NETWORK META-ANALYSIS OF SURVIVAL DATA. THE VALUE OF RECONSTRUCTING DATA FROM PUBLISHED KAPLAN-MEIER CURVES

Author(s)

Cope S*1;Vieira MC1, Jansen JP2 1MAPI Consultancy, Boston, MA, USA, 2MAPI Consultancy /Tufts University School of Medicine, Boston, MA, USA

OBJECTIVES: Network meta-analysis of published survival data are often based on the reported hazard ratio. In this paper we illustrate the value of reconstructing data from published Kaplan-Meier curves to perform network meta-analysis. METHODS: Published Kaplan-Meier survival curves of trials evaluating different interventions for non-small-cell lung cancer were digitally scanned. Next, a dataset was created with for each treatment of each trial the number of events and number of patients at risk for multiple short time intervals over the complete follow-up period. Two types of network meta-analyses were performed: 1) For each publication for which no hazard ratio was reported, a hazard ratio was estimated based on the scanned curves. Subsequently, all hazard ratios of all trials were synthesized with a network meta-analysis model assuming a constant hazard ratio (2-step approach); 2) A network meta-analysis of the constructed data of the Kaplan-Meier curves of all trials was performed (1-step approach). RESULTS: The 1-step approach showed that the assumption of a constant hazard ratio was not valid for the used dataset. The results of the 1-step network meta-analysis could be presented as pooled parametric survival curves. CONCLUSIONS: Reconstructing data from published Kaplan-Meier curves allows for the inclusion of all relevant studies in a network meta-analysis, even if hazard ratios are not reported. Furthermore, it allows for network meta-analysis models that do not rely on the assumption of a constant hazard ratio, which have great value for cost-effectiveness models.

Conference/Value in Health Info

2013-05, ISPOR 2013, New Orleans, LA, USA

Value in Health, Vol. 16, No. 3 (May 2013)

Code

PRM12

Topic

Methodological & Statistical Research

Topic Subcategory

Confounding, Selection Bias Correction, Causal Inference

Disease

Multiple Diseases

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