Covariate adjustment in heart failure randomized controlled clinical trials: a case analysis of the HF-ACTION trial.

Publication/Presentation Date

10-1-2011

Abstract

Randomized controlled clinical trials are predominantly used to determine the benefit of a therapeutic intervention in patients with congestive heart failure (HF). These trials are commonly lengthy and expensive, and enroll patients with baseline imbalances that may influence outcome, even after randomization. Methods allowing for greater precision, power, and adjustment for treatment effect would be welcomed. Covariate adjustment may provide more individualized effect estimates and a potential improvement in power and reduction in type 1 error. This article reviews the HF-ACTION trial to better understand whether covariate adjustment should be prespecified as the primary end point in HF clinical trials.

Volume

7

Issue

4

First Page

497

Last Page

500

ISSN

1551-7136

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

21925432

Department(s)

Administration and Leadership

Document Type

Article

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