Statistical analysis plan for a pragmatic phase III randomised controlled trial examining behaviour change physiotherapy intervention to increase physical activity following hip and knee replacements: the PEP-TALK trial.

Behaviour change Joint replacement Randomised controlled trial Rehabilitation Statistics

Journal

Trials
ISSN: 1745-6215
Titre abrégé: Trials
Pays: England
ID NLM: 101263253

Informations de publication

Date de publication:
20 Jul 2021
Historique:
received: 17 02 2021
accepted: 08 06 2021
entrez: 21 7 2021
pubmed: 22 7 2021
medline: 23 7 2021
Statut: epublish

Résumé

Total hip (THR) and total knee replacements (TKR) are two highly successful orthopaedic procedures that reduce pain for people with osteoarthritis. Previous evidence suggests that physical activity, at best, remains the same pre- to post-operatively, and in some instances declines. The PEP-TALK trial evaluates the effects of a group-based, behaviour change intervention on physical activity following a THR or TKR. PEP-TALK is an open, phase III, pragmatic, multi-centre, parallel, two-arm, two-way superiority randomised controlled trial investigating the effectiveness of usual care plus a behaviour change therapy compared with usual care alone following primary THR or TKR. The primary outcome is the UCLA Activity Score at 12 months post-randomisation which will be analysed using a linear mixed effects model. Secondary outcomes measured at 6 months and 12 months after randomisation include the UCLA Activity Score, Lower Extremity Functional Scale, Oxford Hip/Knee Score, Numerical Rating Scale for Pain, Generalised Self-Efficacy Scale, Tampa Scale for Kinesiophobia, Hospital Anxiety and Depression Scale, EuroQoL EQ-5D-5L index and EQ-VAS and complications or adverse events. Full details of the planned analysis approaches for the primary and secondary outcomes, as well as the planned sensitivity analyses to be undertaken due to the COVID-19 pandemic, are described here. The PEP-TALK study protocol has been published previously. This paper provides details of the planned statistical analyses for the PEP-TALK trial. This is aimed to reduce the risk of outcome reporting bias and enhance transparency in reporting. International Standard Randomised Controlled Trials database, ISRCTN Number: 29770908 . Registered on October 2018.

Sections du résumé

BACKGROUND BACKGROUND
Total hip (THR) and total knee replacements (TKR) are two highly successful orthopaedic procedures that reduce pain for people with osteoarthritis. Previous evidence suggests that physical activity, at best, remains the same pre- to post-operatively, and in some instances declines. The PEP-TALK trial evaluates the effects of a group-based, behaviour change intervention on physical activity following a THR or TKR.
METHODS METHODS
PEP-TALK is an open, phase III, pragmatic, multi-centre, parallel, two-arm, two-way superiority randomised controlled trial investigating the effectiveness of usual care plus a behaviour change therapy compared with usual care alone following primary THR or TKR. The primary outcome is the UCLA Activity Score at 12 months post-randomisation which will be analysed using a linear mixed effects model. Secondary outcomes measured at 6 months and 12 months after randomisation include the UCLA Activity Score, Lower Extremity Functional Scale, Oxford Hip/Knee Score, Numerical Rating Scale for Pain, Generalised Self-Efficacy Scale, Tampa Scale for Kinesiophobia, Hospital Anxiety and Depression Scale, EuroQoL EQ-5D-5L index and EQ-VAS and complications or adverse events. Full details of the planned analysis approaches for the primary and secondary outcomes, as well as the planned sensitivity analyses to be undertaken due to the COVID-19 pandemic, are described here. The PEP-TALK study protocol has been published previously.
DISCUSSION CONCLUSIONS
This paper provides details of the planned statistical analyses for the PEP-TALK trial. This is aimed to reduce the risk of outcome reporting bias and enhance transparency in reporting.
TRIAL REGISTRATION BACKGROUND
International Standard Randomised Controlled Trials database, ISRCTN Number: 29770908 . Registered on October 2018.

