Suzie Cro
@suziecro.bsky.social
📤 195
📥 90
📝 20
Associate Professor in Medical Statistics & Clinical Trials @ Imperial Clinical Trials Unit
reposted by
Suzie Cro
StatsCI
16 days ago
New publication 📣: Are estimands being correctly used? A review of UK research protocols by Timothy P. Clark, Richard H. Wicentowski, Suzie Cro, Matthew R. Sydes & Brennan C. Kahan
trialsjournal.biomedcentral.com/articles/10....
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Are estimands being correctly used? A review of UK research protocols - Trials
Background The use of estimands in clinical trials was formalised with the adoption of the final International Conference on Harmonisation E9 Addendum on Estimands and Sensitivity Analysis in Clinical...
https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-025-08991-8
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Suzie Cro
Imperial Clinical Trials Unit
29 days ago
And that's a wrap on this year's NIHR undergraduate internships. It's been a pleasure hosting three rising stars, they've each achieved so much in just 8 weeks. We can't wait to see what the future holds for them. Congratulations Alex, Mahima & Joe and good luck with the rest of your studies.
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Suzie Cro
Rachel Phillips
27 days ago
In our latest adverse event webinar Jeffrey Aronson & Igho Onakpoya discuss their review that looked at how data from clinical study reports compare with data in published trial reports. Catch-up on their talk here:
www.statsci.co.uk/webinar-series
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WEBINARS | StatsCI
https://www.statsci.co.uk/webinar-series
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In the JAKPPPOT 🎰 trial lead by David Gleason, historical placebo data from the APRICOT trial will be used as an external control arm to explore a signal of effect size. The protocol for this mixed-methods feasibility trial is now available
#BMJOpen
bmjopen.bmj.com/content/15/8...
29 days ago
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Are estimands being correctly used? A new review of protocols led by Timothy Clark shows many incorrectly defined estimand attributes. See the top areas for improvement & full results here:
trialsjournal.biomedcentral.com/articles/10....
#Trials
about 1 month ago
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reposted by
Suzie Cro
Imperial Clinical Trials Unit
about 1 month ago
One week left to apply for this exciting opportunity to join our growing statistics team
@statsci.bsky.social
. Closing 28th August 2025.
add a skeleton here at some point
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reposted by
Suzie Cro
StatsCI
about 2 months ago
Delighted to share registration is open for Professor
@vcornelius.bsky.social
inaugural lecture -Under pressure: smarter trials for better health outcomes- Thursday, 30 October 2025, 17.30-18.30, Imperial College South Kensington/Online. For details & registration:
www.imperial.ac.uk/events/19688...
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reposted by
Suzie Cro
StatsCI
3 months ago
New publication📣: Incorporation of Patient and Public Involvement in Statistical Methodology Research: Summary of Workshop Proceedings - aimed at addressing barriers to meaningful PPI in statistical methodology research. Open access in Statistics in Medicine
onlinelibrary.wiley.com/doi/10.1002/...
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Suzie Cro
Brennan Kahan
3 months ago
New paper posted on Arxiv: "When do composite estimands answer non-causal questions?" This can happen more often than you think, and can have a dramatic impact on trial results (e.g. a false-positive rate of almost 90%)
arxiv.org/abs/2506.22610
@timpmorris.bsky.social
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When do composite estimands answer non-causal questions?
Under a composite estimand strategy, the occurrence of the intercurrent event is incorporated into the endpoint definition, for instance by assigning a poor outcome value to patients who experience th...
https://arxiv.org/abs/2506.22610
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Looking forward to this in todays Estimands and Missing data session @
#PSI2025
& being the estimands and missing data bridge between James Bells talk on composite estimand strategies with a continuous outcome &
@timpmorris.bsky.social
talk on how many multiple imputations you need!
add a skeleton here at some point
4 months ago
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reposted by
Suzie Cro
StatsCI
4 months ago
🔈Job alert! We are looking for an ambitious senior trial statistician to join an exciting new partnership between Imperial College London & Imperial College Healthcare NHS Trust, the Fleming Initiative, which aims to tackle antimicrobial resistance (AMR).
www.imperial.ac.uk/jobs/search-...
