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xii<br />

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

Glossary continued<br />

happen – anything from 2.5 times as likely to<br />

3.8 times as likely. It is statistically significant.<br />

On <strong>the</strong> o<strong>the</strong>r hand, RR = 3.0 (95% CI: 0.5 to<br />

8.9) means that it is also estimated to be three<br />

times as likely, but it is not statistically<br />

significant. The chances go from half as likely<br />

to happen (0.5 a decreased chance) to nearly<br />

nine times as likely to happen (8.9 an increased<br />

chance).<br />

Relative risk reduction (RRR) Alternative<br />

way <strong>of</strong> expressing relative risk. It is calculated<br />

as RRR = (1 – RR) × 100% The RRR can be<br />

interpreted as <strong>the</strong> prop<strong>or</strong>tion <strong>of</strong> <strong>the</strong> initial <strong>or</strong><br />

baseline ‘risk’ which was eliminated by a given<br />

<strong>treatment</strong> <strong>or</strong> intervention, <strong>or</strong> by avoidance <strong>of</strong><br />

exposure to a risk fact<strong>or</strong>.<br />

Recurrent disease Disease that reappears<br />

after a period during which it has shown no<br />

measurable/detectable signs.<br />

Risk difference The difference (absolute) in<br />

<strong>the</strong> prop<strong>or</strong>tion <strong>with</strong> <strong>the</strong> outcome between <strong>the</strong><br />

<strong>treatment</strong> and control groups. If <strong>the</strong> outcome<br />

represents an adverse event and <strong>the</strong> risk<br />

difference is negative (below zero), this<br />

suggests that <strong>the</strong> <strong>treatment</strong> reduces <strong>the</strong> risk –<br />

referred to as <strong>the</strong> absolute risk reduction.<br />

Salvage <strong>the</strong>rapy Any <strong>the</strong>rapy given in <strong>the</strong><br />

hope <strong>of</strong> getting a response when <strong>the</strong> ‘standard’<br />

<strong>the</strong>rapy has failed. This may overlap <strong>with</strong><br />

‘second-line’ <strong>the</strong>rapy, but could also include<br />

<strong>the</strong>rapy given f<strong>or</strong> patients <strong>with</strong> refract<strong>or</strong>y<br />

disease, i.e. disease that has never responded<br />

to first-line <strong>the</strong>rapy.<br />

Second-line <strong>the</strong>rapy The second<br />

chemo<strong>the</strong>rapy regimen administered ei<strong>the</strong>r as<br />

a result <strong>of</strong> relapse after first-line <strong>the</strong>rapy <strong>or</strong><br />

immediately following on from first-line<br />

<strong>the</strong>rapy in patients <strong>with</strong> progressive <strong>or</strong> stable<br />

disease. Depending on <strong>the</strong> circumstances,<br />

patients may be treated <strong>with</strong> <strong>the</strong> same regimen<br />

again <strong>or</strong> a different regimen. In ei<strong>the</strong>r case this<br />

is defined as second-line <strong>the</strong>rapy.<br />

Stable disease No change <strong>or</strong> less than a 25%<br />

change in measurable lesions f<strong>or</strong> at least<br />

4–8 weeks <strong>with</strong> no new lesions appearing.<br />

Staging The allocation <strong>of</strong> categ<strong>or</strong>ies to<br />

tumours, defined by internationally agreed<br />

criteria. Tumour stage is an imp<strong>or</strong>tant<br />

determinant <strong>of</strong> <strong>treatment</strong> and prognosis.<br />

Stomatitis Inflammation/ulceration <strong>of</strong> <strong>the</strong><br />

mouth.<br />

Taxane naïve Patients who had not received<br />

a taxane as part <strong>of</strong> first-line <strong>the</strong>rapy.<br />

Thrombocytopenia An abn<strong>or</strong>mally low level<br />

<strong>of</strong> platelets in <strong>the</strong> blood. Platelets play a role in<br />

<strong>the</strong> blood clotting process.<br />

Time to progression The length <strong>of</strong> time<br />

from <strong>the</strong> start <strong>of</strong> <strong>treatment</strong> (<strong>or</strong> time from<br />

randomisation <strong>with</strong>in <strong>the</strong> context <strong>of</strong> a clinical<br />

trial) until tumour progression.<br />

Utility A measure <strong>of</strong> <strong>the</strong> strength <strong>of</strong> an<br />

individual’s preference f<strong>or</strong> a given health state<br />

<strong>or</strong> outcome. Utilities assign numerical values<br />

on a scale from 0 (death) to 1 (optimal <strong>or</strong><br />

‘perfect’ health), and provide a single number<br />

that summarises health-related quality <strong>of</strong> life.<br />

Hence utility has been described as a global<br />

measure <strong>of</strong> health-related quality <strong>of</strong> life.<br />

Sometimes ‘utility’ is only used to refer to<br />

preferences (on <strong>the</strong> 0–1 scale) that are elicited<br />

using methods which introduce risky scenarios<br />

to <strong>the</strong> respondent (standard gamble), <strong>with</strong> <strong>the</strong><br />

term ‘values’ used to refer to o<strong>the</strong>r type <strong>of</strong><br />

preferences.<br />

Values An alternative measure <strong>of</strong> <strong>the</strong> strength<br />

<strong>of</strong> an individual’s preference f<strong>or</strong> a given health<br />

state <strong>or</strong> outcome. In contrast to utilities, values<br />

reflect preferences elicited in a risk-less<br />

context.

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