Biostatistics primer what a clinician ought to know

  • How is general biostatistics principle applied in clinical research?

    Biostatistics in clinical research is important to collect, analyze, present, and interpret data.
    It finds applications in various fields such as epidemiology, clinical trials, population genetics, systems biology, and more..

  • What a clinician ought to know prognostic and predictive factors?

    Prognostic or predictive factors may include patient characteristics such as age, ethnicity, sex, or smoking status, disease characteristics such as disease stage or nodal status, and molecular markers such as HER2 amplification and K ras mutation..

  • What a clinician ought to know subgroup Analyses?

    In randomized clinical trials, subgroup analyses evaluate the treatment effect (e.g., a hazard ratio [HR]) for a specific endpoint (e.g., overall survival) in subgroups of patients defined by baseline characteristics (e.g., age, gender, histology, and ethnicity)..

  • What is a clinically significant hazard ratio?

    The hazard ratio is a clinical trial statistic that allows the physician to say with confidence that healing is faster with the new drug.
    The hazard ratio must be \x26gt;1 and the lower limit of the 95% confidence interval of the hazard ratio must be \x26gt;1, which was the case in this example..

  • What is the role of biostatistics in clinical research?

    Biostatistics helps analyze the data produced through the implementation and monitoring with all the hypotheses that need to be tested.
    It helps in manuscript writing and preparing a report.
    It helps in describing the data with endpoints and design.
    The results are represented in the form of a graph or table or chart..

  • A hazard ratio (HR) is the probability of an event in a treatment group relative to the control group probability over a unit of time.
    This ratio is an effect size measure for time-to-event data.
    Use hazard ratios to estimate the treatment effect in clinical trials when you want to assess time-to-event.
  • Hazard is defined as the slope of the survival curve — a measure of how rapidly subjects are dying.
    The hazard ratio compares two treatments.
    If the hazard ratio is 2.0, then the rate of deaths in one treatment group is twice the rate in the other group.
  • In randomized clinical trials, subgroup analyses evaluate the treatment effect (e.g., a hazard ratio [HR]) for a specific endpoint (e.g., overall survival) in subgroups of patients defined by baseline characteristics (e.g., age, gender, histology, and ethnicity).
  • Interpretation of a Hazard Ratio.
    HR (E vs C) = 0.75 for an overall survival end point.
    This means on average, under an exponential distribution, approximately. a 25% lower risk of death (25% as 1 − 0.75 = 0.25)
  • The hazard ratio is a clinical trial statistic that allows the physician to say with confidence that healing is faster with the new drug.
    The hazard ratio must be \x26gt;1 and the lower limit of the 95% confidence interval of the hazard ratio must be \x26gt;1, which was the case in this example.
This article provides clear guidelines to clinicians about how to appropriately interpret HRs. While this article focuses on the commonly used methods, the 

How do clinicians determine if a factor is prognostic or predictive?

Clinicians need clear descriptions and analyses from published literature to determine whether a factor is prognostic or predictive.

What are baseline factors in randomized clinical trials?

In the context of randomized clinical trials (RCTs), a large number of baseline factors are collected, and these factors have the potential to be prognostic and/or predictive.
Any baseline factor may be prognostic and/or predictive; some examples of such factors are age, sex, race, and disease stage.

What should a clinician know about biostatistics?

Biostatistics primer:

  • what a clinician ought to know:
  • subgroup analyses Large randomized phase III prospective studies continue to redefine the standard of therapy in medical practice.
    Often when studies do not meet the primary endpoint, it is common to explore possible benefits in specific subgroups of patients.
  • What should a clinician know about statistical principles in clinical trials?

    Statistical principles for clinical trials.
    International Conference on Harmonization (ICH) Topic E9. 1998 Biostatistics primer:

  • what a clinician ought to know:
  • subgroup analyses Subgroup analysis and other (mis)uses of baseline data in clinical trials Statistical problems in the reporting of clinical trials.
    A survey of three medical journals .

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