Challenge of Surrogate Endpoints

被引：3
|
作者：
Furgerson, James L. [1 ]
Hannah, William N., Jr. [1 ]
Thompson, Jennifer C. [1 ]
机构：
[1] Brooke Army Med Ctr, MCHE MED Cardiol Serv, Dept Med, Ft Sam Houston, TX 78234 USA
来源：
SOUTHERN MEDICAL JOURNAL | 2012年 / 105卷 / 03期
关键词：
biomarkers; clinical endpoint; intermediate endpoint; surrogate endpoint; DENSITY-LIPOPROTEIN CHOLESTEROL; HUMAN ATHEROSCLEROTIC LESIONS; ESTROGEN PLUS PROGESTIN; CORONARY-HEART-DISEASE; RISK-FACTOR; FOLIC-ACID; PLASMA HOMOCYSTEINE; CARDIOVASCULAR-DISEASE; SECONDARY PREVENTION; VASCULAR-DISEASE;
D O I：
10.1097/SMJ.0b013e318249891e
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Surrogate endpoints are biomarkers that are intended to substitute for clinical endpoints. They have been used to find novel therapeutic targets, improve the statistical power and shorten the duration of clinical trials, and control the cost of conducting research studies. The more generalized use of surrogate endpoints in clinical decision making can be hazardous and should be undertaken with great caution. This article reviews prior work with surrogate endpoints and highlights caveats and lessons learned from studies using surrogate endpoints.
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收藏
页码：156 / 160
页数：5
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