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Table 1 Statistical analysis plan summary

From: Femoroacetabular Impingement Randomised controlled Trial (FIRST) - a multi-centre randomized controlled trial comparing arthroscopic lavage and arthroscopic osteochondroplasty on patient important outcomes and quality of life in the treatment of young adult (18–50 years) femoroacetabular impingement: a statistical analysis plan

Objective

Outcome

Hypothesis

Method of analysisa

Name

Type

Primary objective

 To compare pain levels at 1 year

Pain (VAS)

Continuous

Osteochondroplasty will reduce pain compared to lavage

Multiple linear regression

Secondary objectives 1

 To compare patient-reported health-related quality of life

Hip function (HOS)

Continuous

Osteochondroplasty will improve health-related quality of life, function, and utility compared to lavage

Multiple linear regression

Hip-specific disease on hip function (iHOT-12)

Continuous

Physical health (SF-12 PCS)

Continuous

Mental health (SF-12 MCS)

Continuous

Health Utility (EQ-5D)

Continuous

Secondary objective 2

 To compare hip complications

Hip-related complications (e.g. re-operation)

Binary

Osteochondroplasty will reduce rate of re-operations compared to lavage

Multiple logistic regression

Subgroup analysis

 Hip impingement severity: mild (alpha angle < 60 – > 50 degrees), moderate (alpha angle > 60 – < 83°), severe (alpha angle > 83°)

Pain (VAS)

Continuous

Patients with severe impingement at baseline will have the greatest improvement with the osteochondroplasty procedure compared with those with moderate to mild impingement

Multiple linear regression

 Gender: male, female

Pain (VAS)

Continuous

The osteochondroplasty procedure will perform better in males

Multiple linear regression

 Cartilage status (based on Tonnis and Heinecke classification): grades 3 and 4, grades 1 and 2

Pain (VAS)

Continuous

Osteochondroplasty will perform worse in patients with worse cartilage status (i.e. grades 3 and 4)

Multiple linear regression

 Treatment of the labrum: labral repair, resection

Pain (VAS)

Continuous

Patients receiving a labral repair will perform better than those receiving a resection as part of the osteochondroplasty procedure

Multiple linear regression

Sensitivity analysis

 Trial site (centre-effects)

Pain (VAS)

Continuous

We do not expect the effect to change substantially when centre-effects are removed from the primary analysis

Multiple linear regression with centre-effects removed

 Missing data effect

Pain (VAS)

Continuous

We do not expect the effect to change substantially without imputation for missing data

Multiple linear regression with complete cases only

 Potential baseline imbalance

Pain (VAS)

Continuous

Results will remain robust after adjusting for potential baseline imbalance on age, any comorbidities, onset of symptoms, and presence of labral tears at initial surgery

Multiple linear regression with complete cases only

  1. *All regression analyses will be controlled for centre as a stratification variableVAS: Visual Analogue Scale, SF: Short Form, PCS: Physical Component Summary, MCS: Mental Component Summary, HOS:Hip Outcome Score, iHOT: International Hip Outcome Tool, EQ-5D: Euroqol-5 Dimensions