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Study Power in the SORT OUT II Trial
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To the Editor: In their randomized trial, Dr Galløe and colleagues1 compared the efficacy and safety of sirolimus-eluting and paclitaxel-eluting stents in a study design reflecting common clinical practice. In the trial design,2 the authors defined the primary outcome measures as "MACE (cardiac death, MI, TVR, TLR, TVF) during 9 months." However, in the article's power calculation, the authors used estimated 5-year event rates for sample size calculation: "The SORT OUT II trial was therefore planned to enroll at least 1800 patients to detect a minimum relevant relative difference in rates of 25% (ie, rates of 20% vs 15%) with 5 years of follow-up."
Shorter follow-up length for primary outcome measure, compared with that used for sample size calculation, would be expected to reduce event rate and study power and could have led to the study finding of no statistically significant differences in clinical outcomes.
Financial Disclosures: None reported.
Hideaki Kaneda, MD, PhD
hdkaneda@gmail.com Okinaka Memorial Institute for Medical Research Tokyo, Japan
1. Galløe AM, Thuesen L, Kelbaek H; et al. Comparison of paclitaxel- and sirolimus-eluting stents in everyday clinical practice: the SORT OUT II randomized trial. JAMA. 2008;299(4):409-416.
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2. Comparison of cypher select and taxus express coronary stents. http://www.clinicaltrials.gov/ct2/show/NCT00388934?term=00388934&rank=1. Accessed March 12, 2008.
Letters Section Editor: Robert M. Golub, MD, Senior Editor.
JAMA. 2008;299(17):2021-2022.
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Comparison of Paclitaxel- and Sirolimus-Eluting Stents in Everyday Clinical Practice: The SORT OUT II Randomized Trial
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