Identifiants

pubmed: 34284802
doi: 10.1186/s13063-021-05362-x
pii: 10.1186/s13063-021-05362-x
pmc: PMC8290138
doi:

Types de publication

Clinical Trial, Phase III Letter Multicenter Study Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

467

Subventions

Organisme : Research for Patient Benefit Programme
ID : PB-PG-1216-20008

Informations de copyright

© 2021. The Author(s).

Références

Gamble C, Krishan A, Stocken D, Lewis S, Juszczak E, Dore C, et al. Guidelines for the content of statistical analysis plans in clinical trials. JAMA. 2017;318(23):2337–43. https://doi.org/10.1001/jama.2017.18556 .
doi: 10.1001/jama.2017.18556 pubmed: 29260229
National Joint Registry. 17
Dailiana ZH, Papakostidou I, Varitimidis S, Liaropoulos L, Zintzaras E, Karachalios T, et al. Patient-reported quality of life after primary major joint arthroplasty: a prospective comparison of hip and knee arthroplasty. BMC Musculoskelet Disord. 2015;16(1):366. https://doi.org/10.1186/s12891-015-0814-9 .
doi: 10.1186/s12891-015-0814-9 pubmed: 26612135 pmcid: 4660648
Papakostidou I, Dailiana ZH, Papapolychroniou T, Liaropoulos L, Zintzaras E, Karachalios TS, et al. Factors affecting the quality of life after total knee arthroplasties: a prospective study. BMC Musculoskelet Disord. 2012;13(1):116. https://doi.org/10.1186/1471-2474-13-116 .
doi: 10.1186/1471-2474-13-116 pubmed: 22748117 pmcid: 3476961
Inacio MC, Pratt NL, Roughead EE, Graves SE. Comparing co-morbidities in total joint arthroplasty patients using the RxRisk-V, Elixhauser, and Charlson Measures: a cross-sectional evaluation. BMC Musculoskelet Disord. 2015;16(1):385. https://doi.org/10.1186/s12891-015-0835-4 .
doi: 10.1186/s12891-015-0835-4 pubmed: 26652166 pmcid: 4676184
Peter WF, Dekker J, Tilbury C, Tordoir RL, Verdegaal SH, Onstenk R, et al. The association between comorbidities and pain, physical function and quality of life following hip and knee arthroplasty. Rheumatol Int. 2015;35(7):1233–41. https://doi.org/10.1007/s00296-015-3211-7 .
doi: 10.1007/s00296-015-3211-7 pubmed: 25586654 pmcid: 4436688
Smith E, Hoy DG, Cross M, Vos T, Naghavi M, Buchbinder R, et al. PICO. The global burden of other musculoskeletal disorders: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis. 2014;73(8):1462–9. https://doi.org/10.1136/annrheumdis-2013-204680 .
doi: 10.1136/annrheumdis-2013-204680 pubmed: 24590181 pmcid: 24590181
Sampson UK, Fowkes FG, MM MD, Criqui MH, Aboyans V, Norman PE, et al. Global and regional burden of death and disability from peripheral artery disease: 21 world regions, 1990 to 2010. Glob Heart. 2014;9(1):145–158.e21.
doi: 10.1016/j.gheart.2013.12.008
Withers TM, Lister S, Sackley C, Clark A, Smith TO. Is there a difference in physical activity levels in patients before and up to one year after unilateral total hip replacement? A systematic review and meta-analysis. Clin Rehabil. 2017;31(5):639–50. https://doi.org/10.1177/0269215516673884 .
doi: 10.1177/0269215516673884 pubmed: 27773874
Smith TO, Hilton G, Mansfield M, Mann CJV, Sackley CM. Does physical activity change following hip and knee arthroplasty? An analysis of data from the Osteoarthritis Initiative. Physiotherapy. 2018;104(1):80–90. https://doi.org/10.1016/j.physio.2017.02.001 .
doi: 10.1016/j.physio.2017.02.001 pubmed: 28917522
Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;386(9995):743–800.
doi: 10.1016/S0140-6736(15)60692-4
