在元分析中结合混合群体的治疗效果:方法的审查
Lorna Wheaton1, Sandro Gsteiger2, Stephanie Hubbard3
1Biostatistics Research Group, Department of Population Health Sciences, University of Leicester, University Road, Leicester, LE1 7RH, UK. lskw3@leicester.ac.uk.
BMC medical research methodology
|April 2, 2025
概括
本综述介绍了精准医学中混合生物标记物种群的元分析方法. 它解决了各种试验设计和生物标志物状态所带来的挑战,以实现可靠的证据合成.
科学领域:
- 生物统计学 生物统计学
- 精准医学是一门精准的医学.
- 临床试验方法论 临床试验方法论
背景情况:
- 传统的元分析假设可比较的研究群体,这是精准医学使用遗传生物标志物的挑战.
- 试验越来越多地招募具有混合生物标志物状态的患者,需要新的合成方法.
研究的目的:
- 提供适用于综合试验中混合生物标志物种群数据的元分析方法的背景.
- 在精准医学的背景下,审查和分类现有证据合成方法.
主要方法:
- 进行了PubMed的方法审查,以确定混合人群的证据综合论文.
- 鉴定的方法应用于转移性结直肠癌的一个说明性例子.
主要成果:
- 确定了八种混合种群证据综合的方法.
- 方法包括使用聚合数据 (AD) 和个人参与者数据 (IPD) 进行双向和网络元分析.
结论:
- 方法使用汇总数据 (AD),个人参与者数据 (IPD) 或两者兼而有之.
- 虽然IPD提供了优越的统计质量,但AD方法更容易获得;方法选择取决于决策问题的背景.
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