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Table 2 Outcome measures, their priorities, times of measurement, mathematical types and analytical categories (defining the statistical analysis to which they will be subjected)

From: Selenium supplementation for patients with Graves’ hyperthyroidism (the GRASS trial): study protocol for a randomized controlled trial

Outcome

Times of measurements

Type of quantity

Regression analysis to be applied

Primary outcome

   

ATD treatment failure

End of trial

Binary

Logistic regression

Secondary outcomes

   

1. ATD treatment within last 12 months

End of trial

Binary

Logistic regression

2. Thyroid hyperfunction after ATD treatment withdrawal

End of trial

Binary

Logistic regression

3. Ablative therapy

End of trial

Binary

Logistic regression

4. Global QoL ThyPRO score

a) Time sequence of five measurements

Numerical

a) Mixed-model with repeated measures (MMRM)

b)12 months following ATD treatment withdrawal

b) General linear univariate model. As sensitivity analysis: Mann-Whitney test

5. Level of TRAb

After 18 months and at the end of intervention period

Numerical

General linear univariate model. As sensitivity analysis: Mann-Whitney test

6. ThyPRO - hyperthyroid symptoms

a) Time sequence of five measurements

Numerical

a) Mixed-model with repeated measures (MMRM)

b) 12 months following ATD treatment withdrawal

b) General linear univariate model. As sensitivity analysis: Mann-Whitney test

7. ThyPRO - eye symptoms

a) Time sequence of five measurements

Numerical

a) Mixed-model with repeated measures (MMRM)

b) 12 months following ATD treatment withdrawal

b) General linear univariate model. As sensitivity analysis: Mann-Whitney test

8. Adverse reactions

End of trial

Rate = count/period of intervention/day

Generalised linear model, Poisson distribution, link = log. As sensitivity analysis: Mann-Whitney test

9. Serious adverse reactions

End of trial

Rate = count/period of intervention/day

Generalised linear model, Poisson distribution, link = log. As sensitivity analysis: Mann-Whitney test

Exploratory outcomes

   

1. Time to ATD withdrawal §

End of trial

Numerical (time until ATD withdrawal (or censoring))

Cox proportional hazard rate model.As sensitivity analysis: Kaplan-Meier estimates of survival function

2. Incidence of Graves’ orbitopathy - CAS score

End of trial

Binary (CAS >1)

Logistic regression

3. ThyPRO - Hypothyroid symptoms

a) Time sequence of five measurements

Numerical

a) Mixed-model with repeated measures (MMRM)

 

b) 12 months following ATD treatment withdrawal

 

b) General linear univariate model. As sensitivity analysis: MannWhitney test

  1. This analysis (2) includes four measurements relative to the reference time (6 weeks, 12 weeks, 6 months and 12 months). This analysis (3) includes one measurement (12 months following ATD treatment withdrawal or failure to withdraw (alternative treatment instituted or deadline expired)) relative to a different reference time. §End of ATD treatment or censoring at 18 months after randomisation or ablative surgery, provided the latter takes place during ATD treatment and prior to time of censoring. ATD, anti-thyroid drugs; QoL, quality of life; ThyPRO, thyroid patient-reported outcome; TRAb, TSH-receptor antibodies; CAS, clinical activity score.