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viii<br />

Glossary and list <strong>of</strong> abbreviations<br />

Glossary continued<br />

Complete response The total disappearance<br />

<strong>of</strong> all detectable malignant disease f<strong>or</strong> at least<br />

4 weeks.<br />

Confidence interval A measure <strong>of</strong> precision<br />

<strong>of</strong> statistical estimate.<br />

Confounding (1) The masking <strong>of</strong> an actual<br />

association <strong>or</strong> (2) false demonstration <strong>of</strong> an<br />

apparent association between <strong>the</strong> study<br />

variables when no real association between<br />

<strong>the</strong>m exists.<br />

Cost–benefit analysis An attempt to give <strong>the</strong><br />

consequences <strong>of</strong> <strong>the</strong> alternative interventions a<br />

monetary value. In this way, <strong>the</strong> consequences<br />

can be m<strong>or</strong>e easily compared <strong>with</strong> <strong>the</strong> costs <strong>of</strong><br />

<strong>the</strong> intervention. This involves measuring<br />

individuals’ ‘willingness to pay’ f<strong>or</strong> given<br />

outcomes, and can be difficult.<br />

Cost-effectiveness analysis The<br />

consequences <strong>of</strong> <strong>the</strong> alternatives are measured<br />

in natural units, such as years <strong>of</strong> life gained.<br />

The consequences are not given a monetary<br />

value.<br />

Cost-effectiveness acceptability curve A<br />

graphical representation <strong>of</strong> <strong>the</strong> probability <strong>of</strong><br />

an intervention being cost-effective over a<br />

range <strong>of</strong> monetary values f<strong>or</strong> society’s<br />

willingness to pay f<strong>or</strong> an additional unit <strong>of</strong><br />

health gain.<br />

Cost-minimisation analysis When two<br />

alternatives are found to have equal efficacy <strong>or</strong><br />

outcomes (consequences). Theref<strong>or</strong>e, <strong>the</strong> only<br />

difference between <strong>the</strong> two is cost. This is<br />

sometimes considered to be a subtype <strong>of</strong> costeffectiveness<br />

analysis.<br />

Cost–utility analysis The consequences <strong>of</strong><br />

alternatives are measured in ‘health state<br />

preferences’, which are given a weighting sc<strong>or</strong>e.<br />

In this type <strong>of</strong> analysis, different consequences<br />

are valued in comparison <strong>with</strong> each o<strong>the</strong>r, and<br />

<strong>the</strong> outcomes (e.g. life-years gained) are<br />

adjusted by <strong>the</strong> weighting assigned. In this way,<br />

an attempt is made to value <strong>the</strong> quality <strong>of</strong> life<br />

associated <strong>with</strong> <strong>the</strong> outcome so that life-years<br />

gained become quality-adjusted life-years<br />

gained.<br />

Coumadin An anticoagulant.<br />

Cycle Chemo<strong>the</strong>rapy is usually administered<br />

at regular intervals. A cycle is a course <strong>of</strong><br />

chemo<strong>the</strong>rapy followed by a period in which<br />

<strong>the</strong> body recovers from <strong>the</strong> adverse events <strong>of</strong><br />

<strong>the</strong> drug(s).<br />

Cytotoxic Toxic to cells. This term is used to<br />

describe drugs that kill cancer cells <strong>or</strong> slow<br />

<strong>the</strong>ir growth.<br />

Dyspnoea Difficult <strong>or</strong> laboured breathing,<br />

sh<strong>or</strong>tness <strong>of</strong> breath.<br />

ECOG perf<strong>or</strong>mance status<br />

0: Fully active, able to carry on all predisease<br />

perf<strong>or</strong>mance <strong>with</strong>out restriction.<br />

1: Restricted in physically strenuous activity<br />

but ambulat<strong>or</strong>y and able to carry out w<strong>or</strong>k<br />

<strong>of</strong> a light <strong>or</strong> sedentary nature, e.g. light<br />

house w<strong>or</strong>k, <strong>of</strong>fice w<strong>or</strong>k.<br />

2: Ambulat<strong>or</strong>y and capable <strong>of</strong> all self-care but<br />

unable to carry out any w<strong>or</strong>k activities. Up<br />

and about m<strong>or</strong>e than 50% <strong>of</strong> waking hours.<br />

3: Capable <strong>of</strong> only limited self-care, confined<br />

to bed <strong>or</strong> chair m<strong>or</strong>e than 50% <strong>of</strong> waking<br />

hours.<br />

4: Completely disabled. Cannot carry on any<br />

self-care. Totally confined to bed <strong>or</strong> chair.<br />

5: Dead.<br />

End-point A clearly defined outcome <strong>or</strong><br />

event associated <strong>with</strong> an individual in a<br />

medical investigation.<br />

EORTC The European Organization f<strong>or</strong><br />

Research and Treatment <strong>of</strong> Cancer (EORTC) is<br />

an <strong>or</strong>ganisation set up to conduct, develop,<br />

co<strong>or</strong>dinate and stimulate lab<strong>or</strong>at<strong>or</strong>y and<br />

clinical research in Europe to improve <strong>the</strong><br />

management <strong>of</strong> cancer and related problems by<br />

increasing survival but also quality <strong>of</strong> life <strong>of</strong><br />

patients.<br />

Epistaxis Nose bleed.<br />

External validity The ability to generalise<br />

<strong>the</strong> results from a particular experiment to a<br />

larger population.<br />

continued

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