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Related Experiment Videos

Simple robust procedures for combining risk differences in sets of 2 x 2 tables

J D Emerson1, D C Hoaglin, F Mosteller

  • 1Department of Mathematics and Computer Science, Middlebury College, VT 05753, USA.

Statistics in Medicine
|July 30, 1996
PubMed
Summary

Trimmed meta-analysis methods can improve risk difference estimates by reducing the influence of outlier studies. A modified DerSimonian-Laird estimator, particularly a trimmed version, shows robust performance in meta-analyses with heterogeneity.

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Area of Science:

  • Biostatistics
  • Epidemiology
  • Medical Research Methodology

Background:

  • Meta-analyses commonly employ random-effects models to address study result heterogeneity.
  • Anomalous studies can disproportionately influence meta-analytic findings.
  • Risk difference is a key measure in meta-analyses, especially for binary outcomes.

Purpose of the Study:

  • To compare the performance of trimmed versus untrimmed meta-analytic estimators for the risk difference.
  • To evaluate the robustness of trimmed estimators against anomalous study results.
  • To identify the most effective trimmed meta-analytic procedure for handling heterogeneity.

Main Methods:

  • A simulation study was conducted to compare four meta-analytic procedures for risk differences.

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  • Trimmed and untrimmed versions of these procedures were evaluated.
  • A modified DerSimonian-Laird estimator and its trimmed adaptation were specifically assessed.
  • Winsorization was used to adapt variance component estimation for robustness.
  • Main Results:

    • A modified DerSimonian-Laird estimator is effective when random-effects models capture study variability.
    • A 20% trimmed, weighted version of this estimator demonstrated resistance to highly anomalous study results.
    • Among the four trimmed procedures, the modified DerSimonian-Laird trimmed version performed best across various simulations.
    • No single method (trimmed or untrimmed) was universally superior.

    Conclusions:

    • Trimmed meta-analytic procedures, particularly a modified DerSimonian-Laird estimator, offer enhanced resistance to outlier studies in meta-analyses.
    • The choice of meta-analytic method depends on the specific characteristics of the data and the presence of heterogeneity.
    • Further research may be needed to establish optimal trimming strategies for different scenarios.