Jan 10, 2018

A comparison of seven random-effects models for meta-analyses that estimate the summary odds ratio

Statistics in Medicine
Dan JacksonIan R White

Abstract

Comparative trials that report binary outcome data are commonly pooled in systematic reviews and meta-analyses. This type of data can be presented as a series of 2-by-2 tables. The pooled odds ratio is often presented as the outcome of primary interest in the resulting meta-analysis. We examine the use of 7 models for random-effects meta-analyses that have been proposed for this purpose. The first of these models is the conventional one that uses normal within-study approximations and a 2-stage approach. The other models are generalised linear mixed models that perform the analysis in 1 stage and have the potential to provide more accurate inference. We explore the implications of using these 7 models in the context of a Cochrane Review, and we also perform a simulation study. We conclude that generalised linear mixed models can result in better statistical inference than the conventional 2-stage approach but also that this type of model presents issues and difficulties. These challenges include more demanding numerical methods and determining the best way to model study specific baseline risks. One possible approach for analysts is to specify a primary model prior to performing the systematic review but also to present the res...Continue Reading

  • References37
  • Citations19

Mentioned in this Paper

In Silico
Study
Truncation Biases
Meta-Analysis (Publications)
Meta Analysis (Statistical Procedure)
Log-Linear Models
Logistic Regression
Odds Ratio
Simulation
Analysis

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