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朝着使癌症随机临床试验中生活质量数据分析标准化的方向前进。

Moving forward toward standardizing analysis of quality of life data in randomized cancer clinical trials.

机构信息

1 Quality of Life Department, European Organisation for Research and Treatment of Cancer (EORTC), Brussels, Belgium.

2 Alliance Statistics and Data Center, Mayo Clinic, Rochester, MN, USA.

出版信息

Clin Trials. 2018 Dec;15(6):624-630. doi: 10.1177/1740774518795637. Epub 2018 Aug 24.

Abstract

BACKGROUND

There is currently a lack of consensus on how health-related quality of life and other patient-reported outcome measures in cancer randomized clinical trials are analyzed and interpreted. This makes it difficult to compare results across randomized controlled trials (RCTs) synthesize scientific research, and use that evidence to inform product labeling, clinical guidelines, and health policy. The Setting International Standards in Analyzing Patient-Reported Outcomes and Quality of Life Endpoints Data for Cancer Clinical Trials (SISAQOL) Consortium aims to develop guidelines and recommendations to standardize analyses of patient-reported outcome data in cancer RCTs.

METHODS AND RESULTS

Members from the SISAQOL Consortium met in January 2017 to discuss relevant issues. Data from systematic reviews of the current state of published research in patient-reported outcomes in cancer RCTs indicated a lack of clear reporting of research hypothesis and analytic strategies, and inconsistency in definitions of terms, including "missing data,""health-related quality of life," and "patient-reported outcome." Based on the meeting proceedings, the Consortium will focus on three key priorities in the coming year: developing a taxonomy of research objectives, identifying appropriate statistical methods to analyze patient-reported outcome data, and determining best practices to evaluate and deal with missing data.

CONCLUSION

The quality of the Consortium guidelines and recommendations are informed and enhanced by the broad Consortium membership which includes regulators, patients, clinicians, and academics.

摘要

背景

目前,对于癌症随机临床试验中的健康相关生活质量和其他患者报告结局测量结果如何进行分析和解释,尚未达成共识。这使得难以比较随机对照试验(RCT)的结果、综合科学研究,并利用这些证据为产品标签、临床指南和卫生政策提供信息。制定分析癌症临床试验患者报告结局和生活质量结局数据国际标准(SISAQOL)联盟旨在制定指南和建议,以规范癌症 RCT 中患者报告结局数据的分析。

方法和结果

SISAQOL 联盟成员于 2017 年 1 月开会讨论相关问题。对癌症 RCT 中患者报告结局当前研究状况的系统评价数据表明,研究假设和分析策略的报告不明确,术语的定义也不一致,包括“缺失数据”、“健康相关生活质量”和“患者报告结局”。根据会议记录,该联盟将在未来一年重点关注三个关键优先事项:制定研究目标分类法、确定分析患者报告结局数据的适当统计方法,以及确定评估和处理缺失数据的最佳实践。

结论

该联盟的指导方针和建议的质量由监管机构、患者、临床医生和学者等广泛的联盟成员提供信息和支持。

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