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肺动脉高压的替代终点:评估治疗反应

Surrogate end points in pulmonary arterial hypertension: assessing the response to therapy.

作者信息

Snow Jennifer L, Kawut Steven M

机构信息

Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania School of Medicine, 844 West Gates Building, 3400 Spruce Street, Philadelphia, PA 19104, USA.

出版信息

Clin Chest Med. 2007 Mar;28(1):75-89, viii. doi: 10.1016/j.ccm.2006.11.005.

DOI:10.1016/j.ccm.2006.11.005
PMID:17338929
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1868503/
Abstract

Recent discoveries in the disease pathophysiology of pulmonary arterial hypertension have been translated into effective therapies tested in clinical trials. The studies have focused on surrogate and intermediate end points, thought to reflect quantity and quality of life, respectively. The authors present the necessary requirements for establishing the reliability and validity of such end points before they may be used dependably. The authors also review the available data, strengths, and weaknesses of potential end points in pulmonary arterial hypertension.

摘要

肺动脉高压疾病病理生理学的最新发现已转化为在临床试验中进行测试的有效疗法。这些研究集中在替代终点和中间终点上,分别被认为反映生活质量的数量和质量。作者提出了在可靠使用这些终点之前建立其可靠性和有效性的必要要求。作者还回顾了肺动脉高压潜在终点的现有数据、优势和劣势。

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本文引用的文献

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Comparison and validation of three measures of quality of life in patients with pulmonary hypertension.肺动脉高压患者生活质量三种测量方法的比较与验证
Intern Med J. 2006 Nov;36(11):705-10. doi: 10.1111/j.1445-5994.2006.01169.x.
2
The current treatment of pulmonary arterial hypertension: time to redefine success.肺动脉高压的当前治疗:是时候重新定义成功标准了。
Chest. 2006 Oct;130(4):1198-202. doi: 10.1378/chest.130.4.1198.
3
Pulmonary hypertension trials: current end points are flawed, but what are the alternatives?肺动脉高压试验:当前的终点指标存在缺陷,但有哪些替代方案呢?
Chest. 2006 Oct;130(4):934-6. doi: 10.1378/chest.130.4.934.
4
N-terminal pro-B-type natriuretic peptide as an indicator of disease severity in a heterogeneous group of patients with chronic precapillary pulmonary hypertension.N末端前B型利钠肽作为异质性慢性毛细血管前性肺动脉高压患者疾病严重程度的指标。
Am J Cardiol. 2006 Aug 15;98(4):525-9. doi: 10.1016/j.amjcard.2006.02.061. Epub 2006 Jun 28.
5
Tricuspid annular displacement predicts survival in pulmonary hypertension.三尖瓣环位移可预测肺动脉高压患者的生存率。
Am J Respir Crit Care Med. 2006 Nov 1;174(9):1034-41. doi: 10.1164/rccm.200604-547OC. Epub 2006 Aug 3.
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NTproBNP-guided drug treatment for chronic heart failure: design and methods in the "BATTLESCARRED" trial.NT-proBNP 指导的慢性心力衰竭药物治疗:“BATTLESCARRED”试验的设计与方法
Eur J Heart Fail. 2006 Aug;8(5):532-8. doi: 10.1016/j.ejheart.2006.04.004. Epub 2006 Jul 7.
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Respir Med. 2007 Jan;101(1):69-75. doi: 10.1016/j.rmed.2006.04.014. Epub 2006 Jun 14.
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