Evidence map›Paper›PMID 24784487›Full record

ArticleClinical trials (London, England)2014

Introduction to dynamic treatment strategies and sequential multiple assignment randomization.

Philip W Lavori, Ree Dawson

Abstract read
In one paragraph

Article in Clinical trials (London, England), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Longitudinal Effects of Adaptive Interventions With a Speech-Generating Device in Minimally Verbal Children With ASD.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Outcome trajectory estimation for optimal dynamic treatment regimes with repeated measures.Journal of the Royal Statistical Society. Series C, Applied statistics · 2023
    Article
  12. A Methodological Approach for Documenting Multi-Component Interventions Targeting Family Caregivers.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Sequential, Multiple-Assignment, Randomized Trials for COMparing Personalized Antibiotic StrategieS (SMART-COMPASS).Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Article
  20. Just-in-Time Adaptive Interventions (JITAIs) in Mobile Health: Key Components and Design Principles for Ongoing Health Behavior Support.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 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

2 authors.

Philip W LavoriDepartment of Health Research and Policy, School of Medicine, Stanford University, Stanford, CA, USA Lavori@stanford.edu.
Ree DawsonFrontier Science, Boston, MA, USA.

Funding

Translational Oncology Research Program (Project-005)P30CA124435 · NCI · STANFORD UNIVERSITY · PI Melinda L. Telli · 2007 to 2026
$71.4M
Stanford Center for Clinical and Translational Education and Research (SCCTER)UL1UL1RR025744 · NCRR · STANFORD UNIVERSITY · PI GREENBERG, HARRY BERNARD · 2008 to 2011
$22.4M
METHODOLOGIES FOR TREATMENT STRATEGIESR01MH051481 · NIMH · STANFORD UNIVERSITY · PI LAVORI, PHILIP WILLIAM · 1995 to 2014
$2.3M
NCI NIH HHS P30 CA124435NCRR NIH HHS UL1 RR025744NIMH NIH HHS R01 MH051481
6 · The paper itself

Abstract

backgroundIn June 2013, a 1-day workshop on Dynamic Treatment Strategies (DTSs) and Sequential Multiple Assignment Randomized Trials (SMARTs) was held at the University of Pennsylvania in Philadelphia, Pennsylvania. These two linked topics have generated a great deal of interest as researchers have recognized the importance of comparing entire strategies for managing chronic disease. A number of articles emerged from that workshop. PURPOSE: The purpose of this survey of the DTS/SMART methodology (which is taken from the introductory talk in the workshop) is to provide the reader the collected articles presented in this volume with sufficient background to appreciate the more detailed discussions in the articles.

methodsThe way that the DTS arises naturally in clinical practice is described, along with its connection to the well-known difficulties of interpreting the analysis by intention-to-treat. The SMART methodology for comparing DTS is described, and the basics of estimation and inference presented.

resultsThe DTS/SMART methodology can be a flexible and practical way to optimize ongoing clinical decision making, providing evidence (based on randomization) for comparative effectiveness. LIMITATIONS: The DTS/SMART methodology is not a solution for unstandardized study protocols.

conclusionsThe DTS/SMART methodology has growing relevance to comparative effectiveness research and the needs of the learning healthcare system.

Identifiers

PMID24784487
PMCPMC4216645

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.