Answered step by step
Verified Expert Solution
Link Copied!

Question

1 Approved Answer

The following information may be relevant to questions 12 -15. Yet another study appearing in the New England Journal of Medicine' reports the results of

image text in transcribedimage text in transcribedimage text in transcribed
image text in transcribedimage text in transcribedimage text in transcribed
The following information may be relevant to questions 12 -15. Yet another study appearing in the New England Journal of Medicine' reports the results of a randomized clinical trial conducted in China, designed to compare the efficacy of two treatments for hypertension in older adults. With regards to study design, the researchers report: "In this multicenter, randomized, controlled trial, we assigned Chinese patients 60 to 80 years of age with hypertension to a systolic blood-pressure target of 110 to less than 130 mm Hg (intensive treatment) or a target of 130 to less than 150 mm Hg (standard treatment). The primary outcome was a composite of stroke, acute coronary syndrome (acute myocardial infarction and hospitalization for unstable angina), acute decompensated heart failure, coronary revascularization, atrial fibrillation cardiovascular causes." "Of the 9624 patients screened for eligibility, 8511 were enrolled in the trial; 4243 were randomly assigned to the intensive-treatment group and 4268 to the standard-treatment group" Enrolled patients were followed for up to one year after randomization. The follow-up Kaplan-Meier was included to show the primary findings from the study:1.0- 0.10- 0.8- 0.08- 0.06- 0.6- Standard treatment Cumulative Incidence 0.04- 0.4- Intensive treatment 0.02 - 0.2- 0.00- 6 12 18 24 30 36 42 48 0.0- 0 12 18 24 30 36 42 Months since Randomization No. at Risk Standard treatment 4268 4147 4070 4000 3938 3849 3664 1200 Intensive treatment 4243 4174 4109 4039 3970 3867 3694 1234 Figure 3. Cumulative Incidence for the Primary Outcome. The Cox proportional hazard model used to quantify this association is as follows: In(hazard of primary outcome at time t) = In (1.(t) ) + -0.30x, Where x1= 1 for "Intensive Treatment" and 0 for "Standard Treatment"15. Suppose the researchers are interested in whether the effect of the \"Intensive Treatment\" (compared to \"Standard Treatment\" ) is modied by smoking history (3 categories). What should they do to investigate this possibility of effect modication\"? a. Nothing. As this is a randomized trial. the potential for effect modication is minimal. 13. lCompare the unadjusted hazard ratio (and 95% CD of the primary outcome for \"Intensive Treatment\" to \"Standard Treatment\" to the smoking history adjusted hazard ratio (and 95% CI) of death for \"Intensive Treatment\" compared to \"Standard Treatment\" c. Estimate hazard ratios of the primary outcome (and 95% (Is) for \"Intensive Treatment\" compared to \"Standard Treatment\" separately for each smoking history category. Compare these smoking history category-specic results. d. Plot separate Kaplan-Meier curves estimating cumulative survival for each smoking history category

Step by Step Solution

There are 3 Steps involved in it

Step: 1

blur-text-image

Get Instant Access to Expert-Tailored Solutions

See step-by-step solutions with expert insights and AI powered tools for academic success

Step: 2

blur-text-image

Step: 3

blur-text-image

Ace Your Homework with AI

Get the answers you need in no time with our AI-driven, step-by-step assistance

Get Started

Recommended Textbook for

Prealgebra & Algebra (subscription)

Authors: Elayn Martin Gay

5th Edition

0134708601, 9780134708607

More Books

Students also viewed these Mathematics questions

Question

Always have the dignity of the other or others as a backdrop.

Answered: 1 week ago