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Description
Please note that job descriptions are not exhaustive, and you may be asked to take on additional duties that align with the key responsibilities ment...
https://www.imperial.ac.uk/jobs/search-jobs/description/index.php?nPostingId=15977&nPostingTargetId=24243&id=PMMFK026203F3VBQB8NLOV4CQ&LG=UK&languageSelect=UK&mask=ext
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Suzie Cro
Rachel Phillips
4 months ago
Catch up on all the talks from our Adverse Event special series so far:
www.statsci.co.uk/webinar-series
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WEBINARS | StatsCI
https://www.statsci.co.uk/webinar-series
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Interested in a new way to impute missing data in clinical trials targeting treatment policy estimands? New blog post introducing **Retrieved Dropout Reference-Based Centred Multiple Imputation**
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A New Way to Impute Missing Data in Clinical Trials Targeting Treatment Policy Estimands
When patients stop taking their assigned treatment in a clinical trial - whether due to side effects, lack of effectiveness, or personal choice - researchers often still want to understand how that treatment...
https://www.statsci.co.uk/post/a-new-way-to-impute-missing-data-in-clinical-trials-targeting-treatment-policy-estimands
5 months ago
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reposted by
Suzie Cro
StatsCI
5 months ago
New Publication 🔊: Investigating the trustworthiness of randomized controlled trials in osteopathic research: a systematic review with meta-analysis by
@davidhosch.bsky.social
et al in
@jclinepi.bsky.social
www.jclinepi.com/article/S089...
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Investigating the trustworthiness of randomized controlled trials in osteopathic research: a systematic review with meta-analysis
To systematically investigate trustworthiness (methodological rigor, transparency, good governance, research integrity, and absence of misconduct) in randomized controlled trials (RCTs) of osteopathic...
https://www.jclinepi.com/article/S0895-4356(25)00121-0/fulltext
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Suzie Cro
Rachel Phillips
5 months ago
In 2023 Trials invited submissions that related to the collection, analysis & reporting of adverse events in clinical trials. In this editorial
@vcornelius.bsky.social
& I summarise the submissions & discuss the implications on applied clinical trials & future methodological research
rdcu.be/elLFa
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Trials special series - the collection, analysis and reporting of adverse events in randomised controlled trials
https://rdcu.be/elLFa
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reposted by
Suzie Cro
Annie Wright
6 months ago
A quick round up of
#cctmm25
organised by
@imperialctu.bsky.social
and NIHR RSS! Day 1 had a range of brilliant speakers and overall was a very inspiring day of clinical trials! Can’t wait for the next one
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Suzie Cro
Rachel Phillips
6 months ago
📢 New job alert. We're recruiting a Lecturer in Digital Health & Clinical Trials @ Imperial Clinical Trials Unit. We're seeking an experienced methodologist looking for a new leadership & research role to help us grow our portfolio of digitally enabled trials.
shorturl.at/IioXW
Closing 5th May
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Description
Please note that job descriptions are not exhaustive, and you may be asked to take on additional duties that align with the key responsibilities ment...
https://shorturl.at/IioXW
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Suzie Cro
Louise Marston
6 months ago
Meaning the outcome may not be measuring what we thought it was measuring. We used "A four-step strategy for handling missing outcome data in randomised trials affected by a pandemic
bmcmedresmethodol.biomedcentral.com/articles/10....
to account for this
@suziecro.bsky.social
3/n
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A four-step strategy for handling missing outcome data in randomised trials affected by a pandemic - BMC Medical Research Methodology
Background The coronavirus pandemic (Covid-19) presents a variety of challenges for ongoing clinical trials, including an inevitably higher rate of missing outcome data, with new and non-standard reas...
https://bmcmedresmethodol.biomedcentral.com/articles/10.1186/s12874-020-01089-6
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reposted by
Suzie Cro
Louise Marston
6 months ago
Exploring the effect of COVID-19 restrictions on the social functioning scale in a clinical trial of antipsychotic reduction: using multiple imputation to target a hypothetical estimand is out in
@jclinepi.bsky.social
www.sciencedirect.com/science/arti...
