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治疗诱导的死亡率和肿瘤诱导的死亡率对小样本致癌性试验的影响。

Effects of treatment-induced mortality and tumor-induced mortality on tests for carcinogenicity in small samples.

作者信息

Bailer A J, Portier C J

机构信息

Division of Biometry and Risk Assessment, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina 27709.

出版信息

Biometrics. 1988 Jun;44(2):417-31.

PMID:3390507
Abstract

Statistical tests of carcinogenicity are shown to have varying degrees of robustness to the effects of mortality. Mortality induced by two different mechanisms is studied--mortality due to the tumor of interest, and mortality due to treatment independent of the tumor. The two most commonly used tests, the life-table test and the Cochran-Armitage linear trend test, are seen to be highly sensitive to increases in treatment lethality using small-sample simulations. Increases in tumor lethality are seen to affect the performance of commonly used prevalence tests such as logistic regression. A simple survival-adjusted quantal response test appears to be the most robust of all the procedures considered.

摘要

致癌性的统计检验对死亡率的影响具有不同程度的稳健性。研究了由两种不同机制引起的死亡率——由感兴趣的肿瘤导致的死亡率,以及与肿瘤无关的治疗导致的死亡率。通过小样本模拟发现,两种最常用的检验方法,即生命表检验和 Cochr an - Armitage线性趋势检验,对治疗致死率的增加高度敏感。肿瘤致死率的增加会影响常用患病率检验(如逻辑回归)的性能。在所有考虑的程序中,一种简单的生存调整定量反应检验似乎是最稳健的。

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