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Sun S, Li Z, Mou K. Interval estimation of common risk difference for stratified unilateral and bilateral data✩. J Biopharm Stat 2024:1-21. [PMID: 38180054 DOI: 10.1080/10543406.2023.2296062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Accepted: 12/04/2023] [Indexed: 01/06/2024]
Abstract
In clinical trials, unilateral or bilateral data can usually be encountered if a subject contributes one or both of paired organs. For the bilateral data, responses from two paired body parts are correlated. In this paper, we study various confidence intervals of common risk difference in stratified unilateral and bilateral data based on the Dallal's model. Simulation results show that the score method outperforms other methods and provides coverage probability close to the nominal level and satisfactory coverage width. Hence, the method is recommended. In addition, the inverse hyperbolic tangent Wald-type become as optimal as the score method with the increase of sample sizes. An otolaryngology example is used to demonstrate the proposed methods.
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Affiliation(s)
- Shuman Sun
- College of Science, Nanjing University of Posts and Telecommunications, NanJing, China
| | - Zhiming Li
- College of Mathematics and System Science, Xinjiang University, Urumqi, China
| | - Keyi Mou
- College of Mathematics and System Science, Xinjiang University, Urumqi, China
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Jarecki J, Potoczniak B, Dziedzic A, Małecka-Masalska T, Skrzypek T, Kazimierczak W, Skowronek M, Wójciak M, Dresler S, Waśko M, Sowa I. Impact of the Body Composition on Knee Osteoarthritis Assessed Using Bioimpedance Analysis. J Clin Med 2023; 12:7037. [PMID: 38002651 PMCID: PMC10672022 DOI: 10.3390/jcm12227037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Revised: 11/08/2023] [Accepted: 11/09/2023] [Indexed: 11/26/2023] Open
Abstract
Osteoarthritis (OA) ranks among the most prevalent inflammatory diseases affecting the musculoskeletal system and is a leading cause of disability globally, impacting approximately 250 million individuals. This study aimed to assess the relationship between the severity of knee osteoarthritis (KOA) and body composition in postmenopausal women using bioimpedance analysis (BIA). The study included 58 postmenopausal females who were candidates for total knee arthroplasty. The control group consisted of 25 postmenopausal individuals with no degenerative knee joint changes. The anthropometric analysis encompassed the body mass index (BMI), mid-arm and mid-thigh circumferences (MAC and MTC), and triceps skinfold thickness (TSF). Functional performance was evaluated using the 30 s sit-to-stand test. During the BIA test, electrical parameters such as membrane potential, electrical resistance, capacitive reactance, impedance, and phase angle were measured. Additionally, body composition parameters, including Total Body Water (TBW), Extracellular Water (ECW), Intracellular Water (ICW), Body Cellular Mass (BCM), Extracellular Mass (ECM), Fat-Free Mass (FFM), and Fat Mass (FM), were examined. The study did not find any statistically significant differences in the electrical parameters between the control (0-1 grade on the K-L scale) and study groups (3-4 grade on the K-L scale). However, statistically significant differences were observed in BMI, fat mass (FM), arm circumference, triceps skinfold thickness, and sit-to-stand test results between the analyzed groups. In conclusion, the association between overweight and obesity with KOA in postmenopausal women appears to be primarily related to the level of adipose tissue and its metabolic activity.
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Affiliation(s)
- Jaromir Jarecki
- Department of Rehabilitation and Orthopaedics, Medical University of Lublin, 20-059 Lublin, Poland
| | - Bartosz Potoczniak
- Department of Orthopaedics and Traumatology, Regional Hospital in Chełm, 22-100 Chełm, Poland;
| | - Artur Dziedzic
- Department of Orthopaedics and Traumatology, Regional Hospital in Tarnobrzeg, 39-400 Tarnobrzeg, Poland;
| | | | - Tomasz Skrzypek
- Department of Biomedicine and Environmental Research, Faculty of Medicine, John Paul II Catholic University of Lublin, 20-708 Lublin, Poland; (T.S.); (W.K.); (M.S.)
| | - Waldemar Kazimierczak
- Department of Biomedicine and Environmental Research, Faculty of Medicine, John Paul II Catholic University of Lublin, 20-708 Lublin, Poland; (T.S.); (W.K.); (M.S.)
| | - Marcin Skowronek
- Department of Biomedicine and Environmental Research, Faculty of Medicine, John Paul II Catholic University of Lublin, 20-708 Lublin, Poland; (T.S.); (W.K.); (M.S.)
| | - Magdalena Wójciak
- Department of Analytical Chemistry, Medical University of Lublin, 20-059 Lublin, Poland; (M.W.); (S.D.); (I.S.)
| | - Sławomir Dresler
- Department of Analytical Chemistry, Medical University of Lublin, 20-059 Lublin, Poland; (M.W.); (S.D.); (I.S.)
- Department of Plant Physiology and Biophysics, Institute of Biological Sciences, Maria Curie-Skłodowska University, 20-033 Lublin, Poland
| | - Marcin Waśko
- Department of Radiology and Imaging, The Medical Centre of Postgraduate Education, 01-813 Warsaw, Poland;
| | - Ireneusz Sowa
- Department of Analytical Chemistry, Medical University of Lublin, 20-059 Lublin, Poland; (M.W.); (S.D.); (I.S.)
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