Evidence map›Paper›PMID 23001893›Full record

Trial reportStatistics in medicine2013

Joint modeling quality of life and survival using a terminal decline model in palliative care studies.

Zhigang Li, Tor D Tosteson, Marie A Bakitas

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Statistics in medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
1.3field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 28 citations in OpenAlex.

  1. Zinpentraxin Alfa for Idiopathic Pulmonary Fibrosis: The Randomized Phase III STARSCAPE Trial.American journal of respiratory and critical care medicine · 2024
    Trial
  2. Trial
  3. Trial
  4. Trial
  5. Effects of Early Integrated Palliative Care in Patients With Lung and GI Cancer: A Randomized Clinical Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2017
    Trial
  6. Trial
  7. Early Versus Delayed Initiation of Concurrent Palliative Oncology Care: Patient Outcomes in the ENABLE III Randomized Controlled Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2015
    Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. Quantifying bias due to missing data in quality of life surveys of advanced-stage cancer patients.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  13. Article
  14. Article
  15. Nonparametric inference for reversed mean models with panel count data.Bernoulli : official journal of the Bernoulli Society for Mathematical Statistics and Probability · 2022
    Article
  16. Review
  17. Understanding Treatment Tolerability in Older Adults With Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021
    Review
  18. Observational
  19. Article
  20. Survival models and health sequences.Lifetime data analysis · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Zhigang LiSection of Biostatistics and Epidemiology, Department of Community and Family Medicine, Geisel School of Medicine at Dartmouth, Lebanon, NH 03756, USA. Zhigang.Li@dartmouth.edu
Tor D Tosteson
Marie A Bakitas
Dartmouth Institute for Health Policy and Clinical Practice · US

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
Comparative Effectiveness of Advanced Imaging in CancerRC2CA148259 · NCI · DARTMOUTH COLLEGE · PI BLACK, WILLIAM C, HILLNER, BRUCE ELLIS · 2009 to 2009
$2.0M
Comparative Effectiveness of Advanced Imaging in CancerUC2CA148259 · NCI · DARTMOUTH COLLEGE · PI BLACK, WILLIAM C, HILLNER, BRUCE ELLIS · 2010 to 2010
$2.0M
Early vs. Later Palliative Cancer Care: Clinical and Biobehavioral EffectsR01NR011871 · NINR · DARTMOUTH COLLEGE · PI BAKITAS, MARIE ANNE · 2009 to 2011
$1.4M
NCI NIH HHS P30 CA023108NCI NIH HHS P30CA23108NCI NIH HHS RC2 CA148259NCI NIH HHS UC2 CA148259NCI NIH HHS UC2CA148259NINR NIH HHS NR011871NINR NIH HHS R01 NR011871NINR NIH HHS R01NR011871
6 · The paper itself

Abstract

Palliative medicine is a relatively new specialty that focuses on preventing and relieving the suffering of patients facing life-threatening illness. For cancer patients, clinical trials have been carried out to compare concurrent palliative care with usual cancer care in terms of longitudinal measurements of quality of life (QOL) until death, and overall survival is usually treated as a secondary endpoint. It is known that QOL of patients with advanced cancer decreases as death approaches; however, in previous clinical trials, this association has generally not been taken into account when inferences about the effect of an intervention on QOL or survival have been made. We developed a new joint modeling approach, a terminal decline model, to study the trajectory of repeated measurements and survival in a recently completed palliative care study. This approach takes the association of survival and QOL into account by modeling QOL retrospectively from death. For those patients whose death times are censored, marginal likelihood is used to incorporate them into the analysis. Our approach has two submodels: a piecewise linear random intercept model with serial correlation and measurement error for the retrospective trajectory of QOL and a piecewise exponential model for the survival distribution. Maximum likelihood estimators of the parameters are obtained by maximizing the closed-form expression of log-likelihood function. An explicit expression of quality-adjusted life years can also be derived from our approach. We present a detailed data analysis of our previously reported palliative care randomized clinical trial.

Indexed as

Likelihood FunctionsModels, StatisticalQuality-Adjusted Life YearsSurvival AnalysisComputer SimulationHumansNeoplasmsPalliative CareRetrospective Studies

Identifiers

PMID23001893
PMCPMC3623280
OpenAlexW2113220664

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.