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Primary Composite Endpoints Are The Main Measurements For A Trial They Answer The Most Important
Primary Composite Endpoints Are The Main Measurements For A Trial They Answer The Most Important
technically H-spread, is a measure of statistical dispersion, being equal to the difference between
75th and 25th percentiles, or between upper and lower quartiles,[1][2] IQR = Q3 − Q1. In other words,
the IQR is the first quartile subtracted from the third quartile; these quartiles can be clearly seen on
a box plot on the data. It is a trimmed estimator, defined as the 25% trimmed range, and is the most
significant basic robust measure of scale.
Unlike total range, the interquartile range has a breakdown point of 25%,[3] and is thus often
preferred to the total range.
n its simplest form, the hazard ratio can be interpreted as the chance of an event occurring in the
treatment arm divided by the chance of the event occurring in the control arm, or vice versa, of a
study. The resolution of these endpoints are usually depicted using Kaplan–Meier survival curves.
These curves relate the proportion of each group where the endpoint has not been reached. The
endpoint could be any dependent variable associated with the covariate (independent variable), e.g.
death, remission of disease or contraction of disease. The curve represents the odds of an endpoint
having occurred at each point in time (the hazard). The hazard ratio is simply the relationship
between the instantaneous hazards in the two groups and represents, in a single number, the
magnitude of distance between the Kaplan–Meier plots.[5][page needed]
Hazard ratios do not reflect a time unit of the study. The difference between hazard-based and time-
based measures is akin to the difference between the odds of winning a race and the margin of
victory.[1] When a study reports one hazard ratio per time period, it is assumed that difference
between groups was proportional. Hazard ratios become meaningless when this assumption of
proportionality is not met.[5][page needed]
If the proportional hazard assumption holds, a hazard ratio of one means equivalence in the hazard
rate of the two groups, whereas a hazard ratio other than one indicates difference in hazard rates
between groups. The researcher indicates the probability of this sample difference being due to
chance by reporting the probability associated with some test statistic.[6] For instance, the from
the Cox-model or the log-rank test might then be used to assess the significance of any differences
observed in these survival curves.[7]
Conventionally, probabilities lower than 0.05 are considered significant and researchers provide a
95% confidence interval for the hazard ratio, e.g. derived from the standard deviation of the Cox-
model regression coefficient, i.e. .[7][8][page needed] Statistically significant hazard ratios cannot
include unity (one) in their confidence intervals.[5][page needed]
Whereas the Kaplan-Meier method with log-rank test is useful for comparing survival curves in two
or more groups, Cox regression (or proportional hazards regression) allows analyzing the effect of
several risk factors on survival.
Kaplan-Meier estimate is one of the best options to be used to measure the fraction of subjects living for
a certain amount of time after treatment.
There are three assumptions used in this analysis. Firstly, we assume that at any time patients who are
censored have the same survival prospects as those who continue to be followed. Secondly, we assume
that the survival probabilities are the same for subjects recruited early and late in the study. Thirdly, we
assume that the event happens at the time specified.