Statistical methods in the analysis of multicentre HIV randomized controlled trials in the African region: a scoping review

Abstract Background The majority of phase 3 clinical trials are implemented in multiple sites or centres, which inevitably leads to a correlation between observations from the same site or centre. This correlation must be carefully considered in both the design and the statistical analysis to ensure...

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Main Authors: Mikateko Mazinu, Nomonde Gwebushe, Samuel Manda, Tarylee Reddy
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Medical Research Methodology
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Online Access:https://doi.org/10.1186/s12874-024-02441-w
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author Mikateko Mazinu
Nomonde Gwebushe
Samuel Manda
Tarylee Reddy
author_facet Mikateko Mazinu
Nomonde Gwebushe
Samuel Manda
Tarylee Reddy
author_sort Mikateko Mazinu
collection DOAJ
description Abstract Background The majority of phase 3 clinical trials are implemented in multiple sites or centres, which inevitably leads to a correlation between observations from the same site or centre. This correlation must be carefully considered in both the design and the statistical analysis to ensure an accurate interpretation of the results and reduce the risk of biased results. This scoping review aims to provide a detailed statistical method used to analyze data collected from multicentre HIV randomized controlled trials in the African region. Methods This review followed the methodological framework proposed by Arksey and O’Malley. We searched four databases (PubMed, EBSCOhost, Scopus, and Web of Science) and retrieved 977 articles, 34 of which were included in the review. Results Data charting revealed that the most used statistical methods for analysing HIV endpoints in multicentre randomized controlled trials in Africa were standard survival analysis techniques (24 articles [71%]). Approximately 47% of the articles used stratified analysis methods to account for variations across different sites. Out of 34 articles reviewed, only 6 explicitly considered intra-site correlation in the analysis. Conclusions Our scoping review provides insights into the statistical methods used to analyse HIV data in multicentre randomized controlled trials in Africa and highlights the need for standardized reporting of statistical methods.
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spelling doaj-art-05a47ea6378c47e9b58028dfae7d5e2c2025-01-12T12:28:49ZengBMCBMC Medical Research Methodology1471-22882025-01-0125111210.1186/s12874-024-02441-wStatistical methods in the analysis of multicentre HIV randomized controlled trials in the African region: a scoping reviewMikateko Mazinu0Nomonde Gwebushe1Samuel Manda2Tarylee Reddy3Biostatistics Research Unit, South African Medical Research CouncilBiostatistics Research Unit, South African Medical Research CouncilDepartment of Statistics, University of PretoriaBiostatistics Research Unit, South African Medical Research CouncilAbstract Background The majority of phase 3 clinical trials are implemented in multiple sites or centres, which inevitably leads to a correlation between observations from the same site or centre. This correlation must be carefully considered in both the design and the statistical analysis to ensure an accurate interpretation of the results and reduce the risk of biased results. This scoping review aims to provide a detailed statistical method used to analyze data collected from multicentre HIV randomized controlled trials in the African region. Methods This review followed the methodological framework proposed by Arksey and O’Malley. We searched four databases (PubMed, EBSCOhost, Scopus, and Web of Science) and retrieved 977 articles, 34 of which were included in the review. Results Data charting revealed that the most used statistical methods for analysing HIV endpoints in multicentre randomized controlled trials in Africa were standard survival analysis techniques (24 articles [71%]). Approximately 47% of the articles used stratified analysis methods to account for variations across different sites. Out of 34 articles reviewed, only 6 explicitly considered intra-site correlation in the analysis. Conclusions Our scoping review provides insights into the statistical methods used to analyse HIV data in multicentre randomized controlled trials in Africa and highlights the need for standardized reporting of statistical methods.https://doi.org/10.1186/s12874-024-02441-wMulticentre trialsRandomized control trialsScoping reviewHIV/AIDS trials
spellingShingle Mikateko Mazinu
Nomonde Gwebushe
Samuel Manda
Tarylee Reddy
Statistical methods in the analysis of multicentre HIV randomized controlled trials in the African region: a scoping review
BMC Medical Research Methodology
Multicentre trials
Randomized control trials
Scoping review
HIV/AIDS trials
title Statistical methods in the analysis of multicentre HIV randomized controlled trials in the African region: a scoping review
title_full Statistical methods in the analysis of multicentre HIV randomized controlled trials in the African region: a scoping review
title_fullStr Statistical methods in the analysis of multicentre HIV randomized controlled trials in the African region: a scoping review
title_full_unstemmed Statistical methods in the analysis of multicentre HIV randomized controlled trials in the African region: a scoping review
title_short Statistical methods in the analysis of multicentre HIV randomized controlled trials in the African region: a scoping review
title_sort statistical methods in the analysis of multicentre hiv randomized controlled trials in the african region a scoping review
topic Multicentre trials
Randomized control trials
Scoping review
HIV/AIDS trials
url https://doi.org/10.1186/s12874-024-02441-w
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AT samuelmanda statisticalmethodsintheanalysisofmulticentrehivrandomizedcontrolledtrialsintheafricanregionascopingreview
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