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临床试验报告中的统计学解读:临床试验统计学系列文章之四篇中的第一篇。

Making Sense of Statistics in Clinical Trial Reports: Part 1 of a 4-Part Series on Statistics for Clinical Trials.

机构信息

Department of Medical Statistics, London School of Hygiene & Tropical Medicine, London, United Kingdom.

Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, United Kingdom.

出版信息

J Am Coll Cardiol. 2015 Dec 8;66(22):2536-49. doi: 10.1016/j.jacc.2015.10.014.

Abstract

This paper is a practical guide to the essentials of statistical analysis and reporting of randomized clinical trials (RCTs). It is the first in a series of 4 educational papers on statistical issues for RCTs, which will also include statistical controversies in RCT reporting and interpretation, the fundamentals of design for RCTs, and statistical challenges in the design and monitoring of RCTs. Here, we concentrate on displaying results in tables and figures, estimating treatment effects, expressing uncertainty using confidence intervals, and using p values wisely to assess the strength of evidence for a treatment difference. The various methods and their interpretation are illustrated by recent, topical cardiology trial results.

摘要

本文是一份关于随机临床试验(RCT)统计分析和报告要点的实用指南。这是关于 RCT 统计问题的 4 篇教育论文中的第一篇,其他论文还将包括 RCT 报告和解释中的统计争议、RCT 设计的基础以及 RCT 设计和监测中的统计挑战。在这里,我们专注于以表格和图形展示结果、估计治疗效果、使用置信区间表示不确定性以及明智地使用 p 值来评估治疗差异的证据强度。通过最近的热门心脏病学试验结果来说明各种方法及其解释。

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