Gout & crystal arthritis

The statistical challenge of analysing changes in dual energy computed tomography (DECT) urate volumes in people with gout

Semin Arthritis RheumPublished Methodological study

Authors' conclusion

Normalising highly skewed DECT urate volume data is challenging.

Study context

Population
People with gout with baseline and year 1 DECT urate volumes100 simulated
Comparison
Five data transformation methods (log, Box-Cox, log(X-(min(X)-1)), inverse hyperbolic sine, rank order) for analysing change in DECT urate volumes
Outcome
Ability to normalise DECT urate volume data and determine change in DECT urate volume (linear regression; Cohen's d effect size)
Follow-up
Year 1
Methodological detailssimulated datasets from two RCTs, validation clinical trial dataset
  • Simulated datasets from two RCTs
  • Validation clinical trial dataset

Performance

As reported in the abstract

  • No data treatment method successfully normalised the distribution of DECT urate volumes
  • Significant reductions in DECT urate volumes between baseline and Year 1 across all data treatment methods, simulated and validation data sets
  • No significant differences in Cohen's d effect sizes

Original publication

The statistical challenge of analysing changes in dual energy computed tomography (DECT) urate volumes in people with gout. Semin Arthritis Rheum. Published 2 November 2023. doi:10.1016/j.semarthrit.2023.152303

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