FREQUENTIST APPROACH FOR DETECTING HETEROGENEITY IN META-ANALYSIS PAIR-WISE COMPARISONS- ENHANCED Q-TEST USE BY USING I2 AND H2 STATISTICS
Author(s)
Laliman V1, Roïz J2
1Ensai, Bruz, France, 2Creativ-Ceutical, London, UK
OBJECTIVES In meta-analysis, model selection is an important criterion which needs to be tested and validated by strong statistical evidence. The Cohran’s Q-test allows in theory to decide between random-effect and fixed-effect models. Due to the highly conservative nature of this test, three statistics have been built to estimate the heterogeneity between studies to lead the model decision: the I, the Hand the RMETHODS Based on the global formulation of the Cochran’s Q-test, we proposed to analyse jointly the first error species and the second error species in different scenarios based on the number of studies included in each meta-analysis. The goal was to determine the reliability of the Q-test in extreme situations but also to give some benchmark for the reliability of this test. We use simulation methods to analyse the three different methods for calculating the between-study variance compared to the real value of heterogeneity. We also compared different arbitrary levels for model selection using these statistics in different scenarios. RESULTS The Cochran’s Q-test is too conservative with a large number of studies and concludes to the presence of heterogeneity whatever the situation is when the number of studies is higher than 18. In comparison, the different statistics have an average value conversely linked with the number of studies in case of non-heterogeneity: the higher the number of studies, the lower the statistics’ average values. CONCLUSIONS The I and Hstatistics can eventually enhance the use of Cochran’s Q-test by solving conservative issue associated with this test. The model selection can, eventually, be led by benchmark of these statistics jointly with the Cochran’s Q-test.
Conference/Value in Health Info
2014-11, ISPOR Europe 2014, Amsterdam, The Netherlands
Value in Health, Vol. 17, No. 7 (November 2014)
Code
PRM189
Topic
Methodological & Statistical Research
Topic Subcategory
Confounding, Selection Bias Correction, Causal Inference
Disease
Multiple Diseases
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