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Disease Free Survival

Definition Time from randomisation to recurrence (in

ITT population)

Pros

Smaller population and shorter follow-up

Not affected by crossover or subsequent

treatment (eg checkpoint inhibitors)

Cons

? Measure of direct benefit

Subject to assessment bias

Unreliable and imprecise timing

Need to balance radiological assessments ie

need standardized follow-up protocols

Censor

bias – if imbalanced withdrawal of patients who are

censored prior to relapse or progression