How to implement the ‘one patient, one vote’ principle under the framework of estimand

The scientific foundation of a modern clinical trial is randomization – each patient is randomized to a treatment group, and statistical comparisons are made between treatment groups. Because the study units are individual patients, this ‘one patient, one vote’ principle needs to be followed – both...

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Main Author: Naitee Ting
Format: Article
Language:English
Published: Taylor & Francis Group 2023-07-01
Series:Statistical Theory and Related Fields
Subjects:
Online Access:http://dx.doi.org/10.1080/24754269.2023.2164943
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author Naitee Ting
author_facet Naitee Ting
author_sort Naitee Ting
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description The scientific foundation of a modern clinical trial is randomization – each patient is randomized to a treatment group, and statistical comparisons are made between treatment groups. Because the study units are individual patients, this ‘one patient, one vote’ principle needs to be followed – both in study design and in data analysis. From the physicians' point of view, each patient is equally important, and they need to be treated equally in data analysis. It is critical that statistical analysis should respect design and study design is based on randomization. Hence from both statistical and medical points of view, data analysis needs to follow this ‘one patient, one vote’ principle. Under ICH E9 (R1), five strategies are recommended to establish ‘estimand’. This paper discusses how to implement these strategies using the ‘one patient, one vote’ principle.
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spelling doaj.art-ee8b124eb1504b5fb63e43555152e4de2023-09-22T09:19:46ZengTaylor & Francis GroupStatistical Theory and Related Fields2475-42692475-42772023-07-017320221210.1080/24754269.2023.21649432164943How to implement the ‘one patient, one vote’ principle under the framework of estimandNaitee Ting0Boehringer Ingelheim Pharmaceuticals, IncThe scientific foundation of a modern clinical trial is randomization – each patient is randomized to a treatment group, and statistical comparisons are made between treatment groups. Because the study units are individual patients, this ‘one patient, one vote’ principle needs to be followed – both in study design and in data analysis. From the physicians' point of view, each patient is equally important, and they need to be treated equally in data analysis. It is critical that statistical analysis should respect design and study design is based on randomization. Hence from both statistical and medical points of view, data analysis needs to follow this ‘one patient, one vote’ principle. Under ICH E9 (R1), five strategies are recommended to establish ‘estimand’. This paper discusses how to implement these strategies using the ‘one patient, one vote’ principle.http://dx.doi.org/10.1080/24754269.2023.2164943estimandlocfone patient one vote
spellingShingle Naitee Ting
How to implement the ‘one patient, one vote’ principle under the framework of estimand
Statistical Theory and Related Fields
estimand
locf
one patient one vote
title How to implement the ‘one patient, one vote’ principle under the framework of estimand
title_full How to implement the ‘one patient, one vote’ principle under the framework of estimand
title_fullStr How to implement the ‘one patient, one vote’ principle under the framework of estimand
title_full_unstemmed How to implement the ‘one patient, one vote’ principle under the framework of estimand
title_short How to implement the ‘one patient, one vote’ principle under the framework of estimand
title_sort how to implement the one patient one vote principle under the framework of estimand
topic estimand
locf
one patient one vote
url http://dx.doi.org/10.1080/24754269.2023.2164943
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