Evidence map›Paper›PMID 29359314›Full record

ArticleBiometrics2018

A utility-based design for randomized comparative trials with ordinal outcomes and prognostic subgroups.

Thomas A Murray, Ying Yuan, Peter F Thall, Joan H Elizondo, Wayne L Hofstetter

Abstract read
In one paragraph

Article in Biometrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Estimating design operating characteristics in Bayesian adaptive clinical trials.The Canadian journal of statistics = Revue canadienne de statistique · 2022
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
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

5 authors.

Thomas A MurrayDivision of Biostatistics, University of Minnesota, Minneapolis, Minnesota, U.S.A.ORCID 0000-0003-2769-4957
Ying YuanDepartment of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas, U.S.A.ORCID 0000-0003-3163-480X
Peter F ThallDepartment of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas, U.S.A.
Joan H ElizondoDepartment of Clinical Nutrition, The University of Texas M.D. Anderson Cancer Center, Houston, Texas, U.S.A.
Wayne L HofstetterDepartment of Thoracic and Cardiovascular Surgery, The University of Texas M.D. Anderson Cancer Center, Houston, Texas, U.S.A.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
STATISTICAL METHODS FOR COMPLEX CANCER TRIALSR01CA083932 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI THALL, PETER F · 2000 to 2017
$2.3M
NCI NIH HHS P30 CA016672NCI NIH HHS R01 CA083932
6 · The paper itself

Abstract

A design is proposed for randomized comparative trials with ordinal outcomes and prognostic subgroups. The design accounts for patient heterogeneity by allowing possibly different comparative conclusions within subgroups. The comparative testing criterion is based on utilities for the levels of the ordinal outcome and a Bayesian probability model. Designs based on two alternative models that include treatment-subgroup interactions are considered, the proportional odds model and a non-proportional odds model with a hierarchical prior that shrinks toward the proportional odds model. A third design that assumes homogeneity and ignores possible treatment-subgroup interactions also is considered. The three approaches are applied to construct group sequential designs for a trial of nutritional prehabilitation versus standard of care for esophageal cancer patients undergoing chemoradiation and surgery, including both untreated patients and salvage patients whose disease has recurred following previous therapy. A simulation study is presented that compares the three designs, including evaluation of within-subgroup type I and II error probabilities under a variety of scenarios including different combinations of treatment-subgroup interactions.

Indexed as

Randomized Controlled Trials as TopicCombined Modality TherapyComputer SimulationEsophageal NeoplasmsHumansNutrition TherapyPrecision MedicineResearch DesignGroup sequentialHierarchical modelNon-proportional oddsOrdinal responsePrecision medicine

Identifiers

PMID29359314
PMCPMC6054910

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.