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2型糖尿病优化结构化监测以改善临床结局的全科医疗试验(GP-OSMOTIC)最新进展:一项多中心随机对照试验的统计分析计划

Update on the General Practice Optimising Structured Monitoring to Improve Clinical Outcomes in Type 2 Diabetes (GP-OSMOTIC) trial: statistical analysis plan for a multi-centre randomised controlled trial.

作者信息

Thuraisingam Sharmala, Chondros Patty, Catchpool Max, Dalziel Kim, Manski-Nankervis Jo-Anne, Speight Jane, Holmes-Truscott Elizabeth, Audehm Ralph, Chiang Jason, Blackberry Irene, O'Neal David, Khunti Kamlesh, Best James, Furler John

机构信息

Department of General Practice, University of Melbourne, 200 Berkeley St, Carlton, VIC, 3053, Australia.

Centre for Health Policy, University of Melbourne, Level 4, 207 Bouverie St, Carlton, VIC, 3053, Australia.

出版信息

Trials. 2019 Jan 30;20(1):93. doi: 10.1186/s13063-018-3126-1.

Abstract

BACKGROUND

General Practice Optimising Structured Monitoring to Improve Clinical Outcomes in Type 2 Diabetes (GP-OSMOTIC) is a multicentre, individually randomised controlled trial aiming to compare the use of intermittent retrospective continuous glucose monitoring (r-CGM) to usual care in patients with type 2 diabetes attending general practice. The study protocol was published in the British Medical Journal Open and described the principal features of the statistical methods that will be used to analyse the trial data. This paper provides greater detail on the statistical analysis plan, including background and justification for the statistical methods chosen, in accordance with SPIRIT guidelines.

OBJECTIVE

To describe in detail the data management process and statistical methods that will be used to analyse the trial data.

METHODS

An overview of the trial design and primary and secondary research questions are provided. Sample size assumptions and calculations are explained, and randomisation and data management processes are described in detail. The planned statistical analyses for primary and secondary outcomes and sub-group analyses are specified along with the intended table layouts for presentation of the results.

CONCLUSION

In accordance with best practice, all analyses outlined in the document are based on the aims of the study and have been pre-specified prior to the completion of data collection and outcome analyses.

TRIAL REGISTRATION

Australian New Zealand Clinical Trials Registry, ACTRN12616001372471 . Registered on 3 August 2016.

摘要

背景

全科医疗优化结构化监测以改善2型糖尿病临床结局(GP - OSMOTIC)是一项多中心、个体随机对照试验,旨在比较2型糖尿病患者在全科医疗中使用间歇性回顾性动态血糖监测(r - CGM)与常规治疗的效果。该研究方案发表于《英国医学杂志公开版》,并描述了将用于分析试验数据的统计方法的主要特征。本文根据SPIRIT指南,更详细地介绍了统计分析计划,包括所选统计方法的背景和依据。

目的

详细描述将用于分析试验数据的数据管理过程和统计方法。

方法

提供了试验设计以及主要和次要研究问题的概述。解释了样本量假设和计算方法,并详细描述了随机化和数据管理过程。明确了针对主要和次要结局的计划统计分析以及亚组分析,同时给出了结果呈现的预期表格布局。

结论

根据最佳实践,本文档中概述的所有分析均基于研究目的,且在数据收集和结局分析完成之前已预先确定。

试验注册

澳大利亚新西兰临床试验注册中心,ACTRN12616001372471。于2016年8月3日注册。

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