Publications by authors named "Aaron Springford"

Article Synopsis
  • The study explores the use of Bayesian borrowing (BB) methods to improve the estimates of treatment effectiveness by enhancing an external control arm constructed from real-world data for patients with first-line non-small-cell lung cancer (NSCLC).
  • It examines the overall survival rates of patients treated with chemotherapy plus cetuximab compared to a constructed external control using historical trial data, revealing that BB provided more precise hazard ratio estimates than the matched patients in the randomized controlled trial (RCT).
  • Challenges were encountered in replicating overall survival estimates with the external control arm, attributed to factors like unmeasured confounding and variations in treatment timelines, highlighting how BB can refine effectiveness estimates and reveal biases when external data sources are suitably applied.
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Evaluating efficacy and real-world effectiveness for novel therapies targeting rare mutations or patient subpopulations with unmet needs is a growing challenge in health economics and outcomes research (HEOR). In these settings it may be difficult to recruit enough patients to run adequately powered randomized clinical trials, resulting in greater reliance on single-arm trials or basket trial designs. Additionally, evidence networks for performing network meta-analysis may be sparse or disconnected when comparing available treatments in narrower patient populations.

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Rapid and robust strategies to evaluate the efficacy and effectiveness of novel and existing pharmacotherapeutic interventions (repurposed treatments) in future pandemics are required. Observational "real-world studies" (RWS) can report more quickly than randomized controlled trials (RCTs) and would have value were they to yield reliable results. Both RCTs and RWS were deployed during the coronavirus disease 2019 (COVID-19) pandemic.

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Reductions in management intensity are often proposed to support a broader range of beneficial ecosystem responses than traditional management approaches. However, few studies evaluate ecosystem responses across approaches. Also, managers lack information about how species traits mediate responses across management approaches, a potentially substantial source of spatial and temporal variation in population and community responses that if ignored may hinder effectiveness of management programs.

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