Bayesian Approaches To Clinical Trials And Health Technology Assessment


Bayesian Approaches To Clinical Trials And Health Technology Assessment
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Bayesian Approaches To Clinical Trials And Health Technology Assessment


Bayesian Approaches To Clinical Trials And Health Technology Assessment
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Author : David J. Spiegelhalter
language : en
Publisher: Wiley-Blackwell
Release Date : 2021-10-14

Bayesian Approaches To Clinical Trials And Health Technology Assessment written by David J. Spiegelhalter and has been published by Wiley-Blackwell this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-10-14 with categories.




Bayesian Approaches To Clinical Trials And Health Care Evaluation


Bayesian Approaches To Clinical Trials And Health Care Evaluation
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Author : David J. Spiegelhalter
language : en
Publisher: John Wiley & Sons
Release Date : 2004-05-05

Bayesian Approaches To Clinical Trials And Health Care Evaluation written by David J. Spiegelhalter and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004-05-05 with Mathematics categories.


READ ALL ABOUT IT! David Spiegelhalter has recently joined the ranks of Isaac Newton, Charles Darwin and Stephen Hawking by becoming a fellow of the Royal Society. Originating from the Medical Research Council’s biostatistics unit, David has played a leading role in the Bristol heart surgery and Harold Shipman inquiries. Order a copy of this author’s comprehensive text TODAY! The Bayesian approach involves synthesising data and judgement in order to reach conclusions about unknown quantities and make predictions. Bayesian methods have become increasingly popular in recent years, notably in medical research, and although there are a number of books on Bayesian analysis, few cover clinical trials and biostatistical applications in any detail. Bayesian Approaches to Clinical Trials and Health-Care Evaluation provides a valuable overview of this rapidly evolving field, including basic Bayesian ideas, prior distributions, clinical trials, observational studies, evidence synthesis and cost-effectiveness analysis. Covers a broad array of essential topics, building from the basics to more advanced techniques. Illustrated throughout by detailed case studies and worked examples Includes exercises in all chapters Accessible to anyone with a basic knowledge of statistics Authors are at the forefront of research into Bayesian methods in medical research Accompanied by a Web site featuring data sets and worked examples using Excel and WinBUGS - the most widely used Bayesian modelling package Bayesian Approaches to Clinical Trials and Health-Care Evaluation is suitable for students and researchers in medical statistics, statisticians in the pharmaceutical industry, and anyone involved in conducting clinical trials and assessment of health-care technology.



The Advanced Handbook Of Methods In Evidence Based Healthcare


The Advanced Handbook Of Methods In Evidence Based Healthcare
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Author : Andrew Stevens
language : en
Publisher: SAGE
Release Date : 2001-01-02

The Advanced Handbook Of Methods In Evidence Based Healthcare written by Andrew Stevens and has been published by SAGE this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001-01-02 with Medical categories.


′This handbook is an excellent reflection of the growing maturity and methodological sophistication of the field of Health Technology Assessment. The Handbook covers a spectrum of issues, from primary evidence (clinical trials) through reviews and meta-analysis, to identifying and filling gaps in the evidence. Up-to-date, clearly written, and well-edited, the handbook is a needed addition to any personal or professional library dealing with Health Technology Assessment.′ Professor David Banta, TNO Prevention and Health, The Netherlands ′This text presents the most advanced knowledge on methodology in health care research, and will form the backbone of many future studies′ - Paula Roberts, Nurse Researcher The `effectiveness revolution′ both in research and clinical practice, has tested available methods for health services research to the extreme. How far can observational methods, routine data and qualitative methods be used in health care evaluation? What cost and outcome measures are appropriate, and how should data be gathered? With the support of over two million pounds from the British Health Technology Assessment Research Programme, the research project for this Handbook has led to both a synthesis of all of the existing knowledge in these areas and an agenda for future debate and research. The chapters and their authors have been selected through a careful process of peer review and provide a coherent and complete approach to the field. The handbook has been a unique collaboration between internationally regarded clinicians, statisticians, epidemiologists, social scientists, health economists and ethicists. It provides the most advanced thinking and the most authoritative resource for a state of the art review of methods of evaluating health care and will be required reading for anyone involved in health services research and management.



