Evidence map›Paper›PMID 28182835›Full record

ArticleBiometrics2017

Maximin optimal designs for cluster randomized trials.

Sheng Wu, Weng Kee Wong, Catherine M Crespi

Abstract read
In one paragraph

Article in Biometrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

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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.

Sheng WuDepartment of Biostatistics, UCLA Fielding School of Public Health, University of California, Los Angeles, California 90095-1772, U.S.A.
Weng Kee WongDepartment of Biostatistics, UCLA Fielding School of Public Health, University of California, Los Angeles, California 90095-1772, U.S.A.
Catherine M CrespiDepartment of Biostatistics, UCLA Fielding School of Public Health, University of California, Los Angeles, California 90095-1772, U.S.A.

Funding

Women's CancersP30CA016042 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Samuel Wheeler French · 1985 to 2026
$134.5M
UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
Designing Efficient Designs under Model Uncertainty for Biological StudiesR01GM107639 · NIGMS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WONG, WENG K · 2014 to 2017
$1.0M
NCATS NIH HHS UL1 TR000124NCI NIH HHS P30 CA016042NIGMS NIH HHS R01 GM107639
6 · The paper itself

Abstract

We consider design issues for cluster randomized trials (CRTs) with a binary outcome where both unit costs and intraclass correlation coefficients (ICCs) in the two arms may be unequal. We first propose a design that maximizes cost efficiency (CE), defined as the ratio of the precision of the efficacy measure to the study cost. Because such designs can be highly sensitive to the unknown ICCs and the anticipated success rates in the two arms, a local strategy based on a single set of best guesses for the ICCs and success rates can be risky. To mitigate this issue, we propose a maximin optimal design that permits ranges of values to be specified for the success rate and the ICC in each arm. We derive maximin optimal designs for three common measures of the efficacy of the intervention, risk difference, relative risk and odds ratio, and study their properties. Using a real cancer control and prevention trial example, we ascertain the efficiency of the widely used balanced design relative to the maximin optimal design and show that the former can be quite inefficient and less robust to mis-specifications of the ICCs and the success rates in the two arms.

Indexed as

Randomized Controlled Trials as TopicBiomedical ResearchCluster AnalysisHumansRiskSocioeconomic FactorsBalanced designBinary outcomeIntraclass correlation coefficientRelative cost efficiencyRobust designSampling ratio

Identifiers

PMID28182835
PMCPMC5550375

What OpenQuestion holds

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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.