结合元分析和多重归算,在多个地点的研究中,对因果治疗效应的一步,保护隐私的估计
Di Shu1,2,3,4, Xiaojuan Li4, Qoua Her4
1Department of Biostatistics, Epidemiology and Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Research synthesis methods
|August 1, 2023
概括
本研究引入了一种结合元分析和多重归算的新方法,用于在不共享单个数据的情况下估计多站点研究中的平均因果效应 (ACE). RR+std和std+RR方法在处理缺失数据方面表现出强的表现.
科学领域:
- 生物统计学 生物统计学
- 流行病学 流行病学
- 数据科学数据科学数据科学
背景情况:
- 缺少的数据是多站点研究的一个重大挑战,阻碍了准确的统计分析.
- 由于隐私或后勤限制,跨站点汇集个人级别数据往往是不可行的.
- 在分布式网络中估计平均因果效应 (ACE) 需要强大的方法来处理缺失的数据.
研究的目的:
- 开发和评估在缺乏数据的多站点研究中估计整个网络ACE的方法.
- 评估不同组合的元分析和多重归算技术的性能.
- 在没有中央数据聚合的情况下,在分布式数据网络中提供因果推理的框架.
主要方法:
- 结合了现场内多重归算和元分析技术.
- 根据归算顺序和元分析以及权重方法 (固定效应,随机效应,样本标准化) 评估了六种不同的方法.
- 在各种完全随机缺失 (MCAR) 和随机缺失 (MAR) 场景下模拟数据.
主要成果:
- 在不同的缺失数据设置中,RR+std和std+RR方法表现出色.
- 对特定站点ACE的直接逆变量加权元分析可以产生偏差的全网络ACE估计,当治疗效果因站点而异时.
- 提出的方法有效地处理缺失的数据,而不需要个人级别的数据共享.
结论:
- 元分析与内部多重归算相结合,为在分布式数据网络中估计全网络ACE提供了可行的解决方案.
- 仔细考虑目标人群,估计和地点异质性对于准确的因果推断至关重要.
- 推RR+std和std+RR方法,因为它们在处理多站点研究中缺少的数据方面具有强大的性能.
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