Use Of Bayesian Techniques In Randomized Clinical Trials


Use Of Bayesian Techniques In Randomized Clinical Trials
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Author : Gillian D. Sanders
language : en
Publisher:
Release Date : 2009

Use Of Bayesian Techniques In Randomized Clinical Trials written by Gillian D. Sanders and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009 with categories.


The use of Bayesian statistical approaches has gained broader acceptance within the clinical trial community. The impact of these methods on CMS decisional contexts and policy-level decisionmaking however was uncertain. Our analyses explore the main proclaimed advantages of Bayesian statistics (namely, the use of prior information, sample size determination, borrowing strength from different trials, and sequential monitoring of trials) and provide examples of decisionmaking situations where the findings reached using these approaches both agree with and differ from findings reached using frequentist statistical techniques. Our findings confirm that, like classical techniques, Bayesian approaches are affected by the problems of model specification (i.e., the relationship between various factors - patient, provider, intervention, and other contextual features - and the outcome of interest). In addition, Bayesian approaches can be substantially affected by the "Bayesian prior" - the representation of beliefs about the quantity of interest (e.g., relative risk of events when a new device is used vs. a conventional device). Thus, when considering using or interpreting Bayesian analyses, the focus of attention and thoughtful ex ante agreement are the specification of the model and specification of the Bayesian prior. The case study of the use of ICD therapy in the prevention of sudden cardiac death demonstrates the application of these techniques and highlights some of the practical challenges. The use of Bayesian statistical approaches, and incorporation of our findings concerning their strengths and limitations into the CMS decisionmaking process will enable policymakers to harness the power of the available sources of clinical evidence, explore subgroup effects within a trial and across trials in a methodologically rigorous manner, assess the uncertainty in clinical trial findings, and - ideally - improve health outcomes for Medicare beneficiaries.



Bayesian Methods In Pharmaceutical Research


Bayesian Methods In Pharmaceutical Research
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Author : Emmanuel Lesaffre
language : en
Publisher: CRC Press
Release Date : 2020-04-15

Bayesian Methods In Pharmaceutical Research written by Emmanuel Lesaffre and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-04-15 with Medical categories.


Since the early 2000s, there has been increasing interest within the pharmaceutical industry in the application of Bayesian methods at various stages of the research, development, manufacturing, and health economic evaluation of new health care interventions. In 2010, the first Applied Bayesian Biostatistics conference was held, with the primary objective to stimulate the practical implementation of Bayesian statistics, and to promote the added-value for accelerating the discovery and the delivery of new cures to patients. This book is a synthesis of the conferences and debates, providing an overview of Bayesian methods applied to nearly all stages of research and development, from early discovery to portfolio management. It highlights the value associated with sharing a vision with the regulatory authorities, academia, and pharmaceutical industry, with a view to setting up a common strategy for the appropriate use of Bayesian statistics for the benefit of patients. The book covers: Theory, methods, applications, and computing Bayesian biostatistics for clinical innovative designs Adding value with Real World Evidence Opportunities for rare, orphan diseases, and pediatric development Applied Bayesian biostatistics in manufacturing Decision making and Portfolio management Regulatory perspective and public health policies Statisticians and data scientists involved in the research, development, and approval of new cures will be inspired by the possible applications of Bayesian methods covered in the book. The methods, applications, and computational guidance will enable the reader to apply Bayesian methods in their own pharmaceutical research.



Health Technology Assessment


Health Technology Assessment
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Author : MA, MBA, PhD, Robert B. Hopkins
language : en
Publisher: CRC Press
Release Date : 2015-04-10

Health Technology Assessment written by MA, MBA, PhD, Robert B. Hopkins and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-04-10 with Business & Economics categories.


The term health technology refers to drugs, devices, and programs that can improve and extend quality of life. As decision-makers struggle to find ways to reduce costs while improving health care delivery, health technology assessments (HTA) provide the evidence required to make better-informed decisions.This is the first book that focuses on the s



Modern Approaches To Clinical Trials Using Sas Classical Adaptive And Bayesian Methods


Modern Approaches To Clinical Trials Using Sas Classical Adaptive And Bayesian Methods
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Author : Sandeep Menon
language : en
Publisher: SAS Institute
Release Date : 2015-12-09

Modern Approaches To Clinical Trials Using Sas Classical Adaptive And Bayesian Methods written by Sandeep Menon and has been published by SAS Institute this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-12-09 with Computers categories.


