How Do the Accrual Pattern and Follow-Up Duration Affect the Hazard Ratio Estimate When the Proportional Hazards Assumption Is Violated?

被引:18
|
作者
Horiguchi, Miki [1 ]
Hassett, Michael J. [2 ]
Uno, Hajime [2 ,3 ]
机构
[1] Kitasato Univ, Grad Sch Pharmaceut Sci, Dept Clin Med Biostat, Tokyo, Japan
[2] Dana Farber Canc Inst, Dept Med Oncol, Boston, MA 02115 USA
[3] Dana Farber Canc Inst, Dept Biostat & Computat Biol, Boston, MA 02115 USA
来源
ONCOLOGIST | 2019年 / 24卷 / 07期
关键词
Clinical trials; Cox proportional hazards model; Survival data analysis; Time-to-event outcomes; MEAN SURVIVAL-TIME; NIVOLUMAB; CANCER;
D O I
10.1634/theoncologist.2018-0141
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
In randomized clinical trials, the magnitude of the treatment effect is often reported using the hazard ratio (HR) even when the proportional hazards (PH) assumption is not met. Conducting numerical studies, this commentary illustrates how/why the HR estimate via the standard Cox's procedure is difficult to interpret even as an "average" treatment effect for non-PH cases.
引用
收藏
页码:867 / 871
页数:5
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