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隐藏在眼前：不可折叠性如何使网络元分析的处理效应产生偏差AI 解读

Network meta-analysis (NMA) is widely used to compare multiple interventions simultaneously by synthesizing direct and indirect evidence. The general fixed or random effects contrast-based NMA model can be applied to different outcomes and data structures by opting for either an arm-based or contrast-based likelihood depending on the data available. Depending on the outcome and link-function, we estimate either collapsible or non-collapsible effect measures. Using an…

外部对照单臂试验与非锚定间接治疗比较的双重稳健增广加权估计AI 解读

Externally controlled single-arm trials are critical to assess treatment efficacy across therapeutic indications for which randomized controlled trials are not feasible. A closely-related research design, the unanchored indirect treatment comparison, is often required for disconnected treatment networks in health technology assessment. We present a unified causal inference framework for both research designs. We develop a novel estimator that augments a popular weighting…

肿瘤试验处理交叉的增强两阶段估计：利用外部数据提高精度AI 解读

Randomized controlled trials (RCTs) in oncology often allow control group participants to crossover to experimental treatments, a practice that, while often ethically necessary, complicates the accurate estimation of long-term treatment effects. When crossover rates are high or sample sizes are limited, commonly used methods for crossover adjustment (such as the rank-preserving structural failure time model, inverse probability of censoring weights, and two-stage estimation…

边际处理效应估计：何时标准化优于倾向得分加权？AI 解读

In light of newly developed standardization methods, we evaluate, via simulation study, how propensity score weighting and standardization -based approaches compare for obtaining estimates of the marginal odds ratio and the marginal hazard ratio. Specifically, we consider how the two approaches compare in two different scenarios: (1) in a single observational study, and (2) in an anchored indirect treatment comparison (ITC) of randomized controlled trials. We present the…