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元分析中研究内与跨研究的亚组比较AI 解读

Subgroup-specific meta-analysis synthesizes treatment effects for patient subgroups across randomized trials. Methods include joint or separate modeling of subgroup effects and treatment-by-subgroup interactions, but inconsistencies arise when subgroup prevalence differs between studies (e.g., proportion of non-smokers). A key distinction is between study-generated evidence within trials and synthesis-generated evidence obtained by contrasting results across trials. This…

个体参与者数据元分析中处理效应的学生化置换检验AI 解读

Meta-analysis is a well-established tool used to combine data from several independent studies, each of which usually compares the effect of an experimental treatment with a control group. While meta-analyses are often performed using aggregated study summaries, they may also be conducted using individual participant data (IPD). Classical meta-analysis models may be generalized to handle continuous IPD by formulating them within a linear mixed model framework. IPD…

用伪观测比较小样本临床试验的限制平均生存时间AI 解读

The widely used proportional hazard assumption cannot be assessed reliably in small-scale clinical trials and might often in fact be unjustified, e.g. due to delayed treatment effects. An alternative to the hazard ratio as effect measure is the difference in restricted mean survival time (RMST) that does not rely on model assumptions. Although an asymptotic test for two-sample comparisons of the RMST exists, it has been shown to suffer from an inflated type I error rate in…