One-stage and two-stage meta-analysis of individual participant data led to consistent summarized evidence: lessons learned from combining multiple databases

2018 ◽  
Vol 95 ◽  
pp. 19-27 ◽  
Author(s):  
Lorenza Scotti ◽  
Federico Rea ◽  
Giovanni Corrao
Author(s):  
Lies Declercq ◽  
Laleh Jamshidi ◽  
Belén Fernández Castilla ◽  
Mariola Moeyaert ◽  
S. Natasha Beretvas ◽  
...  

PLoS ONE ◽  
2013 ◽  
Vol 8 (4) ◽  
pp. e60650 ◽  
Author(s):  
Thomas P. A. Debray ◽  
Karel G. M. Moons ◽  
Ghada Mohammed Abdallah Abo-Zaid ◽  
Hendrik Koffijberg ◽  
Richard David Riley

2017 ◽  
Vol 27 (10) ◽  
pp. 2885-2905 ◽  
Author(s):  
Richard D Riley ◽  
Joie Ensor ◽  
Dan Jackson ◽  
Danielle L Burke

Many meta-analysis models contain multiple parameters, for example due to multiple outcomes, multiple treatments or multiple regression coefficients. In particular, meta-regression models may contain multiple study-level covariates, and one-stage individual participant data meta-analysis models may contain multiple patient-level covariates and interactions. Here, we propose how to derive percentage study weights for such situations, in order to reveal the (otherwise hidden) contribution of each study toward the parameter estimates of interest. We assume that studies are independent, and utilise a decomposition of Fisher’s information matrix to decompose the total variance matrix of parameter estimates into study-specific contributions, from which percentage weights are derived. This approach generalises how percentage weights are calculated in a traditional, single parameter meta-analysis model. Application is made to one- and two-stage individual participant data meta-analyses, meta-regression and network (multivariate) meta-analysis of multiple treatments. These reveal percentage study weights toward clinically important estimates, such as summary treatment effects and treatment-covariate interactions, and are especially useful when some studies are potential outliers or at high risk of bias. We also derive percentage study weights toward methodologically interesting measures, such as the magnitude of ecological bias (difference between within-study and across-study associations) and the amount of inconsistency (difference between direct and indirect evidence in a network meta-analysis).


2020 ◽  
Vol 88 (9) ◽  
pp. 829-843 ◽  
Author(s):  
Christoph Flückiger ◽  
Julian Rubel ◽  
A. C. Del Re ◽  
Adam O. Horvath ◽  
Bruce E. Wampold ◽  
...  

2021 ◽  
Author(s):  
Ruth Walker ◽  
Lesley Stewart ◽  
Mark Simmonds

Abstract Medical interventions may be more effective in some types of individuals than others and identifying characteristics that modify the effectiveness of an intervention is a cornerstone of precision or stratified medicine. The opportunity for detailed examination of treatment-covariate interactions can be an important driver for undertaking an individual participant data (IPD) meta-analysis, rather than a meta-analysis using aggregate data. A number of recent modelling approaches are available. We apply these methods to the Perinatal Antiplatelet Review of International Studies (PARIS) Collaboration IPD dataset and compare estimates between them. We discuss the practical implications of applying these methods, which may be of interest to aid meta-analysists in the use of these, often complex models. Models compared included the two-stage meta-analysis of interaction terms and one-stage models which fit multiple random effects and separate within and between trial information. Models were fitted for nine covariates and five binary outcomes and results compared. Interaction terms produced by the methods were generally consistent. We show that where data are sparse and there is low heterogeneity in the covariate distributions across trials, the meta-analysis of interactions may produce unstable estimates and have issues with convergence. In this IPD dataset, varying assumptions by using multiple random effects in one-stage models or using only within trial information made little difference to the estimates of treatment-covariate interaction. Method choice will depend on datasets characteristics and individual preference.


Sign in / Sign up

Export Citation Format

Share Document