This book covers domains of modern clinical trial design: classical, group sequential, adaptive, and Bayesian methods applicable to and used in various phases of pharmaceutical development. Written for biostatisticians, pharmacometricians, clinical developers, and statistical programmers involved in the design, analysis, and interpretation of clinical trials, as well as students in graduate and postgraduate programs in statistics or biostatistics, it covers topics including: dose-response and dose-escalation designs; sequential methods to stop trials early for overwhelming efficacy, safety, or futility; Bayesian designs incorporating historical data; adaptive sample size re-estimation and randomization to allocate subjects to effective treatments; population enrichment designs. Methods are illustrated using clinical trials from diverse therapeutic areas, including dermatology, endocrinology, infectious disease, neurology, oncology and rheumatology. --



Small Clinical Trials


Small Clinical Trials
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2001-02-01

Small Clinical Trials written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001-02-01 with Medical categories.


Clinical trials are used to elucidate the most appropriate preventive, diagnostic, or treatment options for individuals with a given medical condition. Perhaps the most essential feature of a clinical trial is that it aims to use results based on a limited sample of research participants to see if the intervention is safe and effective or if it is comparable to a comparison treatment. Sample size is a crucial component of any clinical trial. A trial with a small number of research participants is more prone to variability and carries a considerable risk of failing to demonstrate the effectiveness of a given intervention when one really is present. This may occur in phase I (safety and pharmacologic profiles), II (pilot efficacy evaluation), and III (extensive assessment of safety and efficacy) trials. Although phase I and II studies may have smaller sample sizes, they usually have adequate statistical power, which is the committee's definition of a "large" trial. Sometimes a trial with eight participants may have adequate statistical power, statistical power being the probability of rejecting the null hypothesis when the hypothesis is false. Small Clinical Trials assesses the current methodologies and the appropriate situations for the conduct of clinical trials with small sample sizes. This report assesses the published literature on various strategies such as (1) meta-analysis to combine disparate information from several studies including Bayesian techniques as in the confidence profile method and (2) other alternatives such as assessing therapeutic results in a single treated population (e.g., astronauts) by sequentially measuring whether the intervention is falling above or below a preestablished probability outcome range and meeting predesigned specifications as opposed to incremental improvement.



Bayesian Design In Clinical Trials


Bayesian Design In Clinical Trials
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Author :
language : en
Publisher:
Release Date : 2022-02-25

Bayesian Design In Clinical Trials written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-02-25 with Medical categories.




Advanced Bayesian Methods For Medical Test Accuracy


Advanced Bayesian Methods For Medical Test Accuracy
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Author : Lyle D. Broemeling
language : en
Publisher: CRC Press
Release Date : 2016-04-19

Advanced Bayesian Methods For Medical Test Accuracy written by Lyle D. Broemeling and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-04-19 with Mathematics categories.


Useful in many areas of medicine and biology, Bayesian methods are particularly attractive tools for the design of clinical trials and diagnostic tests, which are based on established information, usually from related previous studies. Advanced Bayesian Methods for Medical Test Accuracy begins with a review of the usual measures such as specificity, sensitivity, positive and negative predictive value, and the area under the ROC curve. Then the scope expands to cover the more advanced topics of verification bias, diagnostic tests with imperfect gold standards, and those for which no gold standard is available. Promoting accuracy and efficiency of clinical trials, tests, and the diagnostic process, this book: Enables the user to efficiently apply prior information via a WinBUGS package Presents many ideas for the first time and goes far beyond the two standard references Integrates reader agreement with different modalities—X-ray, CT Scanners, and more—to study their effect on medical test accuracy Provides practical chapter-end problems Useful for graduate students and consulting statisticians working in the various areas of diagnostic medicine and study design, this practical resource introduces the fundamentals of programming and executing BUGS, giving readers the tools and experience to successfully analyze studies for medical test accuracy.