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Correspondence
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Volume 337:572-573 August 21, 1997 Number 8
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Alpha-Tocopherol and Alzheimer's Disease

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 by Sano, M.
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To the Editor: Sano et al. (April 24 issue)1 conclude that alpha-tocopherol and selegiline are effective in slowing the progression of moderately severe Alzheimer's disease. Did they prove a true effect of treatment, or can the result be reasonably attributed to bias arising in the design, performance, or analysis of the trial?

Presumably, they designed and performed their study as a double-blind, randomized, controlled trial in order to reduce bias. The verdict of the unadjusted analysis, which did not show a statistically significant advantage in any of the treatment groups, was not accepted. When they used the Cox proportional-hazards model . . . [Full Text of this Article]

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