Affiliation:
1. University of Exeter Medical School
2. Royal Devon University Healthcare NHS Foundation Trust
Abstract
Abstract
Background: The HemiSPAIRE trial is being conducted to determine whether a modified muscle sparing technique (SPAIRE - “Save Piriformis and Internus, Repairing Externus”) in hip hemiarthroplasty brings clinical benefits compared to the standard lateral technique in adults aged 60 years or older, with a displaced intracapsular hip fracture. This article describes the detailed statistical analysis plan for the trial.Methods and design: HemiSPAIRE is a definitive, pragmatic, superiority, multicentre, randomised controlled trial (with internal pilot) with two parallel groups. Participants, ward staff and all research staff involved in post-operative assessments are blinded to allocation. This article describes in detail (1) the primary and secondary outcomes, (2) the statistical analysis principles, including: a survivor average causal effect (SACE) method chosen specifically to address the issue of potential bias from differential survival between trial arms, which was seen from data review by the Trial Steering Committee; the participants that will be included in each analysis; the covariates that will be included in each analysis, and how the results will be presented, (3) planned main analysis of the primary outcome; (4) planned analyses of the secondary outcomes, (5) planned additional analyses of the primary and secondary outcomes.Trial registration: ClinicalTrials.gov NCT04095611. Registered on 19 September 2019.
Publisher
Research Square Platform LLC
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