对诊断测试准确性研究的聚合数据元分析的计算方法的评估
Yixin Zhao1, Bilal Khan1, Zelalem F Negeri2
1Department of Statistics and Actuarial Science, University of Waterloo, 200 University Ave W, Waterloo, N2L 3G1, Ontario, Canada.
在使用通用线性混合模型 (GLMMs) 的诊断测试准确性研究进行元分析时,对于稀疏的数据不建议使用拉普拉斯近似 (LA). 适应高斯-赫米特方程 (AGHQ) 和代重权最小方程 (IRLS) 适用于所有数据类型.
科学领域:
- 生物统计学 生物统计学
- 医疗信息学 医疗信息学
- 流行病学 流行病学
背景情况:
- 通用线性混合模型 (GLMMs) 是分析诊断测试准确性研究 (DTAs) 的标准.
- 由于没有闭式解决方案,GLMM需要计算方法来估计参数.
- 常见的方法包括代重权最小方程 (IRLS),拉普拉斯近似 (LA) 和自适应高斯-赫米特方程 (AGHQ).
研究的目的:
- 为了比较IRLS,LA和AGHQ在DTA总数据元分析 (ADMA) 中的表现.
- 评估基于偏差,错误,置信区间覆盖,收和速度的计算方法.
主要方法:
- 进行了一项全面的模拟研究.
- 使用现实生活数据示例来评估绩效.
- 性能指标包括偏差,根的平均平方误差,置信区间宽度和覆盖范围,收率和计算速度.
主要成果:
- 在非稀疏数据中,IRLS,LA和AGHQ在敏感性和特异性估计方面表现相似.
- 在稀疏数据的聚合灵敏度和特异性方面,LA表现出最高的偏差和根平均平方误差.
- AGHQ表现出最佳的融合率,但需要更长的计算时间.
结论:
- 仔细选择计算算法对于将GLMM与DTA的ADMA相适应至关重要.
- 对于稀疏的元分析数据集,不建议使用LA方法.
- 建议在各种元分析数据特征中使用AGHQ或IRLS.
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