Developing prediction models for total knee replacement surgery in patients with osteoarthritis: Statistical analysis plan.

ABS, Australian Bureau of Statistics AIHW, Australian Institute of Health and Welfare AOANJRR, Australian Orthopaedic Association National Joint Replacement Registry ATC, Anatomical Therapeutic Chemical BMI, Body Mass Index CPT, clinical prediction tool Clinical prediction tools DQA, data quality assessment EMR, electronic medical record Electronic health record Electronic medical record GP, General Practitioner General practice KOS-ADLS, Knee Outcome Survey-Activities of Daily Living Subscale Knee replacement NDI, National Death Index NPS, National Prescribing Service OA, osteoarthritis OARSI, Osteoarthritis Research Society International OMERACT, Outcome Measures in Rheumatology Prediction models Primary care SAP, statistical analysis plan SF-12, 12-Item Short Form Survey SF-36, 36-Item Short Form Health Survey Statistical analysis plan TKR, total knee replacement

Journal

Osteoarthritis and cartilage open
ISSN: 2665-9131
Titre abrégé: Osteoarthr Cartil Open
Pays: England
ID NLM: 101767068

Informations de publication

Date de publication:
Dec 2020
Historique:
received: 16 07 2020
accepted: 17 11 2020
entrez: 7 12 2022
pubmed: 24 11 2020
medline: 24 11 2020
Statut: epublish

Résumé

Approximately 12-20% of those with osteoarthritis (OA) in Australia who undergo total knee replacement (TKR) surgery do not report any clinical improvement. There is a need to develop prediction tools for use in general practice that allow early identification of patients likely to undergo TKR and those unlikely to benefit from the surgery. First-line treatment strategies can then be implemented and optimised to delay or prevent the need for TKR. The identification of potential non-responders to TKR may provide the opportunity for new treatment strategies to be developed and help ensure surgery is reserved for those most likely to benefit. This statistical analysis plan (SAP) details the statistical methodology used to develop such prediction tools. To describe in detail the statistical methods used to develop and validate prediction models for TKR surgery in Australian patients with OA for use in general practice. This SAP contains a brief justification for the need for prediction models for TKR surgery in general practice. A description of the data sources that will be linked and used to develop the models, and estimated sample sizes is provided. The planned methodologies for candidate predictor selection, model development, measuring model performance and internal model validation are described in detail. Intended table layouts for presentation of model results are provided. Consistent with best practice guidelines, the statistical methodologies outlined in this SAP have been pre-specified prior to data pre-processing and model development.

Sections du résumé

Background UNASSIGNED
Approximately 12-20% of those with osteoarthritis (OA) in Australia who undergo total knee replacement (TKR) surgery do not report any clinical improvement. There is a need to develop prediction tools for use in general practice that allow early identification of patients likely to undergo TKR and those unlikely to benefit from the surgery. First-line treatment strategies can then be implemented and optimised to delay or prevent the need for TKR. The identification of potential non-responders to TKR may provide the opportunity for new treatment strategies to be developed and help ensure surgery is reserved for those most likely to benefit. This statistical analysis plan (SAP) details the statistical methodology used to develop such prediction tools.
Objective UNASSIGNED
To describe in detail the statistical methods used to develop and validate prediction models for TKR surgery in Australian patients with OA for use in general practice.
Methods UNASSIGNED
This SAP contains a brief justification for the need for prediction models for TKR surgery in general practice. A description of the data sources that will be linked and used to develop the models, and estimated sample sizes is provided. The planned methodologies for candidate predictor selection, model development, measuring model performance and internal model validation are described in detail. Intended table layouts for presentation of model results are provided.
Conclusion UNASSIGNED
Consistent with best practice guidelines, the statistical methodologies outlined in this SAP have been pre-specified prior to data pre-processing and model development.

Identifiants

pubmed: 36474876
doi: 10.1016/j.ocarto.2020.100126
pii: S2665-9131(20)30126-6
pmc: PMC9718256
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100126

Informations de copyright

© 2020 The Authors.

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Auteurs

Sharmala Thuraisingam (S)

Department of Surgery, University of Melbourne, 29 Regent Street, Fitzroy, Victoria 3065, Australia.

Michelle Dowsey (M)

Department of Surgery, University of Melbourne, 29 Regent Street, Fitzroy, Victoria 3065, Australia.

Jo-Anne Manski-Nankervis (JA)

Department of General Practice, University of Melbourne, 780 Elizabeth Street, Parkville, Victoria 3010, Australia.

Tim Spelman (T)

Department of Surgery, University of Melbourne, 29 Regent Street, Fitzroy, Victoria 3065, Australia.
Karolinska Institute, Solnavagen 1, 171 77 Solna, Sweden.

Peter Choong (P)

Department of Surgery, University of Melbourne, 29 Regent Street, Fitzroy, Victoria 3065, Australia.

Jane Gunn (J)

Faculty of Medicine Dentistry & Health Sciences, Level 2, Alan Gilbert Building, Carlton, Victoria 3053, Australia.

Patty Chondros (P)

Department of General Practice, University of Melbourne, 780 Elizabeth Street, Parkville, Victoria 3010, Australia.

Classifications MeSH