Volume 28, Issue 8
Research Article

A small sample study of the STEPP approach to assessing treatment–covariate interactions in survival data

Marco Bonetti

Corresponding Author

E-mail address: marco.bonetti@unibocconi.it

Department of Decision Sciences, Bocconi University, Via Röntgen 1, Milan 20136, Italy

Department of Decision Sciences, Bocconi University, Via Röntgen 1, Milan 20136, ItalySearch for more papers by this author
David Zahrieh

Department of Biostatistics and Computational Biology, Dana‐Farber Cancer Institute, 44 Binney Street, Boston, MA 02115, U.S.A.

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Bernard F. Cole

Department of Mathematics and Statistics, University of Vermont, 16 Colchester Avenue, Burlington, VT 05401, U.S.A.

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Richard D. Gelber

Department of Biostatistics and Computational Biology, Dana‐Farber Cancer Institute, 44 Binney Street, Boston, MA 02115, U.S.A.

Department of Biostatistics, Harvard School of Public Health, 655 Huntington Avenue, Boston, MA 02115, U.S.A.

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First published: 13 March 2009
Citations: 28

Abstract

A new, intuitive method has recently been proposed to explore treatment–covariate interactions in survival data arising from two treatment arms of a clinical trial. The method is based on constructing overlapping subpopulations of patients with respect to one (or more) covariates of interest and in observing the pattern of the treatment effects estimated across the subpopulations. A plot of these treatment effects is called a subpopulation treatment effect pattern plot. Here, we explore the small sample characteristics of the asymptotic results associated with the method and develop an alternative permutation distribution‐based approach to inference that should be preferred for smaller sample sizes. We then describe an extension of the method to the case in which the pattern of estimated quantiles of survivor functions is of interest. Copyright © 2009 John Wiley & Sons, Ltd.

Number of times cited according to CrossRef: 28

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