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Placebo effect-adjusted assessment of quality of life in placebo-controlled clinical trials.

Placebo effect-adjusted assessment of quality of life in placebo-controlled clinical trials. Research Abstract Details 

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  • Placebo effect-adjusted assessment of quality of life in placebo-controlled clinical trials. Abstract Text:

    Quality of life (QoL) has become an accepted and widely used endpoint in clinical trials. The analytical tools used for QoL evaluations in clinical trials differ from those used for the more traditional endpoints, such as response to disease, overall survival or progression-free survival. Since QoL assessments are generally performed on self-administered questionnaires, QoL endpoints are more prone to a placebo effect than traditional clinical endpoints. The placebo effect is a well-documented phenomenon in clinical trials, which has led to dramatic consequences on the clinical development of new therapeutic agents. In order to account for the placebo effect, a multivariate latent variable model is proposed, which allows for misclassification in the QoL item responses. The approach is flexible in the sense that it can be used for the analysis of a wide variety of multi-dimensional QoL instruments. For statistical inference, maximum likelihood estimates and their standard errors are obtained using a Monte Carlo EM algorithm. The approach is illustrated with analysis of data from a cardiovascular phase III clinical trial. Copyright (c) 2008 John Wiley & Sons, Ltd.

    Placebo effect-adjusted assessment of quality of life in placebo-controlled clinical trials. Publishing Authors By Initials

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    PUBMED ID PMID:

    MEDLINE DATE:

    Placebo effect-adjusted assessment of quality of life in placebo-controlled clinical trials. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Statistics in medicine

    VOLUME: 27

    Page Numbers: 1387-402

    Journal Abbreviation:

    ISSN: 0277-6715

    DAY: 30

    MONTH: Apr

    YEAR: 2008

    Placebo effect-adjusted assessment of quality of life in placebo-controlled clinical trials. Information

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    LANGUAGE: eng

    NlmUniqueID: 8215016

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    AFFILIATION: Department of Biostatistics and Medical Informatics, University of Wisconsin-Madison, Madison, WI 53726-2397, U.S.A.

    Country: England

    England Research PublicationEngland Research Publication

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    MEDLINETA: Stat Med

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