APPLIED COMPARISON OF META-ANALYSIS TECHNIQUES
Author(s)
Baser O1, Lewis-Beck C2, Fritschel E3, Baser E4, Wang L5
1STATinMED Research, Columbia University, New York, NY, USA, 2Iowa State University, Des Moines, IA, USA, 3Texas Department of State Health Services, Austin, TX, USA, 4STATinMED Research and Gazi University, Ankara, Turkey, 5STATinMED Research, Plano, TX, USA
OBJECTIVES: Meta-analysis is an approach that combines findings from similar studies. The aggregation of study level data can provide precise estimates for outcomes of interest, allow for unique treatment comparisons, and explain the differences arising from conflicting study results. Proper meta-analysis includes five basic steps: identify relevant studies; extract summary data from each paper; compute study effect sizes, perform statistical analysis; and interpret and report the results. This study aimed to review meta-analysis methods and their assumptions, apply various meta-techniques to empirical data, and compare the results from each method. METHODS: Three different meta-analysis techniques were applied to a dataset looking at the effects of the bacille Calmette-Guerin (BCG) vaccine on tuberculosis (TB). First, a fixed-effects model was applied; then a random-effects model; and third meta-regression with study-level covariates were added to the model. Overall and stratified results, by geographic latitude were reported. RESULTS: All three techniques showed statistically significant effects from the vaccination. However, once covariates were added, efficacy diminished. Independent variables, such as the latitude of the location in which the study was performed, appeared to be partially driving the results. CONCLUSIONS: Meta-analysis is useful for drawing general conclusions from a variety of studies. However, proper study and model selection are important to ensure the correct interpretation of results. Basic meta-analysis models are fixed-effects, random-effects and meta-regression.
Conference/Value in Health Info
2015-09, ISPOR Latin America 2015, Santiago, Chile
Value in Health, Vol. 18, No. 7 (November 2015)
Code
PRM15
Topic
Methodological & Statistical Research, Study Approaches
Topic Subcategory
Confounding, Selection Bias Correction, Causal Inference
Disease
Infectious Disease (non-vaccine)