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effectivehealthcare.ahrq.gov/sites/default/files/pdf/ehc-presentation-quantitative-synthesis-chapter-4.pdf
July 01, 2019 - Quantifying, Testing, and Exploring Statistical Heterogeneity
Quantitative Synthesis
Chapter 4. … Quantifying, Testing, and Exploring
Statistical Heterogeneity
Prepared for:
The Agency for Healthcare … Learning objective
Statistical heterogeneity
• Statistical heterogeneity occurs when estimates across … heterogeneity tests statistical for statistical
heterogeneity in meta-analysis is Q:11
► Q is computed … Quantifying, Testing, and Exploring �Statistical Heterogeneity
Learning objective
Statistical heterogeneity
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/ehc-presentation-quantitative-synthesis-chapter-3.pdf
February 01, 2018 - Choice of Statistical Model for Combining Studies
Quantitative Synthesis
Chapter 3. … The statistical basis of meta-analysis. Stat Methods Med Res. 1993;2(2):121-45. … Choice of Statistical Model for Combining Studies
Slide Number 2
Statistical models for meta-analysis … Statistical models for meta-analysis�
Recommendations for �Chapter 3. … Statistical models for meta-analysis�
Author
References
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effectivehealthcare.ahrq.gov/sites/default/files/study-size-planning-chapter-9.pptx
January 01, 2013 - power) for any subgroup analyses
Specify the expected precision (or statistical power) as sensitivity … power) for any unplanned subgroup analyses; and specify the expected precision (or statistical power … a prespecified hypothesis and adequate statistical power. … Needed study size depends on the chosen type 1 error rate (α) and required statistical power. … Specify the expected precision (or statistical power) for any planned subgroup analyses.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/ehc-presentation-quantitative-synthesis-chapter-1.pdf
July 01, 2019 - Performance of statistical methods for meta-analysis when true study effects are non-normally distributed … are not concerns.
► Chapter 4 covers statistical heterogeneity in detail
• Statistical heterogeneity … http://www.training.cochrane.org/handbook
Assessing statistical heterogeneity
• I2: proportion of … Performance of statistical methods for meta-analysis when true study effects are non-normally distributed … heterogeneity
Assessing statistical heterogeneity
Pooling decision tree (1)
Pooling decision tree
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effectivehealthcare.ahrq.gov/sites/default/files/considerations-for-statistical-chapter-10.pptx
January 01, 2013 - Considerations for statistical analysis. In: Velentgas P and Dreyer NA, eds. … Considerations for statistical analysis. In: Velentgas P and Dreyer NA, eds. … Considerations for statistical analysis. In: Velentgas P and Dreyer NA, eds. … Considerations for statistical analysis. In: Velentgas P and Dreyer NA, eds. … Considerations for statistical analysis. In: Velentgas P and Dreyer NA, eds.
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effectivehealthcare.ahrq.gov/sites/default/files/ch_9-user-guide-to-ocer_130129.pdf
September 21, 2012 - This is problematic when investigators interpret
study findings in terms of the statistical significance … models.4
Calculating statistical power requires specification
of several investigator choices and … Finally, needed study size depends on the
chosen Type I error rate (a) and the required
statistical … o
Specify the expected precision (or
statistical power) for any planned
subgroup analyses. … Stata Statistical Software: Release 11.
College Station, TX: StataCorp; 2009.
3. Hintze, J.
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effectivehealthcare.ahrq.gov/sites/default/files/estimation-and-reporting_chapter-3.pptx
January 01, 2013 - significance
Describe how confounding will be addressed
Describe statistical approaches that will be … Restriction of RCTs to homogeneous groups improves statistical power. … It should also be noted that a statistical test of interaction does not correspond to an assessment of … It is important to ensure adequate statistical power for confirmatory subgroup analyses. … It is important to ensure adequate statistical power to detect subgroup effects and to appropriately
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effectivehealthcare.ahrq.gov/sites/default/files/sensitivity-analysis-chapter-11.pptx
January 01, 2013 - Observational studies and statistical models rely on assumptions ranging from how a variable is defined … to how a statistical model is chosen and parameterized. … Consider the use of more than one cohort definition or statistical approach. … Cohort Definition and Statistical Approaches
Cohort Definition and Statistical Approaches
It can … Statistical software-based
Statistical software-based approaches can be helpful where the association
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-quantitative-synthesis_methods.pdf
October 01, 2010 - Statistical heterogeneity: variability in observed treatment effects across studies. … These decisions require clinical insights as well
as statistical expertise. … A p-value of 0.10 instead of 0.05 could be used to determine
statistical significance. … Statistical power analysis for the
behavioral sciences. Hillsdale, NJ: L. … A comparison of
statistical methods for meta-analysis. Stat
Med 2001;20:825–840.
