Randomization-based interval estimation in randomized clinical trials

Stat Med. 2020 Sep 20;39(21):2843-2854. doi: 10.1002/sim.8577. Epub 2020 Jun 3.

Abstract

Randomization-based interval estimation takes into account the particular randomization procedure in the analysis and preserves the confidence level even in the presence of heterogeneity. It is distinguished from population-based confidence intervals with respect to three aspects: definition, computation, and interpretation. The article contributes to the discussion of how to construct a confidence interval for a treatment difference from randomization tests when analyzing data from randomized clinical trials. The discussion covers (i) the definition of a confidence interval for a treatment difference in randomization-based inference, (ii) computational algorithms for efficiently approximating the endpoints of an interval, and (iii) evaluation of statistical properties (ie, coverage probability and interval length) of randomization-based and population-based confidence intervals under a selected set of randomization procedures when assuming heterogeneity in patient outcomes. The method is illustrated with a case study.

Keywords: Monte Carlo re-randomization test; Robbins-Monro algorithm; bisection method; interval estimation; randomization-based inference.

MeSH terms

  • Algorithms*
  • Confidence Intervals
  • Humans
  • Probability
  • Random Allocation
  • Randomized Controlled Trials as Topic
  • Research Design*