Toward Causally Interpretable Meta-analysis: Transporting Inferences from Multiple Randomized Trials to a New Target Population.

Toward Causally Interpretable Meta-analysis: Transporting Inferences from Multiple Randomized Trials to a New Target Population.
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DOI:
10.1097/ede.0000000000001177
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发表时间:
2020-05
期刊:
影响因子:
5.4
通讯作者:
Steingrimsson, Jon A.
Steingrimsson, Jon A.
中科院分区:
医学2区
文献类型:
--
作者:
Dahabreh, Issa J.;Petito, Lucia C.;Robertson, Sarah E.;Hernan, Miguel A.;Steingrimsson, Jon A.

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We take steps towards causally interpretable meta-analysis by describing methods for transporting causal inferences from a collection of randomized trials to a new target population, one-trial-at-a-time and pooling all trials. We discuss identifiability conditions for average treatment effects in the target population and provide identification results. We show that assuming inferences are transportable from all trials in the collection to the same target population has implications for the law underlying the observed data. We propose average treatment effect estimators that rely on different working models and provide code for their implementation in statistical software. We discuss how to use the data to examine whether transported inferences are homogeneous across the collection of trials, sketch approaches for sensitivity analysis to violations of the identifiability conditions, and describe extensions to address non-adherence in the trials. Last, we illustrate the proposed methods using data from the HALT-C multi-center trial.