Evidence map›Paper›PMID 23630081›Full record

SynthesisStatistics in medicine2013

Multivariate meta-analysis of mixed outcomes: a Bayesian approach.

Sylwia Bujkiewicz, John R Thompson, Alex J Sutton, Nicola J Cooper, Mark J Harrison, Deborah P M Symmons, Keith R Abrams

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Statistics in medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing 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

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

  1. Pooled it
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  6. Pooled it
  7. Review
  8. Article
  9. Article
  10. Change ofFrontiers in psychology · 2026
    Article
  11. Article
  12. Article
  13. Using Bayesian Evidence Synthesis Methods to Incorporate Real-World Evidence in Surrogate Endpoint Evaluation.Medical decision making : an international journal of the Society for Medical Decision Making · 2023
    Article
  14. Article
  15. Classifying information-sharing methods.BMC medical research methodology · 2021
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sylwia BujkiewiczBiostatistics Research Group, Department of Health Sciences, University of Leicester, University Road, Leicester, LE1 7RH, U.K.
John R Thompson
Alex J Sutton
Nicola J Cooper
Mark J Harrison
Deborah P M Symmons
Keith R Abrams

Funding

Medical Research Council G0800770
6 · The paper itself

Abstract

Multivariate random effects meta-analysis (MRMA) is an appropriate way for synthesizing data from studies reporting multiple correlated outcomes. In a Bayesian framework, it has great potential for integrating evidence from a variety of sources. In this paper, we propose a Bayesian model for MRMA of mixed outcomes, which extends previously developed bivariate models to the trivariate case and also allows for combination of multiple outcomes that are both continuous and binary. We have constructed informative prior distributions for the correlations by using external evidence. Prior distributions for the within-study correlations were constructed by employing external individual patent data and using a double bootstrap method to obtain the correlations between mixed outcomes. The between-study model of MRMA was parameterized in the form of a product of a series of univariate conditional normal distributions. This allowed us to place explicit prior distributions on the between-study correlations, which were constructed using external summary data. Traditionally, independent 'vague' prior distributions are placed on all parameters of the model. In contrast to this approach, we constructed prior distributions for the between-study model parameters in a way that takes into account the inter-relationship between them. This is a flexible method that can be extended to incorporate mixed outcomes other than continuous and binary and beyond the trivariate case. We have applied this model to a motivating example in rheumatoid arthritis with the aim of incorporating all available evidence in the synthesis and potentially reducing uncertainty around the estimate of interest.

Indexed as

Bayes TheoremModels, StatisticalMultivariate AnalysisTreatment OutcomeAnti-Inflammatory Agents, Non-SteroidalArthritis, RheumatoidHumansQuality of LifeTumor Necrosis Factor-alphaAnti-Inflammatory Agents, Non-SteroidalTumor Necrosis Factor-alphaBayesian analysismultiple outcomesmultivariate meta-analysisrheumatoid arthritis

Identifiers

PMID23630081
PMCPMC4015389

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.