Arrhythmias & electrophysiologyCohort study

Incorporating a Shortened Long-Term Effectiveness END Point Into Catheter Ablation Trials: Statistical Properties and Implications

Circ Arrhythm ElectrophysiolPublished

  • Patient-level data from 4 prospective studies were aggregated

Authors' conclusion

The proposed end point of a 6-month follow-up duration, inclusive of a 2-month blanking period, demonstrated reasonable levels of agreement with the current 12-month effectiveness end point. Enabling historical comparison, a 12-month survival rate can be reliably extrapolated from a 6-month survival rate using linear approximation.

Study context

Population
Patients in trials of paroxysmal atrial fibrillation ablation4 prospective studies
Exposure
current vs proposed

Main finding

As reported in the abstract

Concordance and sensitivity between current and proposed end points

concordances ranging from

83% to 92%

sensitivities ranging from

57% to 76%

Observational data: associations, not effects.

Further findings

Estimated 12-month survival rate by linear approximation, 4 pooled studies

estimated 12-month survival rate
72.5%
true 12-month survival rate
71.0%
error
−1.5%

Error of estimated vs true 12-month survival rate, each study individually

errors ranging from
−3.6% to 0.3%

New performance goal for trials using a 6-month end point

new performance goal
56.2%

Original publication

Incorporating a Shortened Long-Term Effectiveness END Point Into Catheter Ablation Trials: Statistical Properties and Implications. Circ Arrhythm Electrophysiol. Published 18 September 2026. doi:10.1161/circep.125.014773

Summarised from the published abstract; every number is checked against it