کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
2124846 | 1547236 | 2009 | 11 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
A simulation study to evaluate the impact of the number of lesions measured on response assessment
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کلمات کلیدی
موضوعات مرتبط
علوم زیستی و بیوفناوری
بیوشیمی، ژنتیک و زیست شناسی مولکولی
تحقیقات سرطان
پیش نمایش صفحه اول مقاله
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چکیده انگلیسی
The objectives of this study were to evaluate whether the number of lesions that are used to measure tumour burden affects response assessment and inter-rater variability. In order to accomplish this, a simulation study was conducted. Data were generated from a mixed-effects mixture model. Parameter values to input in the model were obtained from the analysis of real data. Response assessments based on 10, five, three, two and one lesion were evaluated. There was little difference between response assessments based on five lesions and response assessments based on 10 lesions. When fewer than five lesions were used to assess response, there were notable differences from the 10 lesion-based response assessment. Basing response assessment on a small number of lesions tends to overestimate response rates and leads to misclassification of patients' response status. Therefore, measuring five lesions per patient appears to sufficiently capture patients' response to therapy. Measuring fewer than five lesions results in the loss of information that may adversely affect clinical trial results as well as patient management.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Cancer - Volume 45, Issue 2, January 2009, Pages 300-310
Journal: European Journal of Cancer - Volume 45, Issue 2, January 2009, Pages 300-310
نویسندگان
Chaya S. Moskowitz, Xiaoyu Jia, Lawrence H. Schwartz, Mithat Gönen,