Conditional power for assessing population interventions

J Comp Eff Res. 2018 Oct;7(10):1027-1035. doi: 10.2217/cer-2018-0053. Epub 2018 Aug 22.

Abstract

Aim: To calculate conditional power in comparative two-period studies with previously observed baseline data.

Method: Isolate the variability attributable to the yet-to-observed data and modify the standard power formulae.

Results: For illustration, we examine rates of opioid overdose before and after a reformulation of one opioid product. The null hypothesis posited no impact of the reformulation, alternative hypotheses posited possible impacts, and ancillary hypotheses posited different secular pre-post changes directly observable in comparators. Conditional power varied with the size of the comparator population and with the assumed pre-post change for the comparator.

Conclusion: Pre-post designs can be initiated after the baseline period is over. Power calculations that are conditioned on observed baseline data account differently for variability in the baseline and follow-up periods.

Keywords: abuse-deterrent products; difference-in-difference; opioid overdose; power; study design.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analgesics, Opioid / administration & dosage
  • Analgesics, Opioid / chemistry*
  • Analgesics, Opioid / poisoning
  • Capsules
  • Delayed-Action Preparations
  • Drug Compounding
  • Humans
  • Opioid-Related Disorders / epidemiology*
  • Opioid-Related Disorders / prevention & control
  • Oxycodone / administration & dosage
  • Oxycodone / chemistry*
  • Oxycodone / poisoning
  • Population Surveillance
  • Tablets
  • United States

Substances

  • Analgesics, Opioid
  • Capsules
  • Delayed-Action Preparations
  • Tablets
  • Oxycodone