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Systematic review of methods for individual patient data meta- analysis with binary outcomes
Doneal Thomas, Sanyath Radji, Andrea Benedetti1
1Department of Epidemiology, Biostatistics & Occupational Health, McGill University, Montreal, Canada. andrea.benedetti@mcgill.ca.
Individual patient data meta-analyses (IPD-MA) for binary outcomes are increasing. Random effects logistic regression is common, but methods reporting needs improvement, despite heterogeneity being discussed.
Area of Science:
- Biostatistics
- Clinical Epidemiology
- Health Services Research
Background:
- Individual patient data meta-analyses (IPD-MA) are the gold standard, offering advantages over summary statistics.
- The use of binary outcomes in IPD-MA has increased significantly since 1999-2001.
- Previous reviews indicated insufficient reporting of statistical methods in IPD-MA.
Purpose of the Study:
- To explore statistical methods used in IPD-MA of binary outcomes.
- To assess the reporting completeness of statistical approaches in recent IPD-MA.
- To identify trends in the analysis of binary outcomes in IPD-MA.
Main Methods:
- Systematic review of 26 individual patient data meta-analyses (IPD-MA) published in 2011 with binary outcomes.
- Analysis focused on study goals, data acquisition, statistical approaches (one-stage vs. two-stage), and effect modeling (fixed vs. random effects).
- Investigation of heterogeneity assessment and covariate effect analysis.
Main Results:
- 19 of 26 IPD-MA employed a one-stage analysis approach.
- Nine IPD-MA utilized a one-stage random treatment-effect logistic regression model.
- While heterogeneity was discussed in most studies, detailed reporting of methods remains a concern.
Conclusions:
- Binary outcomes are increasingly prevalent in IPD-MA.
- Random effects logistic regression is the most common analytical method for binary outcomes in IPD-MA.
- Despite advancements, detailed reporting of statistical methods in IPD-MA requires further improvement.
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