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STATISTICS AND MEDICINE

Volume 355:113-117 July 13, 2006 Number 2
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Time-to-Event Analyses for Long-Term Treatments — The APPROVe Trial
Stephen W. Lagakos, Ph.D.

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-PubMed Citation
The Adenomatous Polyp Prevention on Vioxx (APPROVe) trial1 compared rofecoxib with placebo in the prevention of recurrent colorectal polyps, but the researchers also collected data on adverse cardiovascular events, including confirmed serious thrombotic events. Assessment of the cardiovascular data raises important issues about the analysis and interpretation of a time-to-event end point in a randomized, placebo-controlled trial evaluating a long-term treatment. These issues include the appropriate period of follow-up for safety outcomes after the discontinuation of treatment; the purpose and implications of checking the assumption of proportional hazards, which underlies the commonly used log-rank test and Cox model; and what . . . [Full Text of this Article]


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Dr. Lagakos is a professor of biostatistics at the Harvard School of Public Health, Boston, and a statistical consultant to the Journal.

This article was published at www.nejm.org on June 26, 2006.


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