Lee CD, Folsom AR, Blair SN. Physical activity and stroke risk: a meta-analysis. Stroke. 2003;34(10):2475–81. https://doi.org/10.1161/01.STR.0000091843.02517.9D .
doi: 10.1161/01.STR.0000091843.02517.9D pubmed: 14500932
Laaksonen DE, Lindström J, Lakka TA, Eriksson JG, Niskanen L, Wikström K, et al. Physical activity in the prevention of type 2 diabetes: the Finnish diabetes prevention study. Diabetes. 2005;54(1):158–65. https://doi.org/10.2337/diabetes.54.1.158 .
doi: 10.2337/diabetes.54.1.158 pubmed: 15616024
Lee IM. Physical activity and cancer prevention--data from epidemiologic studies. Med Sci Sports Exerc. 2003;35(11):1823–7. https://doi.org/10.1249/01.MSS.0000093620.27893.23 .
doi: 10.1249/01.MSS.0000093620.27893.23 pubmed: 14600545
Nocon M, Hiemann T, Müller-Riemenschneider F, Thalau F, Roll S, Willich SN. Association of physical activity with all-cause and cardiovascular mortality: a systematic review and meta-analysis. Eur J Cardiovasc Prev Rehabil. 2008;15(3):239–46. https://doi.org/10.1097/HJR.0b013e3282f55e09 .
doi: 10.1097/HJR.0b013e3282f55e09 pubmed: 18525377
Smith TO, Parsons S, Fordham B, on behalf of the PEP-TALK Trial Collaborators, et al. Behaviour change physiotherapy intervention to increase physical activity following hip and knee replacement (PEP-TALK): study protocol for a pragmatic randomised controlled trial. BMJ Open. 2020;10(7):e035014. https://doi.org/10.1136/bmjopen-2019-035014 .
doi: 10.1136/bmjopen-2019-035014 pubmed: 32690503 pmcid: 7371148
SooHoo NF, Li Z, Chenok KE, Bozic KJ. Responsiveness of patient reported outcome measures in total joint arthroplasty patients. J Arthroplast. 2015;30(2):176–91. https://doi.org/10.1016/j.arth.2014.09.026 .
doi: 10.1016/j.arth.2014.09.026
Naal FD, Impellizzeri FM, Leunig M. Which is the best activity rating scale for patients undergoing total joint arthroplasty? Clin Orthop Relat Res. 2009;467(4):958–65. https://doi.org/10.1007/s11999-008-0358-5 .
doi: 10.1007/s11999-008-0358-5 pubmed: 18587624
Binkley JM, Stratford OW, Lott SA, Riddle DL. The Lower Extremity Functional Scale (LEFS): Scale development, measurement properties, and clinical application. Phys Ther. 1999;79(4):371–83.
pubmed: 10201543
Dawson J, Fitzpatrick R, Carr A, Murray D. Questionnaire on the perceptions of patients about total hip replacement. J Bone Joint Surg (Br). 1996;78(2):185–90.
doi: 10.1302/0301-620X.78B2.0780185
Dawson J, Fitzpatrick R, Murray D, Carr A. Questionnaire on the perceptions of patients about total knee replacement. J Bone Joint Surg (Br). 1998;80(1):63–9. https://doi.org/10.1302/0301-620X.80B1.0800063 .
doi: 10.1302/0301-620X.80B1.0800063
Murray DW, Fitzpatrick R, Rogers K, Pandit H, Beard DJ, Carr AJ, et al. The use of the Oxford hip and knee scores. J Bone Joint Surg (Br). 2007;89(8):1010–4. https://doi.org/10.1302/0301-620X.89B8.19424 PMID: 17785736.
doi: 10.1302/0301-620X.89B8.19424
Bonsaksen T, Kottorp A, Gay C, Fagermoen MS, Lerdal A. Rasch analysis of the General Self-Efficacy Scale in a sample of persons with morbid obesity. Health Qual Life Outcomes. 2013;11(1):202. https://doi.org/10.1186/1477-7525-11-202 .
doi: 10.1186/1477-7525-11-202 pubmed: 24268204 pmcid: 4222601
Miller RP, Kori S, Todd D. The Tampa Scale: a measure of kinesiophobia. Clin J Pain. 1991;7(1):51–2. https://doi.org/10.1097/00002508-199103000-00053 .
doi: 10.1097/00002508-199103000-00053
Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361–70. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x .
doi: 10.1111/j.1600-0447.1983.tb09716.x pubmed: 6880820