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Looking forward to
#CCTMM25
this week! an exciting programme is in store
bit.ly/CCTMM25
add a skeleton here at some point
6 months ago
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reposted by
Suzie Cro
HRB-TMRN
7 months ago
Our expressions of interest form is now open for anyone who wishes to apply to attend the 'Roadmap Workshop: A road trip for PPI with Trials Methodology Research'. Please click the following link to access it:
forms.office.com/e/kx5w4MgHad
add a skeleton here at some point
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New publication led by
@proflouisemarston.bsky.social
using multiple imputation to target a hypothetical estimand in a pandemic restriction-free world for a trial in schizophrenia - demonstrating the potential impact of the pandemic on the trial results
add a skeleton here at some point
7 months ago
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reposted by
Suzie Cro
StatsCI
7 months ago
Only 1 week left to book our 2nd Contemporary Clinical Trials Methodology Meeting, 2-3 April, with the exciting agendas and speakers in store below! >2nd April - statistical >3rd April - trial operations, data systems and data management Register here:
www.imperial.ac.uk/events/18598...
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reposted by
Suzie Cro
HRB-TMRN
7 months ago
SAVE THE DATE! The HRB-TMRN, with
@mrcnihrtmrp.bsky.social
, is delivering a "Roadmap Workshop: A road trip for PPI with Trials Methodology Research" with Derek Stewart & Katherine Cowan. Expressions of Interests will open very soon. Email us at
[email protected]
for more information.
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Suzie Cro
Ellie Van Vogt
7 months ago
My paper looking at using causal forests to determine data driven subgroups is now out! Check it out here:)
bmcmedresmethodol.biomedcentral.com/articles/10....
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Application of causal forests to randomised controlled trial data to identify heterogeneous treatment effects: a case study - BMC Medical Research Methodology
Background Classical approaches to subgroup analysis in randomised controlled trials (RCTs) to identify heterogeneous treatment effects (HTEs) involve testing the interaction between each pre-specifie...
https://bmcmedresmethodol.biomedcentral.com/articles/10.1186/s12874-025-02489-2
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Suzie Cro
Rachel Phillips
7 months ago
🔈Announcing a series of webinars showcasing our 2024 Trials Adverse Event Special Series. Over the course of 2025 we have a range of talks lined up covering trial conduct, analysis, reporting, and public involvement. Please register your interest here:
forms.microsoft.com/e/qqNgLTP651
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Microsoft Forms
https://forms.microsoft.com/e/qqNgLTP651
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reposted by
Suzie Cro
StatsCI
8 months ago
Registration for our next in-person Contemporary Clinical Trials course is OPEN! This is a bespoke programme for lead investigators who are looking to plan and conduct their own trials There are only 10 places, so register early! Details and registration:
www.imperial.ac.uk/clinical-tri...
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Contemporary Clinical Trial Course in person | Faculty of Medicine | Imperial College London
https://www.imperial.ac.uk/clinical-trials-unit/training-/contemporary-clinical-trial-course-in-person/
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reposted by
Suzie Cro
MRC Clinical Trials Unit at UCL
8 months ago
This new paper explores the best way to implement reference-based multiple imputation for longitudinal binary data in
#ClinicalTrials
where data are missing after participants deviate from their assigned treatment. Read now👇
https://buff.ly/4jJtGOW
@matteoq21.bsky.social
@suziecro.bsky.social
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Reference-Based Multiple Imputation for Longitudinal Binary Data
Reference-based multiple imputation provides a practical information anchored tool for inferences about the treatment effect for a treatment policy estimand with a longitudinal binary outcome. The latent multivariate normal model is the preferred implementation.
https://buff.ly/4jJtGOW
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reposted by
Suzie Cro
StatsCI
8 months ago
A reminder that you have until the 14th of February to take advantage of the early bird pricing for the 2nd Contemporary Clinical Trials Methodology Meeting!
