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@ARTICLE{Erdmann:277785,
author = {S. Erdmann and D. Edelmann$^*$ and M. Kieser},
title = {{U}sing real-world data to predict health outcomes-{T}he
prediction design: {A}pplication and sample size planning.},
journal = {Biometrical journal},
volume = {65},
number = {6},
issn = {0006-3452},
address = {Berlin},
publisher = {Wiley-VCH},
reportid = {DKFZ-2023-01499},
pages = {e2200023},
year = {2023},
note = {2023 Aug;65(6):e2200023},
abstract = {The gold standard for investigating the efficacy of a new
therapy is a (pragmatic) randomized controlled trial (RCT).
This approach is costly, time-consuming, and not always
practicable. At the same time, huge quantities of available
patient-level control condition data in analyzable format of
(former) RCTs or real-world data (RWD) are neglected.
Therefore, alternative study designs are desirable. The
design presented here consists of setting up a prediction
model for determining treatment effects under the control
condition for future patients. When a new treatment is
intended to be tested against a control treatment, a
single-arm trial for the new therapy is conducted. The
treatment effect is then evaluated by comparing the outcomes
of the single-arm trial against the predicted outcomes under
the control condition. While there are obvious advantages of
this design compared to classical RCTs (increased
efficiency, lower cost, alleviating participants' fear of
being on control treatment), there are several sources of
bias. Our aim is to investigate whether and how such a
design-the prediction design-may be used to provide
information on treatment effects by leveraging external data
sources. For this purpose, we investigated under what
assumptions linear prediction models could be used to
predict the counterfactual of patients precisely enough to
construct a test and an appropriate sample size formula for
evaluating the average treatment effect in the population of
a new study. A user-friendly R Shiny application (available
at: https://web.imbi.uni-heidelberg.de/PredictionDesignR/)
facilitates the application of the proposed methods, while a
real-world application example illustrates them.},
keywords = {counterfactual (Other) / historical data (Other) / linear
regression (Other) / prediction (Other) / real-world data
(Other)},
cin = {C060},
ddc = {570},
cid = {I:(DE-He78)C060-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:37493036},
doi = {10.1002/bimj.202200023},
url = {https://inrepo02.dkfz.de/record/277785},
}