Multilevel network meta-regression for multistate models: Population-adjusted joint synthesis of progression and survival data from individual and aggregate evidence
多状态模型的多层网络元回归:联合综合个体与汇总证据并进行人群调整
In network meta-analysis (NMA) of oncology time-to-event outcomes, there is growing recognition that progression-free survival (PFS) and overall survival (OS) are better synthesized jointly than in separate analyses. The multistate NMA of Jansen et al. addresses this with a tri-state (stable, progressed, dead) Markov model fitted to aggregate survival curves, but it cannot adjust for imbalance in effect-modifying covariates across trials, so its relative effects may be…