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癌症领域网络荟萃分析的统计学分析的流行病学特征、方法学评估和报告。

Epidemiology Characteristics, Methodological Assessment and Reporting of Statistical Analysis of Network Meta-Analyses in the Field of Cancer.

机构信息

The First Clinical Medical College of Lanzhou University, Lanzhou 730000, China.

Evidence-based Medicine Center of Lanzhou University, Lanzhou 730000, China.

出版信息

Sci Rep. 2016 Nov 16;6:37208. doi: 10.1038/srep37208.

Abstract

Because of the methodological complexity of network meta-analyses (NMAs), NMAs may be more vulnerable to methodological risks than conventional pair-wise meta-analysis. Our study aims to investigate epidemiology characteristics, conduction of literature search, methodological quality and reporting of statistical analysis process in the field of cancer based on PRISMA extension statement and modified AMSTAR checklist. We identified and included 102 NMAs in the field of cancer. 61 NMAs were conducted using a Bayesian framework. Of them, more than half of NMAs did not report assessment of convergence (60.66%). Inconsistency was assessed in 27.87% of NMAs. Assessment of heterogeneity in traditional meta-analyses was more common (42.62%) than in NMAs (6.56%). Most of NMAs did not report assessment of similarity (86.89%) and did not used GRADE tool to assess quality of evidence (95.08%). 43 NMAs were adjusted indirect comparisons, the methods used were described in 53.49% NMAs. Only 4.65% NMAs described the details of handling of multi group trials and 6.98% described the methods of similarity assessment. The median total AMSTAR-score was 8.00 (IQR: 6.00-8.25). Methodological quality and reporting of statistical analysis did not substantially differ by selected general characteristics. Overall, the quality of NMAs in the field of cancer was generally acceptable.

摘要

由于网络荟萃分析(NMAs)的方法学复杂性,与传统的两两荟萃分析相比,NMAs 可能更容易受到方法学风险的影响。我们的研究旨在根据 PRISMA 扩展声明和修改后的 AMSTAR 清单,调查癌症领域 NMAs 的流行病学特征、文献检索、方法学质量和统计分析过程报告。我们确定并纳入了 102 项癌症领域的 NMAs。其中 61 项 NMAs 采用贝叶斯框架进行。其中,超过一半的 NMAs 没有报告收敛性评估(60.66%)。27.87%的 NMAs 评估了不一致性。在传统荟萃分析中,评估异质性更为常见(42.62%),而 NMAs 中则不太常见(6.56%)。大多数 NMAs 没有报告相似性评估(86.89%),也没有使用 GRADE 工具来评估证据质量(95.08%)。43 项 NMAs 是调整后的间接比较,其中 53.49%的 NMAs 描述了所使用的方法。只有 4.65%的 NMAs 描述了处理多组试验的细节,6.98%的 NMAs 描述了相似性评估的方法。总 AMSTAR 评分中位数为 8.00(IQR:6.00-8.25)。选择的一般特征对 NMAs 的方法学质量和报告并没有实质性影响。总体而言,癌症领域 NMAs 的质量普遍可以接受。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/783e/5111127/1bb401ffc28d/srep37208-f1.jpg

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