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Table 6 Selected recommendations for writing a statistical analysis plan for a multicenter trial where sparse or no events may occur within a center or stratification variable

From: Analysis of multicenter clinical trials with very low event rates

Number of centers

RE

MH

GEE

GEE-small sample correction

Small number of centers (e.g., 5)

Recommended

X

Low type I error and power

X

Inflated type I error

X

Nominal type I error, but low power

Convergence issues

Moderate or large number of centers (e.g., 50 to 100)

Recommended (slightly biased odds ratio with a small total sample size (e.g., 200))

X

Low type I error and power

Convergence issues when the sample size is small (e.g., 200)

Slightly inflated type I error in some scenarios

Recommended

  1. GEE generalized estimating equations, MH Mantel–Haenszel, RE random-effects (i.e., random center intercept)
  2. X: We do not recommend this method
  3. : Consider other methods or use with caution