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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
24
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pubmed:dateCreated |
1997-3-11
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pubmed:abstractText |
There exists a variety of situations in which a random effects meta-analysis might be undertaken using a small number of clinical trials. A problem associated with small meta-analyses is estimating the heterogeneity between trials. To overcome this problem, information from other related studies may be incorporated into the meta-analysis. A Bayesian approach to this problem is presented using data from previous meta-analyses in the same therapeutic area to formulate a prior distribution for the heterogeneity. The treatment difference parameters are given non-informative priors. Further, related trials which compare one or other of the treatments of interest with a common third treatment are included in the model to improve inference on both the heterogeneity and the treatment difference. Two approaches to estimating relative efficacy are considered, namely a general parametric approach and a method explicit to binary data. The methodology is illustrated using data from 26 clinical trials which investigate the prevention of cirrhosis using beta-blockers and sclerotherapy. Both sources of external information lead to more precise posterior distributions for all parameters, in particular that representing heterogeneity.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0277-6715
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
30
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pubmed:volume |
15
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
2733-49
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:8981683-Adrenergic beta-Antagonists,
pubmed-meshheading:8981683-Bayes Theorem,
pubmed-meshheading:8981683-Data Interpretation, Statistical,
pubmed-meshheading:8981683-Gastrointestinal Hemorrhage,
pubmed-meshheading:8981683-Humans,
pubmed-meshheading:8981683-Likelihood Functions,
pubmed-meshheading:8981683-Liver Cirrhosis,
pubmed-meshheading:8981683-Meta-Analysis as Topic,
pubmed-meshheading:8981683-Models, Statistical,
pubmed-meshheading:8981683-Multivariate Analysis,
pubmed-meshheading:8981683-Odds Ratio,
pubmed-meshheading:8981683-Randomized Controlled Trials as Topic,
pubmed-meshheading:8981683-Sclerotherapy
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pubmed:year |
1996
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pubmed:articleTitle |
Borrowing strength from external trials in a meta-analysis.
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pubmed:affiliation |
Department of Applied Statistics, University of Reading, U.K.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
|