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Meta-analysis of continuous outcome data from individual patients

Higgins, JPT; Thompson, SG; Whitehead, A; Turner, RM; Omar, RZ; (2001) Meta-analysis of continuous outcome data from individual patients. Statistics in Medicine , 20 (15) 2219 - 2241. 10.1002/sim.918.

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Abstract

Meta-analyses using individual patient data are becoming increasingly common and have several advantages over meta-analyses of summary statistics. We explore the use of multilevel or hierarchical models for the meta-analysis of continuous individual patient outcome data from clinical trials. A general framework is developed which encompasses traditional meta-analysis, as well as meta-regression and the inclusion of patient-level covariates for investigation of heterogeneity. Unexplained variation in treatment differences between trials is considered as random. We focus on models with fixed trial effects, although an extension to a random effect for trial is described. The methods are illustrated on an example in Alzheimer's disease in a classical framework using SAS PROC MIXED and MLwiN, and in a Bayesian framework using BUGS. Relative merits of the three software packages for such meta-analyses are discussed, as are the assessment of model assumptions and extensions to incorporate more than two treatments. Copyright © 2001 John Wiley & Sons, Ltd.

Type:Article
Title:Meta-analysis of continuous outcome data from individual patients
DOI:10.1002/sim.918
UCL classification:UCL > School of BEAMS > Faculty of Maths and Physical Sciences > Statistical Science

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