A Matching Algorithm to Address Imbalances in Study Populations
Author(s) -
Pitchaiah Mandava,
Yogeshwar Kalkonde,
Ryan H. Rochat,
Thomas A. Kent
Publication year - 2010
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.109.574103
Subject(s) - medicine , stroke (engine) , randomization , clinical trial , placebo , outlier , thrombolysis , propensity score matching , tissue plasminogen activator , randomized controlled trial , physical therapy , physical medicine and rehabilitation , myocardial infarction , statistics , pathology , mechanical engineering , alternative medicine , mathematics , engineering
Outcome from stroke is highly dependent on baseline conditions. Patients with stroke have a wide range of severities, ages, and etiologies and it has proven difficult to achieve randomization of key variables in clinical trials. We present a new post hoc approach to achieve balance among selected variables. To illustrate the approach, we rebalanced the National Institute of Neurological Diseases and Stroke Recombinant Tissue Plasminogen Activator trial, in which the contribution of baseline imbalances continues to be debated.
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