Alexandria Digital Research Library

Statistical Methods for Treatment Effects with Treatment Switching

Author:
Chu, Fang-I
Degree Grantor:
University of California, Santa Barbara. Statistics and Applied Probability
Degree Supervisor:
Yuedong Wang
Place of Publication:
[Santa Barbara, Calif.]
Publisher:
University of California, Santa Barbara
Creation Date:
2015
Issued Date:
2015
Topics:
Statistics and Medicine
Keywords:
Treatment switching
Clinical trial
Survival analysis
Genres:
Online resources and Dissertations, Academic
Dissertation:
Ph.D.--University of California, Santa Barbara, 2015
Description:

Treatment switching occurs frequently in clinical trials and other medical studies. Ignoring switching usually leads to biased and inefficient estimates of the treatment effect. More research is necessary to account for possible correlation between switching time and survival time. This thesis consists of two topics, treatment switching in clinical trials in Chapters 1-4 and treatment switching in dialysis studies in Chapters 5 and 6. Our research work addresses the treatment switching scenario through three approaches: (1) include a frailty term to accelerated failure time models, along with a logistic model to accommodate prognostic status, (2) evaluate treatment effect based on the latent event time and (3) quantify the switch effect using a varying coefficient Cox model. The proposed methods are applied to investigate dynamic effect of change in dialysis vascular access in dialysis patients. The statistical analysis using above methods consistently suggests that hemodialysis (HD) patients with access change from catheter (CATH) to arteriovenous (AV) have lower mortality risk than those without access change and early switching is more beneficial.

Physical Description:
1 online resource (117 pages)
Format:
Text
Collection(s):
UCSB electronic theses and dissertations
ARK:
ark:/48907/f3b56j83
ISBN:
9781339472096
Catalog System Number:
990046179580203776
Rights:
Inc.icon only.dark In Copyright
Copyright Holder:
Fang-I Chu
File Description
Access: Public access
Chu_ucsb_0035D_12831.pdf pdf (Portable Document Format)