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Modeling the 4D Study
Author(s) -
Kevin E. Chan,
Ravi Thadhani,
J. Michael Lazarus,
Raymond M. Hakim
Publication year - 2010
Publication title -
clinical journal of the american society of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.755
H-Index - 151
eISSN - 1555-905X
pISSN - 1555-9041
DOI - 10.2215/cjn.07161009
Subject(s) - medicine , observational study , hazard ratio , proportional hazards model , myocardial infarction , randomized controlled trial , atorvastatin , population , dialysis , statin , stroke (engine) , emergency medicine , physical therapy , intensive care medicine , confidence interval , mechanical engineering , environmental health , engineering
Randomized, controlled trials (RCTs) are the gold standard for defining causal inferences but are sometimes not feasible because of cost, ethical, or time considerations. We explored the accuracy and potential use of a "simulated trial" through the modeling of a previously published RCT, Die Deutsche Diabetes Dialyse Studie (4D Study), a landmark study that investigated the cardiovascular benefit of atorvastatin use in 1255 patients with ESRD.

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