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reposted by
Suzie Cro
Brennan Kahan
8 months ago
Working on a factorial trial? The Explanation and Elaboration paper for the CONSORT and SPIRIT factorial extensions is now out in
@bmj.com
It includes: -examples of how to report factorial trials -a methodology summary around the design/conduct/analysis of these trials
www.bmj.com/content/388/...
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Guidance for protocol content and reporting of factorial randomised trials: explanation and elaboration of the CONSORT 2010 and SPIRIT 2013 extensions
This report presents the explanation and elaboration paper for the CONSORT (Consolidated Standards of Reporting Trials) 2010 and SPIRIT (Standard Protocol Items: Recommendations for Interventional Tri...
https://www.bmj.com/content/388/bmj-2024-080785
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reposted by
Suzie Cro
StatsCI
8 months ago
📢New publication: How to implement Reference-based multiple imputation for longitudinal binary data, lead by
@suziecro.bsky.social
with
@matteoq21.bsky.social
Ian White & James Carpenter
onlinelibrary.wiley.com/doi/10.1002/...
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Reference‐Based Multiple Imputation for Longitudinal Binary Data
Introduction In clinical trials, a treatment policy strategy is often used to handle treatment nonadherence. However, estimation in this context is complicated when data are missing after treatment .....
https://onlinelibrary.wiley.com/doi/10.1002/sim.10301
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Suzie Cro
Rushani Wijesuriya
8 months ago
Hot off the press! 📣📣In this tutorial we illustrate available multiple imputation approaches for handling longitudinal data including when they are clustered within higher level clusters. A reproducible example with R and Stata code provided!
#OpenAccess
onlinelibrary.wiley.com/doi/10.1002/...
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Multiple Imputation for Longitudinal Data: A Tutorial
Longitudinal studies are frequently used in medical research and involve collecting repeated measures on individuals over time. Observations from the same individual are invariably correlated and thu....
https://onlinelibrary.wiley.com/doi/10.1002/sim.10274?af=R
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How can we implement reference-based multiple imputation to handle
#MissingData
in
#ClinicalTrials
for longitudinal binary outcomes? We explored 2 different approaches. Find out which performed best here:
onlinelibrary.wiley.com/doi/10.1002/...
8 months ago
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Feeling the holiday spirit faded this
#BlueMonday
? Brighten your day and understand the joy of
#estimands
in a trial led by Santa—because estimands aren’t just for Christmas!
trialsjournal.biomedcentral.com/articles/10....
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All I want for Christmas…is a precisely defined research question - Trials
https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-024-08604-w
9 months ago
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Register here to attend the **2nd Contemporary Clinical Trials Methodology Meeting** -a fantastic line-up of speakers in store across 1 or 2 days, including statistical day 1 covering multi-arm multi-stage trials, platform trials & target trial emulation!
www.imperial.ac.uk/events/18598...
add a skeleton here at some point
9 months ago
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reposted by
Suzie Cro
MRC-NIHR Trials Methodology Research Partnership
9 months ago
New for 2025 - Our Greener Trials Carbon Footprinting Drop-In Clinics!
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reposted by
Suzie Cro
StatsCI
9 months ago
Our team—Leila, Suzie, Rachel, and Ellie—in collaboration with Xinxu from the OVG and Claire Waddington published a new article, “Past, Present and Future of Phase 3 Vaccine Trial Design: Rethinking Statistics for the 21st Century.” It’s worth a read!
academic.oup.com/cei/advance-...
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Past, present, and future of Phase 3 vaccine trial design: rethinking statistics for the 21st century
This paper provides an overview of the evolution of Phase 3 vaccine trial design and statistical analysis methods from traditional to more innovative conte
https://academic.oup.com/cei/advance-article/doi/10.1093/cei/uxae104/7906440?login=true
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Suzie Cro
Jonathan Bartlett
10 months ago
New paper led by Thomas Drury
arxiv.org/abs/2412.12380
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The Estimand Framework and Causal Inference: Complementary not Competing Paradigms
The creation of the ICH E9 (R1) estimands framework has led to more precise specification of the treatment effects of interest in the design and statistical analysis of clinical trials. However, it is...
https://arxiv.org/abs/2412.12380
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Suzie Cro
Jan R. Boehnke
10 months ago
In case you are into Christmas and estimands, maybe this article is for you?
link.springer.com/article/10.1...
