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Proposed Strategies for Designing and Analysing Sepsis Trials

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Proceedings of the First Seattle Symposium in Biostatistics

Part of the book series: Lecture Notes in Statistics ((LNS,volume 123))

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Abstract

We discuss the design and analysis of trials of drugs and biologics designed to combat sepsis. We consider the variety of trials that have been conducted, and comment on the problems that have occurred in their conduct. These include variation in populations, therapies, controls, and endpoints. Optimistic estimates of effect sizes have led to studies which have been underpowered. Analyses using the proportional hazards model may be underpowered if the data do not satisfy the assumption of proportionality.

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References

  • Bone, R. C., Balk, R. A., Cerra, F. C., et al. (1992). Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Chest, 101, 1656–1662.

    Article  Google Scholar 

  • FDA (1987). Guidelines for the Format and Content of the Clinical and Statistical Sections of New Drug Applications.

    Google Scholar 

  • Fleming, T. R. and Harrington, D. P. (1991). Counting Processes and Survival Analysis. New York: John Wiley and Sons.

    MATH  Google Scholar 

  • Knaus, W. A., Harrell, F. E., Fisher, C. J., et al. (1993). The clinical evaluation of new drugs for sepsis: a prospective study design based on survival analysis. Journal of the American Medical Association., 270(10), 1233–1241.

    Article  Google Scholar 

  • Knaus, W. A., Harrell, F. E., LaBreque, J. F., et al. (1996). Use of predicted risk of mortality to evaluate the efficacy of anticytokine therapy in sepsis. Critical Care Medicine, 24, 46–56.

    Article  Google Scholar 

  • Lemeshow, S., Teres, D., Klar, J., et al. (1993). Mortality Probability Models (MPM II) based on an international cohort of intensive care unit patients. Journal of the American Medical Association. 270(20), 2478–2486.

    Article  Google Scholar 

  • MMWR (1990). Increase in National Hospital Discharge Survey Rates for Septicemia — United States, 1979–1987. 39, 31–34.

    Google Scholar 

  • Siegel, J. P. (1994). Letter to Brussels Roundtable Consensus Conference. Personal communication.

    Google Scholar 

  • Ziegler, E. J., Fisher, C. J., Sprung, C. L., et al. (1991). Treatment of gram-Negative bacteremia and septic shock with HA-1A human monoclonal antibody against endotoxin. New England Journal of Medicine, 324, 429–436.

    Article  Google Scholar 

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© 1997 Springer-Verlag New York, Inc.

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Lachenbruch, P.A., Tiwari, J. (1997). Proposed Strategies for Designing and Analysing Sepsis Trials. In: Lin, D.Y., Fleming, T.R. (eds) Proceedings of the First Seattle Symposium in Biostatistics. Lecture Notes in Statistics, vol 123. Springer, New York, NY. https://doi.org/10.1007/978-1-4684-6316-3_13

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  • DOI: https://doi.org/10.1007/978-1-4684-6316-3_13

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-94992-5

  • Online ISBN: 978-1-4684-6316-3

  • eBook Packages: Springer Book Archive

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