Interpreting Measures of Treatment Effect in Cancer Clinical Trials

Author:

Case L. Douglas12,Kimmick Gretchen32,Paskett Electra D.12,Lohman Kurt1,Tucker Robert3

Affiliation:

1. Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA

2. Comprehensive Cancer Center of Wake Forest University, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA

3. Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA

Abstract

Abstract The efficacy of a new cancer regimen is usually assessed by analyzing outcomes such as tumor response and overall survival. Many publications summarizing results of cancer clinical trials report measures such as odds ratios and hazard ratios, as these are the estimators of treatment effect obtained from regression models used to analyze the data. However, these measures are sometimes misinterpreted, as they are not necessarily familiar to many readers. The most common mistake is to interpret both measures as relative risks, an interpretation that can lead to an incorrect impression of the impact of the treatment on response and survival.

Funder

Public Health Service

National Institutes of Health

Publisher

Oxford University Press (OUP)

Subject

Cancer Research,Oncology

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4. Odds ratios should be avoided when events are common [letter];Altman;BMJ,1998

5. Clinically useful measures of effect in binary analyses of randomized trials;Sinclair;J Clin Epidemiol,1994

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