Farrar John T, Dworkin Robert H, Max Mitchell B
Department of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
J Pain Symptom Manage. 2006 Apr;31(4):369-77. doi: 10.1016/j.jpainsymman.2005.08.018.
In randomized controlled trials, no single definition of response is ideal for all purposes. We propose a method to present in a simple fashion the likelihood of response over a full range of response levels, which will facilitate a better understanding of clinical trial data. We present the technique called the cumulative proportion of responders analysis (CPRA) and its application to four pain clinical trial data sets as examples. The CPRA can be used to present the proportion of responders over the entire range of possible cut-off points as a graph. This allows the reader to compare treatment groups at any responder level that is valid for their patient population. Whether as a primary or secondary approach to a clinical trial of pain therapy, the display of data in a CPRA format may be useful in the understanding of results and applicability to patient care.
在随机对照试验中,没有一个单一的反应定义适用于所有目的。我们提出了一种方法,以简单的方式呈现整个反应水平范围内的反应可能性,这将有助于更好地理解临床试验数据。我们以称为反应者累积比例分析(CPRA)的技术及其在四个疼痛临床试验数据集上的应用为例进行说明。CPRA可用于以图表形式呈现整个可能截断点范围内的反应者比例。这使读者能够在对其患者群体有效的任何反应者水平上比较治疗组。无论是作为疼痛治疗临床试验的主要还是次要方法,以CPRA格式展示数据可能有助于理解结果以及对患者护理的适用性。