The Hartung-Knapp modification for random-effects meta-analysis: A useful refinement but are there any residual concerns?

The Hartung-Knapp modification for random-effects meta-analysis: A useful refinement but are there any residual concerns?
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DOI:
10.1002/sim.7411
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发表时间:
2017-11-10
影响因子:
2
通讯作者:
Schwarzer G
Schwarzer G
中科院分区:
医学3区
文献类型:
--
作者:
Jackson D;Law M;Rücker G;Schwarzer G

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随机效应Meta分析的改进方法,通常归因于Hartung和克纳普,也由Sidik和Jonkman提出,易于实现,并被提倡普遍使用。在这里,我们研究了广泛采用这种方法的一系列潜在问题。受这些问题的启发,在实践中使用修改后的方法时可以采用各种不同的约定。我们使用一种新的Meta分析数据集分类法来描述和研究这些惯例的使用。我们的结论是,Hartung和克纳普修改可能是一个合适的替代标准方法。尽管如此,主张修改方法的分析师应该准备好为它的使用辩护,反对我们提出的可能的反对意见。我们进一步建议,当使用修改后的方法时,更传统的方法的结果应用作敏感性分析。以前曾有人建议应使用共同效应分析,但我们建议修改这一建议,并认为应使用标准的随机效应分析。
The modified method for random‐effects meta‐analysis, usually attributed to Hartung and Knapp and also proposed by Sidik and Jonkman, is easy to implement and is becoming advocated for general use. Here, we examine a range of potential concerns about the widespread adoption of this method. Motivated by these issues, a variety of different conventions can be adopted when using the modified method in practice. We describe and investigate the use of a variety of these conventions using a new taxonomy of meta‐analysis datasets. We conclude that the Hartung and Knapp modification may be a suitable replacement for the standard method. Despite this, analysts who advocate the modified method should be ready to defend its use against the possible objections to it that we present. We further recommend that the results from more conventional approaches should be used as sensitivity analyses when using the modified method. It has previously been suggested that a common‐effect analysis should be used for this purpose but we suggest amending this recommendation and argue that a standard random‐effects analysis should be used instead.
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