37.
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effectivehealthcare.ahrq.gov/sites/default/files/methodsguide_conductingquantitativesynthesis.pdf
October 01, 2010 - Statistical heterogeneity: variability in observed treatment effects across studies. … These decisions require clinical insights as well
as statistical expertise. … A p-value of 0.10 instead of 0.05 could be used to determine
statistical significance. … Statistical power analysis for the
behavioral sciences. Hillsdale, NJ: L. … A comparison of
statistical methods for meta-analysis. Stat
Med 2001;20:825–840.
37.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/ehc-presentation-quantitative-synthesis-learning-objectives-recommendations.pdf
July 01, 2019 - statistical heterogeneity in all
meta-analyses … A comparison of statistical methods for meta‐analysis. Stat Med 2001;20(6):825-40. … The statistical basis of meta-analysis. Stat Methods Med Res. 1993;2(2):121-45. … Statistical models for meta-analysis�
Recommendations for �Chapter 4. … Statistical heterogeneity
Recommendations for �Chapter 5.
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effectivehealthcare.ahrq.gov/sites/default/files/suppl-2-user-guide-to-ocer_130129.pdf
January 01, 2011 - The graphical separation rules linking the
causal assumptions encoded in a diagram to the statistical … The rules linking the structure of the
graph to statistical independence are called the
d-separation … Conditioning on a collider by either statistical
adjustment or selection into the study can generate … Confounders,
unfortunately, cannot be selected based on
statistical associations alone because some … Section 1.5: Causal Versus Statistical
Terminology.
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effectivehealthcare.ahrq.gov/products/n-1-trials/research-2014-1
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/app-e-opioid-chronic-pain-surveill-report-1.xlsx
January 01, 2021 - Did the Study Perform Appropriate Statistical Analyses on Potential Confounders (i.e., Age, Sex, Other … Did the Study Perform Appropriate Statistical Analyses on Potential Confounders?
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/quantitative-synthesis-expanded-methods_methods.pdf
March 01, 2013 - Statistical Efficiency in Clinical Trials
Composite outcomes can improve statistical efficiency, increasing … Statistical and clinical homogeneity of the components should be verified. … Summary
• Composite outcomes typically increase statistical efficiency. … Statistical
heterogeneity
Statistical tests Specify how statistical heterogeneity is assessed and … Statistical power analysis for the
behavioral sciences, 2nd ed.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/app-e-opioid-chronic-pain-surveillance-report-2.xlsx
January 01, 2021 - Did the Study Perform Appropriate Statistical Analyses on Potential Confounders (i.e., Age, Sex, Other … Did the Study Perform Appropriate Statistical Analyses on Potential Confounders?
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/app-e-opioid-chronic-pain-surveillance-report-3.xlsx
January 01, 2021 - Did the Study Perform Appropriate Statistical Analyses on Potential Confounders (i.e., Age, Sex, Other … Did the Study Perform Appropriate Statistical Analyses on Potential Confounders?
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/gastric-cancers-supplementary-app-d.xlsx
January 01, 2023 - Lack of access to a pre-specified statistical analysis plan raises some uncertainty. … No protocol or statistical analysis plan is available, but selective reporting analysis selected on … No masking of outcome assessment, and no protocol or statistical analysis plan is available, but standard … some bias for outcome assessment
ITACA-S OS Low Low Low Low Low Low open label, but had pre-defined statistical … regarding blinding
ITACA-S Grade 3 to 5 AEs Low Low Low Low Low Low open label, but had pre-defined statistical
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effectivehealthcare.ahrq.gov/sites/default/files/ch_10-user-guide-to-ocer_130129.pdf
January 01, 2011 - 135
Abstract
This chapter provides a high-level overview of statistical analysis considerations for … Considerations for Statistical Analysis
Patrick G. Arbogast, Ph.D. … While this chapter provides a high-level summary
of considerations and issues for statistical analysis … Considerations for Statistical Analysis
9. Lumley T, Kronmal R, Ma S. … Statistical Analysis with
Missing Data. 2nd edition.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-215-depression-older-adults-executive-summary.pdf
March 01, 2019 - SOE was
graded for the calculated effect estimates with
interpretation based on statistical significance … Adverse events of antidepressants versus placebo or no therapy: summary
statements based on findings and statistical … SSRI: selective
serotonin reuptake inhibitor; vs=versus; XR=extended release
a Conclusions based on statistical … SSRI: selective
serotonin reuptake inhibitor; vs=versus; XR=extended release
a Conclusions based on statistical … Interpretations of findings were made based
on statistical significance, which may miss small
differences