Herdman M, Gudex C, Lloyd A, Janssen MF, Kind P, Parkin D, et al. Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Qual Life Res. 2011;20(10):1727–36. https://doi.org/10.1007/s11136-011-9903-x .
doi: 10.1007/s11136-011-9903-x pubmed: 21479777 pmcid: 3220807
van Hout B, Janssen MF, Feng YS, Kohlmann T, Busschbach J, Golicki D, et al. Interim scoring for the EQ-5D-5L: mapping the EQ-5D-5 L to EQ-5D-3L value sets. Value Health. 2012;15(5):708–15. https://doi.org/10.1016/j.jval.2012.02.008 .
doi: 10.1016/j.jval.2012.02.008 pubmed: 22867780
Brooks R. EuroQol: the current state of play. Health Policy. 1996;37(1):53–72. https://doi.org/10.1016/0168-8510(96)00822-6 .
doi: 10.1016/0168-8510(96)00822-6 pubmed: 10158943
Bell M, King M, Fairclough D. Bias in area under the curve for longitudinal clinical trials with missing patient reported outcome data: summary measures versus summary statistics. SAGE Open. 2014. https://doi.org/10.1177/2158244014534858 .
Sullivan TR, White IR, Salter AB, Ryan P, Lee KJ. Should multiple imputation be the method of choice for handling missing data in randomized trials? Stat Methods Med Res. 2018;27(9):2610–26. https://doi.org/10.1177/0962280216683570 .
doi: 10.1177/0962280216683570 pubmed: 28034175
White IR, Royston P, Wood AM. Multiple imputation using chained equations: Issues and guidance for practice. Stat Med. 2011;30(4):377–99. https://doi.org/10.1002/sim.4067 Epub 2010 Nov 30. PMID: 21225900.
doi: 10.1002/sim.4067 pubmed: 21225900
Brookes ST, Whitley E, Peters TJ, Mulheran PA, Egger M, Davey Smith G. Subgroup analyses in randomised controlled trials: quantifying the risks of false-positives and false-negatives. Health Technol Assess. 2001;5(33):1–56. https://doi.org/10.3310/hta5330 .
doi: 10.3310/hta5330 pubmed: 11701102
Lamb SE, Lall R, Hansen Z, Castelnuovo E, Withers EJ, Nichols V, et al. Underwood M; BeST trial group. A multicentred randomised controlled trial of a primary care-based cognitive behavioural programme for low back pain. The Back Skills Training (BeST) trial. Health Technol Assess. 2010;14(41):1–253, iii-iv.
doi: 10.3310/hta14410
StataCorp. Stata statistical software: release 15. College Station: StatCorp LLC; 2017.
R Core Team. R: a language and environment for statistical computing. Vienna: R Foundation for Statistical Computing; 2019.
Finfer S, Bellomo R. Why publish statistical analysis plans? Crit Care Resusc. 2009;11(1):5–6.
pubmed: 19281437

Auteurs

Alexander Ooms (A)

Oxford Clinical Trials Research Unit, Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK. alexander.ooms@csm.ox.ac.uk.

Susan J Dutton (SJ)

Oxford Clinical Trials Research Unit, Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.

Scott Parsons (S)

Oxford Clinical Trials Research Unit, Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Centre for Rehabilitation Research in Oxford, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.

Beth Fordham (B)

Oxford Clinical Trials Research Unit, Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Centre for Rehabilitation Research in Oxford, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.

Caroline Hing (C)

University of London St George's Molecular and Clinical Sciences Research Institute, London, UK.

Sarah Lamb (S)

College of Medicine and Health Sciences, University of Exeter, Exeter, Devon, UK.

Toby Smith (T)

Centre for Rehabilitation Research in Oxford, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH