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建模和使用替代终点:这是一个有效的方法吗?
Uri Ladabaum1, Luuk A van Duuren2, Elizabeth E Half3,4
1School of Medicine, Stanford University, 430 Broadway Street Pavilion C, 3Rd Floor C-326, Redwood, CA, USA. uri.ladabaum@stanford.edu.
Digestive diseases and sciences
|January 8, 2025
概括
新型结肠直肠癌 (CRC) 查测试可以使用替代终点进行评估,例如用于CRC或先进癌前病变检测的结肠镜所需的数量. 使用网络工具快速探索建模也可能适用于早期测试开发.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 生物统计学 生物统计学
背景情况:
- 新型结肠直肠癌 (CRC) 查测试的开发正在迅速推进.
- 基于前性研究的决策分析建模指导了当前的CRC选指南.
- 探索性建模显示了早期阶段新型测试开发的潜力.
研究的目的:
- 评估替代终点的有用性,以评估早期发育中的新型CRC查测试的有效性和成本效益.
- 确定使用快速,基于Web的探索性建模用于程序化CRC查评估的可行性.
主要方法:
- 与已建立的决策分析模型比较替代终点 (需要进行结肠镜检测CRC/晚期癌前病变的数量,每CRC/晚期癌前病变的成本).
- 利用基于网络的工具 (EU-TOPIA) 快速探索性建模查场景 (降低以色列开始年龄).
主要成果:
- 对于CRC/晚期癌前病变的结肠镜所需的数量和每CRC/晚期癌前病变的成本似乎充满希望,作为临床和成本效益的替代终点.
- 使用EU-TOPIA工具快速探索建模表明可行性和较低的时间需求与传统建模相比.
结论:
- 替代终点和快速探索性建模显示出早期新型CRC测试开发的前景.
- 在广泛采用之前,建议对各种模型和测试性能特征进行进一步验证.
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