Description

Kristensen et al developed an index for drug efficacy in clinical practice. This can be used to compare different medications or other therapies. The authors are from Lund University in Sweden (LUNDEX = Lund + Index).


 

Parameters:

(1) percent of people still taking the drug at time T after starting

(2) fraction of patients taking the drug who are responding to the drug at time T

 

LUNDEX =

= (percent of people still in the study at time T) * (fraction responding at time T)

 

Interpretation:

• minimum LUNDEX: 0 percent

• maximum LUNDEX: 100 percent

• A high LUNDEX suggests an efficacious drug.

• The values for the LUNDEX can be plotted over time.

 

Key issues:

(1) The measure used to define response.

(2) The usual time course of the disorder. The index presumably is more useful for a chronic, stable disorder.

(3) Any deviation of patients from the usual time course of the disease (fulminant disease, etc).

(4) A low percent of patients still taking the drug may indicate a high rate of adverse effects.

 

A similar value for partial response could be followed in the same way.

 


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