"In reality, the statistical elf would have found the sample size was too small (nine reindeers) to estimate these estimands reliably using the discussed methods."
#RCT
#HRQL
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All I want for Christmas…is a precisely defined research question - Trials
https://link.springer.com/article/10.1186/s13063-024-08604-w
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Do mince pies or carrots improve reindeer performance?🥕🥧How can
#Estimands
help to ensure
#Trials
answers the question of interest -despite reindeer shenanigans 🦌? Estimands explained this
#Christmas
in
trialsjournal.biomedcentral.com/articles/10....
#AcademicSky
#StatsSky
#EpiSky
#MedSky
#SciComm
10 months ago
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Suzie Cro
Imperial Clinical Trials Unit
10 months ago
Our 2024 highlights include: launching the PANTHER platform trial, growing ICTU staff to 120+, hosting the NIHR Imperial & Partners Research Support Service, expanding our trial portfolio (ROMEO, WARRIORS, TRANSFORM) running internships & hosting our first clinical trials methodology meeting.
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trialsjournal.biomedcentral.com/articles/10....
add a skeleton here at some point
10 months ago
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Suzie Cro
Nicola Cloete Foster
10 months ago
All I want for Christmas is to know whether eating carrots lead to poor reindeer performance... (and time to post-prandial reindeer laziness) 🤶 Commentary by
@suziecro.bsky.social
& Rachel Phillips
trialsjournal.biomedcentral.com/articles/10....
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All I want for Christmas…is a precisely defined research question - Trials
https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-024-08604-w
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🥕🥧 Carrots or Mince pie: what fuels Santa's reindeer best? Find out & understand the importance of
#estimands
to clearly specify trial research questions in ✨All I want for Christmas…is a precisely defined research question✨🎅
shorturl.at/qMB6Y
#Trials
#AcademicSky
#StatsSky
#EpiSky
#MedSky
#SciComm
10 months ago
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Read the latest
#StatsCI
blog post on ICTU’s Insights and Inspirations from
#ICTMC2024
- covering Decentralised trials, Adaptive designs, New statistical methods, Estimands, PPI + more! 👇
add a skeleton here at some point
10 months ago
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Suzie Cro
Beatriz Goulão
10 months ago
Great thread on estimands. Loved the point "why the funny word?". Our discussions led by
@suziecro.bsky.social
found patient partners agree with
@richardhooper.bsky.social
:
bit.ly/4gyqhQS
add a skeleton here at some point
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Suzie Cro
StatsCI
10 months ago
Hi 👋 This is the new BlueSky account for
#StatsCI
- a team of statisticians @ Imperial Clinical Trials Unit (Imperial College London) who develop, evaluate and apply contemporary statistical methods to optimise the knowledge gained in medical research. Find out more about us here:
www.statsci.co.uk
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Suzie Cro
Matt Parkes
10 months ago
See also: Estimands framework paper discussion of handling ‘intercurrent events’ (read: post randomisation events) by
@brennankahan.bsky.social
;
@suziecro.bsky.social
and
@timpmorris.bsky.social
:
www.bmj.com/content/384/...
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The estimands framework: a primer on the ICH E9(R1) addendum
Estimands can be used in studies of healthcare interventions to clarify the interpretation of treatment effects. The addendum to the ICH E9 harmonised guideline on statistical principles for clinical ...
https://www.bmj.com/content/384/bmj-2023-076316
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Suzie Cro
Tim Morris
10 months ago
Hot off the preprint server: ‘Efficiency of nonparametric superiority tests based on restricted mean survival time versus the log-rank test under proportional hazards’ Short thread 👇 1/
arxiv.org/abs/2412.06442
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Efficiency of nonparametric superiority tests based on restricted mean survival time versus the log-rank test under proportional hazards
Background: For RCTs with time-to-event endpoints, proportional hazard (PH) models are typically used to estimate treatment effects and logrank tests are commonly used for hypothesis testing. There is...
https://arxiv.org/abs/2412.06442
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