Glossary entry (derived from question below)
French term or phrase:
critères d'évaluation cliniques durs
English translation:
hard endpoints
Added to glossary by
tinamenon
Mar 25, 2007 14:33
17 yrs ago
14 viewers *
French term
critères d'évaluation cliniques durs
French to English
Medical
Medical: Cardiology
Talking about how diuretics help to lower BP in the elderly and they say that thes studies are based on ... "...avec des études basées sur des critères d'évaluation cliniques durs"
It's the word 'dur' that particularly throws me!
based on (hard/solid) clinical criteria/evidence/assessment
It's the word 'dur' that particularly throws me!
based on (hard/solid) clinical criteria/evidence/assessment
Proposed translations
(English)
Proposed translations
+2
1 hr
Selected
hard endpoints
This is to elaborate on Dr. Peterson's quite correct translation.
The term "hard endpoint" is used in contradistinction to "surrogate endpoint".
See Wikipedia's explanation:
In clinical trials, a surrogate endpoint is a measure of effect of a certain treatment that may correlate with a real endpoint but has no guaranteed relationship.
It is a major issue in testing the efficacy of medication. For example, most cholesterol-lowering drugs (e.g. the statins) are used to control cardiovascular disease, yet they were introduced with only information on their capacity to decrease cholesterol levels. While elevated cholesterol levels increase the likelihood for heart disease, the relationship is not linear - many people with normal cholesterol develop heart disease, and many with high cholesterol do not. In the case of simvastatin (Zocor®), proof of its efficacy in reducing cardiovascular disease was only presented five years after its original introduction, and then only for secondary prevention. In another case, AstraZeneca has been accused of marketing rosuvastatin (Crestor®) without providing hard endpoint data, relying instead on surrogate endpoints. The company counters that it had been tested on larger groups of patients than any other drug in the class, and that its effects should be comparable to the other statins.
Back to my own explanation.
Say you are evaluating a medicine for stomach ulcers. One might think that proof that a medicine raises the pH of the stomach contents is proof that it helps prevent ulcers. Well, maybe it does and maybe it doesn't. The stomach contents acidity is in fact a "surrogate endpoint". The "hard endpoint" would be the actual development of an ulcer vs the absence of an ulcer after a fixed period of time. A "hard endpoint" is preferable in any clinical trial.
The term "hard endpoint" is used in contradistinction to "surrogate endpoint".
See Wikipedia's explanation:
In clinical trials, a surrogate endpoint is a measure of effect of a certain treatment that may correlate with a real endpoint but has no guaranteed relationship.
It is a major issue in testing the efficacy of medication. For example, most cholesterol-lowering drugs (e.g. the statins) are used to control cardiovascular disease, yet they were introduced with only information on their capacity to decrease cholesterol levels. While elevated cholesterol levels increase the likelihood for heart disease, the relationship is not linear - many people with normal cholesterol develop heart disease, and many with high cholesterol do not. In the case of simvastatin (Zocor®), proof of its efficacy in reducing cardiovascular disease was only presented five years after its original introduction, and then only for secondary prevention. In another case, AstraZeneca has been accused of marketing rosuvastatin (Crestor®) without providing hard endpoint data, relying instead on surrogate endpoints. The company counters that it had been tested on larger groups of patients than any other drug in the class, and that its effects should be comparable to the other statins.
Back to my own explanation.
Say you are evaluating a medicine for stomach ulcers. One might think that proof that a medicine raises the pH of the stomach contents is proof that it helps prevent ulcers. Well, maybe it does and maybe it doesn't. The stomach contents acidity is in fact a "surrogate endpoint". The "hard endpoint" would be the actual development of an ulcer vs the absence of an ulcer after a fixed period of time. A "hard endpoint" is preferable in any clinical trial.
4 KudoZ points awarded for this answer.
Comment: "Many thanks for your very clearly explained answer"
+1
2 mins
solid clinical evidence
The Journal advocates the use or rejection of a procedure based on solid, clinical evidence found in literature. The Journal's dynamic operating principles ...
www.elsevier.com/wps/find/authored_newsitem.cws_home/compan... - 46k -
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Note added at 3 minutes (2007-03-25 14:37:15 GMT)
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or reliable clinical evidence
Lack of reliable clinical evidence for or against direct and indirect veneers. When patients' anterior teeth are stained, is direct or indirect veneer ...
www.nature.com/ebd/journal/v5/n2/full/6400248a.html
www.elsevier.com/wps/find/authored_newsitem.cws_home/compan... - 46k -
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Note added at 3 minutes (2007-03-25 14:37:15 GMT)
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or reliable clinical evidence
Lack of reliable clinical evidence for or against direct and indirect veneers. When patients' anterior teeth are stained, is direct or indirect veneer ...
www.nature.com/ebd/journal/v5/n2/full/6400248a.html
+1
6 mins
solid clinical outcomes
could be a good idea
outcome is usually the "critère d'évaluation" in a clinical study
http://www.medscape.com/viewarticle/496102_40
So we need to be sure, before these agents are widely used in patients, that we have very good evidence that they are safer than the other alternatives. I think that this means we need solid clinical outcome studies where the comparators are the safest known alternatives, and the safety must be demonstrated across a broad class of outcomes.
outcome is usually the "critère d'évaluation" in a clinical study
http://www.medscape.com/viewarticle/496102_40
So we need to be sure, before these agents are widely used in patients, that we have very good evidence that they are safer than the other alternatives. I think that this means we need solid clinical outcome studies where the comparators are the safest known alternatives, and the safety must be demonstrated across a broad class of outcomes.
1 hr
hard clinical evaluation criteria
"Clinical evaluation criteria" est très répandu.
+3
1 hr
hard clinical endpoints
Il me semble que c'est le terme approprié.
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Note added at 2 hrs (2007-03-25 16:41:05 GMT)
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Oui Michael d'ailleurs en français il me semble que les termes "critères de jugement" sont plus appropriés.
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Note added at 2 hrs (2007-03-25 16:41:05 GMT)
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Oui Michael d'ailleurs en français il me semble que les termes "critères de jugement" sont plus appropriés.
Reference:
http://www.md.ucl.ac.be/loumed/CD/DATA/117/S275-278.PDF
www.spc.univ-lyon1.fr/polycop/principes de base/chapitre.htm
Peer comment(s):
agree |
Helen Genevier
25 mins
|
Merci Helen
|
|
agree |
Michael Barnett
: See my answer for further amplification.
39 mins
|
Merci Michael
|
|
agree |
Dr Sue Levy (X)
: coucou Karina!
1 hr
|
Merci Sue et bon dimanche!
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