measurements, one of the popular primary interests is the comparison of the rates of change in a response variable between groups. Statistical models for calculating sample sizes for repeated measurement designs often fail to take into account the impact of missing data correctly. In this paper we propose to use the generalized estimating equation (GEE) method in comparing the rates of change in repeated measurements and introduce closed form formulae for sample size and power that can be calculated using a scientific calculator. Since the sample size formula is based on asymptotic theory, we investigate the performance of the estimated sample size in practical settings through simulations.
样本量计算是临床试验设计阶段的一个重要组成部分。对照临床试验通常采用重复测量设计,即将个体随机分配到治疗组,并在固定时长的治疗期内定期进行随访测量。在重复测量研究中,一个普遍的主要关注点是比较各治疗组间反应变量的变化率。用于计算重复测量设计样本量的统计模型常常未能正确考虑缺失数据的影响。在本文中,我们建议使用广义估计方程(GEE)方法来比较重复测量中的变化率,并引入可使用科学计算器计算样本量和检验效能的封闭式公式。由于样本量公式基于渐近理论,我们通过模拟研究了实际情况下估计样本量的性能。