Literature DB >> 11234739

Some random-effects models for the analysis of matched-cluster randomised trials: application to the Swedish two-county trial of breast-cancer screening.

R Nixon1, T C Prevost, S W Duffy, L Tabar, B Vitak, H H Chen.   

Abstract

BACKGROUND: In the Swedish two-county trial women aged 40-74 years from two counties in Sweden were randomised to invitation to mammographic screening for breast cancer.
METHODS: This paper uses random effects logistic regression models to analyse recent data from the trial. The analysis accounts for the structure of the trial, where small geographical units are randomised within larger geographical strata (blocks of two or three small units that are socio-economically similar).
RESULTS: Fixed effects and a variety of random effects models show a strong degree of agreement and yield a significant 29% or 30% reduction in breast-cancer mortality. DISCUSSION: Fixed effects and random effects models agree for this example, because heterogeneity both between strata and within strata between clusters is small and because the effect of treatment does not vary much in different strata.

Entities:  

Mesh:

Year:  2000        PMID: 11234739

Source DB:  PubMed          Journal:  J Epidemiol Biostat        ISSN: 1359-5229


  6 in total

Review 1.  [The role of epidemiological quality parameters in a mammography screening programme].

Authors:  N Becker
Journal:  Radiologe       Date:  2006-11       Impact factor: 0.635

Review 2.  Design of cancer screening trials/randomized trials for evaluation of cancer screening.

Authors:  Anthony B Miller
Journal:  World J Surg       Date:  2006-07       Impact factor: 3.352

3.  Health and nutrition promotion program for patients with dementia (NutriAlz): cluster randomized trial.

Authors:  A Salvà; S Andrieu; E Fernandez; E J Schiffrin; J Moulin; B Decarli; X Rojano-i-Luque; Y Guigoz; B Vellas
Journal:  J Nutr Health Aging       Date:  2011-12       Impact factor: 4.075

4.  Health and nutritional promotion program for patients with dementia (NutriAlz Study): design and baseline data.

Authors:  A Salva; S Andrieu; E Fernandez; E J Schiffrin; J Moulin; B Decarli; Y Guigoz; B Vellas
Journal:  J Nutr Health Aging       Date:  2009-06       Impact factor: 4.075

Review 5.  Screening for breast cancer with mammography.

Authors:  Peter C Gøtzsche; Karsten Juhl Jørgensen
Journal:  Cochrane Database Syst Rev       Date:  2013-06-04

6.  Evaluation issues in the Swedish Two-County Trial of breast cancer screening: An historical review.

Authors:  Laszlo Tabar; Tony Hsiu-Hsi Chen; Chen-Yang Hsu; Wendy Yi-Ying Wu; Amy Ming-Fang Yen; Sam Li-Sheng Chen; Sherry Yueh-Hsia Chiu; Jean Ching-Yuan Fann; Kerri Beckmann; Robert A Smith; Stephen W Duffy
Journal:  J Med Screen       Date:  2016-06-23       Impact factor: 2.136

  6 in total

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