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解决网络荟萃分析中结局冲突排序问题:处理方法的偏序。

Resolve conflicting rankings of outcomes in network meta-analysis: Partial ordering of treatments.

机构信息

Faculty of Medicine and Medical Center, Institute for Medical Biometry and Statistics, University of Freiburg, Freiburg, Germany.

出版信息

Res Synth Methods. 2017 Dec;8(4):526-536. doi: 10.1002/jrsm.1270. Epub 2017 Oct 17.

DOI:10.1002/jrsm.1270
PMID:28982216
Abstract

Network meta-analysis has evolved into a core method for evidence synthesis in health care. In network meta-analysis, 3 or more treatments for a given medical condition are compared, based on a number of clinical studies, usually randomized controlled trials. Often, many different endpoints are investigated, related to different aspects of the patient's outcome, such as efficacy, safety, acceptability, or costs of a treatment. Different outcomes may lead to different rankings of the treatments. We use the existing theory of partially ordered sets and show how the relations between the treatments in a network meta-analysis can be illustrated by Hasse diagrams, that is, directed graphs showing the partial order relations, and by structured scatter plots and biplots.

摘要

网络荟萃分析已发展成为医疗保健中证据综合的核心方法。在网络荟萃分析中,根据多项临床研究(通常为随机对照试验),比较了给定医疗状况的 3 种或更多种治疗方法。通常,会研究许多不同的终点,这些终点与患者结局的不同方面有关,例如治疗的疗效、安全性、可接受性或成本。不同的结局可能导致治疗方法的不同排名。我们使用现有的偏序集理论,并展示如何通过哈塞图(即显示偏序关系的有向图)、结构化散点图和双标图来表示网络荟萃分析中治疗方法之间的关系。

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