Subgroup and effect-modification plan

Scientific rationale → subgroup definitions → interaction approach → precision and interpretation plan

Flow diagram

Subgroup and effect-modification planSubgroup and effect-modification planF1.S1Scientific rationaleF1.S2Prespecified subgroup definitionsF1.S3Interaction model and effect scaleF1.S4Precision and multiplicityassessmentF1.S5Analysis and interpretation rulesF1.N1Subgroup analysis planSubgroupDefinitionTimingRationaleInteractionmethodRoleSubgroupF1.N2Interaction specificationF1.N3Effect-modification evidence

Steps

Scientific rationale

State why effect modification is plausible.

Prespecified subgroup definitions

Define subgroup variables, categories and timing before outcome review.

Interaction model and effect scale

Specify interaction contrast and scale rather than comparing within-subgroup significance.

Precision and multiplicity assessment

Assess sample support, uncertainty and confirmatory versus exploratory status.

Analysis and interpretation rules

Specify estimation, reporting and limits for small or sparse subgroups.

Tables and supporting information

Subgroup analysis plan

Subgroup analysis planSubgroupDefinitionTimingRationaleInteractionmethodRoleSubgroup

Use one row per prespecified subgroup and define handling of missing subgroup variables.

Interaction specification

Enter the interaction model and contrast for the chosen outcome and effect scale.

Effect-modification evidence

Record the scientific basis for each subgroup.

Sources