Herndon J E, Fleishman S, Kosty M P, Green M R
CALGB Statistical Center, Duke University Medical Center, Durham, North Carolina 27705, USA.
Control Clin Trials. 1997 Aug;18(4):286-300. doi: 10.1016/0197-2456(96)00116-x.
A quality of life (QOL) endpoint supplemented standard clinical endpoints of survival, tumor response, and toxicity in a double-blind study conducted by the Cancer and Leukemia Group B (CALGB) where 291 patients with advanced non-small cell lung cancer (NSCLC) were randomly assigned to receive cisplatin/vinblastine with either hydrazine sulfate (HS) or placebo. The difficulties associated with the analysis of the longitudinal QOL data, and the contributions that the QOL endpoint made to the understanding of treatment differences, will be the focus of this paper.
在癌症与白血病B组(CALGB)开展的一项双盲研究中,生活质量(QOL)终点指标补充了生存、肿瘤反应和毒性等标准临床终点指标。该研究中,291例晚期非小细胞肺癌(NSCLC)患者被随机分配接受顺铂/长春碱联合硫酸肼(HS)或安慰剂治疗。本文将聚焦于纵向QOL数据分析所面临的困难,以及QOL终点指标对理解治疗差异所做的贡献。