Faculty Opinions recommendation of Heterogeneity of treatment effects in an analysis of pooled individual patient data from randomized trials of device closure of patent foramen ovale after stroke.

Author(s):  
George Davey Smith
2020 ◽  
pp. 096228022094855
Author(s):  
Karla Hemming ◽  
James P Hughes ◽  
Joanne E McKenzie ◽  
Andrew B Forbes

Treatment effect heterogeneity is commonly investigated in meta-analyses to identify if treatment effects vary across studies. When conducting an aggregate level data meta-analysis it is common to describe the magnitude of any treatment effect heterogeneity using the I-squared statistic, which is an intuitive and easily understood concept. The effect of a treatment might also vary across clusters in a cluster randomized trial, or across centres in multi-centre randomized trial, and it can be of interest to explore this at the analysis stage. In cross-over trials and other randomized designs, in which clusters or centres are exposed to both treatment and control conditions, this treatment effect heterogeneity can be identified. Here we derive and evaluate a comparable I-squared measure to describe the magnitude of heterogeneity in treatment effects across clusters or centres in randomized trials. We further show how this methodology can be used to estimate treatment effect heterogeneity in an individual patient data meta-analysis.


Cancer ◽  
2021 ◽  
Author(s):  
Jessica N. McAlpine ◽  
Derek S. Chiu ◽  
Remi A. Nout ◽  
David N. Church ◽  
Pascal Schmidt ◽  
...  

Haematologica ◽  
2013 ◽  
Vol 98 (6) ◽  
pp. 980-987 ◽  
Author(s):  
S. Bringhen ◽  
M. V. Mateos ◽  
S. Zweegman ◽  
A. Larocca ◽  
A. P. Falcone ◽  
...  

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