Jin (2022)

Osteoarthritis

Rheumatology • Registry Data • US

Study Metrics
Total Sample 1566
Treatment Group 237
Control Group 1329
Covariates 12
PICO Comparisons 2
Quality Indicators
Transparency High
DAG Usage No
QBA Performed No

Study Information

First Author: Jin
Publication Year: 2022
DOI: https://doi.org/10.1016/j.joca.2022.06.005
Preprint: No preprint

Institution & Funding

Institution Type: Academic
Institutions: University of New South Wales, University of Sydney, Southern Medical University, University of Tasmania
Funding: Declared: Public
Funding Institutions: XJ received salary support from an NHMRC Early Career Fellowship (1104600), and DJH received salary support an NHMRC Investigator Grant (1194737). There are no other funding sources for this study.

Study Context

Disease: Osteoarthritis
Disease Category: Rheumatology
Data Type: Registry
Number of Data Sources: 1
Geography: US
Eligible Sample: 5419.0
Number of Treatments: 2

Analytical Methods

Missing Data Method: Complete case
Matching Method: IPTW
Analysis Method: Hierarchical linear mixed models
Estimand: ITT

Quality Methods

Directed Acyclic Graph (DAG) Not Used
Quantitative Bias Analysis (QBA) Not Performed

Target Trial Information

Target Trial Name: Sanghi et al
Target Trial DOI: https://doi.org/10.1007/s11999-013-3201-6

TTE vs RCT Comparisons

Detailed comparison between Target Trial Emulation results and corresponding Randomized Controlled Trial outcomes.

Change in WOMAC function score at 24 months
Sanghi et al., McAlindon et al., Arden et al., Jin et al.
SMD Efficacy
Population

Patients aged ≥45 years with symptomatic knee osteoarthritis (KOA)

Intervention

Daily vitamin D supplementation of 1,000 IU for at least 4 days/week in the past 30 days

Comparison

No vitamin D supplementation in the past 30 days

Outcome

Change in WOMAC function score at 24 months

RCT Result

-0.92

95% CI: [-1.32, -0.51]


vs
TTE Result

0.02

95% CI: [-0.11, 0.15]

Concordance Assessment
Confidence Interval Overlap: No
CIs do not overlap
Direction Agreement: Different Direction
Different conclusions
Change in WOMAC pain score at 24 months
Sanghi et al., McAlindon et al., Arden et al., Jin et al.
SMD Efficacy
Population

Patients aged ≥45 years with symptomatic knee osteoarthritis (KOA)

Intervention

Daily vitamin D supplementation of 1,000 IU for at least 4 days/week in the past 30 days

Comparison

No vitamin D supplementation in the past 30 days

Outcome

Change in WOMAC pain score at 24 months

RCT Result

-0.39

95% CI: [-0.78, 0.00]


vs
TTE Result

0.08

95% CI: [-0.07, 0.23]

Concordance Assessment
Confidence Interval Overlap: Yes
CIs overlap, suggesting concordance
Direction Agreement: Different Direction
Different conclusions

Transparency Indicators

Protocol Registration Available
Data Sharing Not Available
Code Sharing Not Available
Overall Transparency Score:
High Transparency - This study meets good transparency standards.

Conflicts & Funding

Conflicts of Interest: Declared: Financial
COI Institutions: Pfizer, Lilly, Novartis, Merck Serono, TLCBio, Kolon Tissuegene
Funding Source: Declared: Public
Funding Institutions: XJ received salary support from an NHMRC Early Career Fellowship (1104600), and DJH received salary support an NHMRC Investigator Grant (1194737). There are no other funding sources for this study.