Evidence map›Paper›PMID 23804509›Full record

ArticleMedical decision making : an international journal of the Society for Medical Decision Making2013

Evidence synthesis for decision making 5: the baseline natural history model.

Sofia Dias, Nicky J Welton, Alex J Sutton, A E Ades

Abstract read
In one paragraph

Article in Medical decision making : an international journal of the Society for Medical Decision Making, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 10 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

44 citing papers in PubMed, 10 syntheses or guidelines pooled it.

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  8. Fracture risk in oral glucocorticoid users: a Bayesian meta-regression leveraging control arms of osteoporosis clinical trials.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016
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  17. Bayesian Network Meta-analysis of Multiple Outcomes in Dental Research.The journal of evidence-based dental practice · 2020
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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

4 authors.

Sofia DiasSchool of Social and Community Medicine, University of Bristol, Bristol, UK (SD, NJW, AEA)
Nicky J WeltonSchool of Social and Community Medicine, University of Bristol, Bristol, UK (SD, NJW, AEA)
Alex J SuttonDepartment of Health Sciences, University of Leicester, Leicester, UK (AJS)
A E AdesSchool of Social and Community Medicine, University of Bristol, Bristol, UK (SD, NJW, AEA)

Funding

Medical Research Council G0800800Medical Research Council G0802413Medical Research Council MC_U145079307
6 · The paper itself

Abstract

Most cost-effectiveness analyses consist of a baseline model that represents the absolute natural history under a standard treatment in a comparator set and a model for relative treatment effects. We review synthesis issues that arise on the construction of the baseline natural history model. We cover both the absolute response to treatment on the outcome measures on which comparative effectiveness is defined and the other elements of the natural history model, usually "downstream" of the shorter-term effects reported in trials. We recommend that the same framework be used to model the absolute effects of a "standard treatment" or placebo comparator as that used for synthesis of relative treatment effects and that the baseline model is constructed independently from the model for relative treatment effects, to ensure that the latter are not affected by assumptions made about the baseline. However, simultaneous modeling of baseline and treatment effects could have some advantages when evidence is very sparse or when other research or study designs give strong reasons for believing in a particular baseline model. The predictive distribution, rather than the fixed effect or random effects mean, should be used to represent the baseline to reflect the observed variation in baseline rates. Joint modeling of multiple baseline outcomes based on data from trials or combinations of trial and observational data is recommended where possible, as this is likely to make better use of available evidence, produce more robust results, and ensure that the model is internally coherent.

Indexed as

Clinical Trials as TopicDecision MakingEvidence-Based MedicineModels, TheoreticalPlacebosPlacebosBayesian meta-analysiscost-effectiveness analysismultiparameter evidence synthesis

Identifiers

PMID23804509
PMCPMC3704201

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.