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Multivariate meta‐analysis of mixed outcomes: a Bayesian approach

Multivariate meta-analysis of mixed outcomes: a Bayesian approach
Authors: Bujkiewicz, Sylwia; Thompson, John R.; Sutton, Alex J.; Cooper, Nicola J.; Harrison, M. J.; Symmons, D. P.; Abrams, Keith R.;

Multivariate meta‐analysis of mixed outcomes: a Bayesian approach

Abstract

Multivariate random effects meta‐analysis (MRMA) is an appropriate way for synthesizing data from studies reporting multiple correlated outcomes. In a Bayesian framework, it has great potential for integrating evidence from a variety of sources. In this paper, we propose a Bayesian model for MRMA of mixed outcomes, which extends previously developed bivariate models to the trivariate case and also allows for combination of multiple outcomes that are both continuous and binary. We have constructed informative prior distributions for the correlations by using external evidence. Prior distributions for the within‐study correlations were constructed by employing external individual patent data and using a double bootstrap method to obtain the correlations between mixed outcomes. The between‐study model of MRMA was parameterized in the form of a product of a series of univariate conditional normal distributions. This allowed us to place explicit prior distributions on the between‐study correlations, which were constructed using external summary data. Traditionally, independent ‘vague’ prior distributions are placed on all parameters of the model. In contrast to this approach, we constructed prior distributions for the between‐study model parameters in a way that takes into account the inter‐relationship between them. This is a flexible method that can be extended to incorporate mixed outcomes other than continuous and binary and beyond the trivariate case. We have applied this model to a motivating example in rheumatoid arthritis with the aim of incorporating all available evidence in the synthesis and potentially reducing uncertainty around the estimate of interest. © 2013 The Authors. Statistics inMedicine Published by John Wiley & Sons, Ltd.

Country
United Kingdom
Keywords

Multivariate meta-analysis, rheumatoid arthritis, Anti-Inflammatory Agents, Multiple outcomes, Bayesian analysis, multivariate meta-analysis, 310, Applications of statistics to biology and medical sciences; meta analysis, Arthritis, Rheumatoid, Models, Rheumatoid, Humans, Rheumatoid arthritis, Research Articles, Models, Statistical, multiple outcomes, Tumor Necrosis Factor-alpha, Arthritis, Anti-Inflammatory Agents, Non-Steroidal, Bayes Theorem, Statistical, Treatment Outcome, Multivariate Analysis, Quality of Life, Non-Steroidal

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    influence
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    impulse
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
57
Top 10%
Top 10%
Top 10%
Green
hybrid