Evidence map›Paper›PMID 19760395›Full record

ArticleIntensive care medicine2010

Prospective meta-analysis using individual patient data in intensive care medicine.

Michael C Reade, Anthony Delaney, Michael J Bailey, David A Harrison, Donald M Yealy, Peter G Jones, Kathryn M Rowan, Rinaldo Bellomo, Derek C Angus

Abstract read
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Prone position for acute respiratory failure in adults.The Cochrane database of systematic reviews · 2015
    Pooled it
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  7. Trial
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  10. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Michael C ReadeCRISMA Laboratory, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA. michael.reade@austin.org.au
Anthony Delaney
Michael J Bailey
David A Harrison
Donald M Yealy
Peter G Jones
Kathryn M Rowan
Rinaldo Bellomo
Derek C Angus

Funding

Protocolized Care for Early Septic Shock (ProCESS)P50GM076659 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ANGUS, DEREK C · 2006 to 2012
$11.2M
Department of Health 07/37/47Department of Health HTA/07/37/47NIGMS NIH HHS P50GM076659
6 · The paper itself

Abstract

Meta-analysis is a technique for combining evidence from multiple trials. However, meta-analyses of studies with substantial heterogeneity among patients within trials-common in intensive care-can lead to incorrect conclusions if performed using aggregate data. Use of individual patient data (IPD) can avoid this concern, increase the power of a meta-analysis, and is useful for exploring subgroup effects. Barriers exist to IPD meta-analysis, most of which are overcome if clinical trials are designed to prospectively facilitate the incorporation of their results with other trials. We review the features of prospective IPD meta-analysis and identify those of relevance to intensive care research. We identify three clinical questions, which are the subject of recent or planned randomised controlled trials where IPD MA offers advantages over approaches using aggregate data.

Indexed as

Data Interpretation, StatisticalMeta-Analysis as TopicPatientsCritical CareHumansMedical RecordsOutcome Assessment, Health CareProspective Studies

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.