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一种用于异方差下对比同质性的韦尔奇型检验及其在荟萃分析中的应用。

A Welch-type test for homogeneity of contrasts under heteroscedasticity with application to meta-analysis.

作者信息

Kulinskaya E, Dollinger M B, Knight E, Gao H

机构信息

Statistical Advisory Service, Faculty of Medicine, Imperial College, London, UK.

出版信息

Stat Med. 2004 Dec 15;23(23):3655-70. doi: 10.1002/sim.1929.

Abstract

A common problem that arises in the meta-analysis of several studies, each with independent treatment and control groups, is to test for the homogeneity of effect sizes without the assumptions of equal variances of the treatment and the control groups and of equal variances among the separate studies. A commonly used test statistic, frequently denoted as Q, is the weighted sum of squares of the differences of the individual effect sizes from the mean effect size, with weights inversely proportional to the variances of the effect sizes. The primary contributions of this article are the presentation of improved and very accurate approximations to the distributions of the Q statistic when the effect size is a linear contrast such as the difference between the treatment and control means. Our improved approximation to the distribution of Q under the null hypothesis is based on a multiple of an F-distribution; its use yields a substantial reduction in the type I error rate of the homogeneity test. Our improved approximation to the distribution of Q under an alternative hypothesis is based on a shift of a chi-square distribution; its use allows for much greater accuracy in the computation of the power of the homogeneity test. These two improved approximate distributions are developed using the Welch methodology of approximating the moments of Q by the use of multivariate Taylor expansions. The quality of these approximations is studied by simulation. A secondary contribution of this article is a study of how best to combine the variances of the treatment and control groups (needed for the calculation of weights in the Q statistic). Our conclusion, based on simulations, is that use of pooled variances can result in substantially erroneous conclusions.

摘要

在对多项研究进行荟萃分析时,每个研究都有独立的治疗组和对照组,一个常见的问题是在不假设治疗组和对照组方差相等以及各独立研究中方差相等的情况下,检验效应量的同质性。一个常用的检验统计量,通常记为Q,是各个效应量与平均效应量之差的平方的加权和,权重与效应量的方差成反比。本文的主要贡献在于,当效应量是线性对比(如治疗组与对照组均值之差)时,给出了对Q统计量分布的改进且非常精确的近似。我们在原假设下对Q分布的改进近似基于F分布的倍数;使用它可大幅降低同质性检验的I型错误率。我们在备择假设下对Q分布的改进近似基于卡方分布的平移;使用它可在计算同质性检验的功效时获得更高的精度。这两个改进的近似分布是使用Welch方法通过多元泰勒展开近似Q的矩来开发的。通过模拟研究了这些近似的质量。本文的第二个贡献是研究如何最好地合并治疗组和对照组的方差(这是计算Q统计量权重所必需的)。基于模拟,我们的结论是使用合并方差可能会导致严重错误的结论。

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