A matrix-based method of moments for fitting multivariate network meta-analysis models with multiple outcomes and random inconsistency effects.

A matrix-based method of moments for fitting multivariate network meta-analysis models with multiple outcomes and random inconsistency effects.
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DOI:
10.1111/biom.12762
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发表时间:
2018-06
期刊:
影响因子:
1.9
通讯作者:
White IR
White IR
中科院分区:
数学3区
文献类型:
--
作者:
Jackson D;Bujkiewicz S;Law M;Riley RD;White IR

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Random-effects meta-analyses are very commonly used in medical statistics. Recent methodological developments include multivariate (multiple outcomes) and network (multiple treatments) meta-analysis. Here we provide a new model and corresponding estimation procedure for multivariate network meta-analysis, so that multiple outcomes and treatments can be included in a single analysis. Our new multivariate model is a direct extension of a univariate model for network meta-analysis that has recently been proposed. We allow two types of unknown variance parameters in our model, which represent between-study heterogeneity and inconsistency. Inconsistency arises when different forms of direct and indirect evidence are not in agreement, even having taken between-study heterogeneity into account. However the consistency assumption is often assumed in practice and so we also explain how to fit a reduced model which makes this assumption. Our estimation method extends several other commonly used methods for meta-analysis, including the method proposed by. We investigate the use of our proposed methods in the context of both a simulation study and a real example.
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