The Norsjö-Cooperstown healthy heart project: a case study combining data from different studies without the use of meta-analysis

Scand J Public Health Suppl. 2001:56:40-5.

Abstract

Objectives: This paper aims to develop and describe a method for combining. comparing, and maximizing the statistical power of two longitudinal studies of risk factors for cardiovascular disease that did not have identical data collection methodologies.

Methods: Subjects from a 1986 cross-sectional study (n = 180) were pair-matched with subjects of corresponding gender and age (+5 years) from a 1990 cross-sectional study. The methodology is described and results are calculated for various measures of cardiovascular risk or risk factors (e.g. cholesterol. Finnish Risk Score).

Results: Box's test of equality and symmetry of covariance matrices gave chi-square values of 223.8 and 710.0 for two cardiovascular risk factors (cholesterol and cardiac risk score, respectively); these values were highly significant (p=0.0001) For the North Karelia Risk Score, repeated measures ANOVA revealed a borderline significant interaction for treatment by time (p=0.054) and a significant interaction for treatment by time by country (p=0.035). These probabilities compared favorably with a randomized blocks model.

Conclusions: Creation of a synthetic longitudinal control group resulted in a statistically valid ANOVA model that increased the statistical power of the study.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Adult
  • Aged
  • Analysis of Variance
  • Blood Pressure
  • Cardiovascular Diseases / epidemiology
  • Cardiovascular Diseases / prevention & control*
  • Cholesterol / blood
  • Community Health Planning / organization & administration*
  • Cross-Cultural Comparison
  • Female
  • Health Behavior
  • Health Promotion / organization & administration*
  • Humans
  • Longitudinal Studies
  • Male
  • Meta-Analysis as Topic
  • Middle Aged
  • New York / epidemiology
  • Organizational Case Studies
  • Outcome Assessment, Health Care
  • Pilot Projects
  • Program Evaluation*
  • Public Health Practice*
  • Risk Factors
  • Rural Health*
  • Sweden / epidemiology

Substances

  • Cholesterol