Published in:
Open Access
01-08-2000 | Commentary
Debate: Are surrogate end-point studies worth the effort?
Authors:
Jonathan Valabhji, Dr Robert S Elkeles
Published in:
Trials
|
Issue 2/2000
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Abstract
Surrogate end-points of cardiovascular disease can provide useful information in cross-sectional, prospective and interventional studies. They provide information on association with risk factors, natural history and factors associated with disease progression. Because every participant can reach an end-point, sufficient power can be attained with much smaller numbers of subjects in surrogate end-point studies than in studies that use clinical endpoints, so that the costs are likely to be substantially less. Measures of carotid intima-media thickness (IMT) by B-mode ultrasonography and of coronary calcification by electron beam computed tomography (EBCT) appear to be the most promising surrogate end-points.