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网络荟萃分析:临床医生、决策者和方法学家的有力工具。

Network meta-analysis: a powerful tool for clinicians, decision-makers, and methodologists.

作者信息

Florez Ivan D, De La Cruz-Mena Juan E, Veroniki Areti-Angeliki

机构信息

Department of Pediatrics, University of Antioquia, Medellin, Colombia; Pediatric Intensive Care Unit, Clínica Las Américas-AUNA, Medellin, Colombia; School of Rehabilitation Science, McMaster University, Hamilton, Canada.

Department of Pediatrics, University of Antioquia, Medellin, Colombia.

出版信息

J Clin Epidemiol. 2024 Dec;176:111537. doi: 10.1016/j.jclinepi.2024.111537. Epub 2024 Sep 20.

Abstract

Network Meta-analysis (NMA) is an advanced statistical method that combines direct evidence (ie, from head-to-head comparisons) and indirect evidence (ie, estimated from the direct available evidence) to obtain network estimates. NMAs are helpful to determine the comparative effectiveness of interventions that have not been directly compared and may provide more precise estimates for those comparisons that have been directly compared. NMA provides hierarchies which can be helpful for decision-making, much more in scenarios when multiple interventions exist for the same indication. In this article we provide a summary of the key concepts that users, namely, clinicians and methodologists need to consider when using an NMA to inform decision making.

摘要

网络荟萃分析(NMA)是一种先进的统计方法,它将直接证据(即来自直接对比的证据)和间接证据(即从现有直接证据估计而来的证据)相结合,以获得网络估计值。网络荟萃分析有助于确定尚未直接比较的干预措施的相对有效性,并且对于那些已经直接比较过的干预措施,还可能提供更精确的估计值。网络荟萃分析提供了可有助于决策的层次结构,在针对同一适应症存在多种干预措施的情况下,作用更为显著。在本文中,我们总结了使用者(即临床医生和方法学家)在使用网络荟萃分析为决策提供依据时需要考虑的关键概念。

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