Table 3 Mean exacerbation rate per patient-year in the Canadian Optimal Therapy of COPD Trial
Tiotropium + placebo(Nā€Š=ā€Š156 patients)Tiotropium + fluticasone/salmeterol(Nā€Š=ā€Š145 patients)Rate ratio (relative risk reduction) (%)
Weighted mean exacerbation rate/patient-year (adjudicated events)1.611.370.85 (15)
Weighted mean exacerbation rate/patient-year (non-adjudicated, independence not assured)2.091.820.87 (13)
Weighted mean exacerbation rate/patient-year with premature exclusion of patients who stop study medications (adjudicated events)1.661.310.79 (21)
Unweighted mean exacerbation rate/patient-year (adjudicated events)2.001.480.74 (26)
Unweighted mean exacerbation rate/patient-year with premature exclusion of patients who stop study medications (adjudicated events)4.942.290.46 (54)
  • Row 1 shows the correct rate ratio for the trial (the maximum likelihood estimate).

  • Row 2 shows the effects of not adjudicating and assuring independence of individual exacerbation events.

  • Row 3 shows the effects of prematurely excluding patients from the trial who discontinue study medications early.

  • Row 4 shows the effects of using an unweighted statistical approach.

  • Row 5 shows the effects of both prematurely excluding patients from the trial who discontinue study medications early and of using an unweighted statistical approach.