How to interpret systematic reviews with multiple comparisons or network meta-analysis

被引:0
作者
Labarca, Gonzalo [1 ,2 ]
Uribe, Juan P. [3 ]
Majid, Adnan [3 ]
Folch, Erik [4 ]
Fernandez-Bussy, Sebastian [5 ]
机构
[1] Univ Concepcion, Fac Med, Concepcion, Chile
[2] Univ San Sebastian, Fac Med, Concepcion, Chile
[3] Beth Israel Deaconess Med Ctr, Div Thorac Surg & Intervent Pulmonol, Boston, MA 02215 USA
[4] Massachusetts Gen Hosp, Div Pulm & Crit Care Med, Boston, MA 02114 USA
[5] Mayo Clin, Div Pulm & Crit Care Med, Jacksonville, FL 32224 USA
关键词
Evidence-Based Medicine; Meta-Analysis; Methods; Network Meta-Analysis; STEP;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Systematic reviews evaluating multiple interventions can be useful in different clinical situations. However, some concerns arise when more than two interventions are compared and there is a paucity of good quality randomized clinical trials. A novel statistical method based on indirect comparisons, called network meta-analysis (NMA), can be a useful approach to find a clinical answer when multiple interventions are evaluated for the same outcome or comparator. The aim of this review is to describe the main characteristics and provide a user guide for a critical analysis of NMA focusing on its three main domains, namely homogeneity, transitivity and consistency.
引用
收藏
页码:109 / 117
页数:9
相关论文
共 12 条
  • [1] [Anonymous], EUR RESP J
  • [2] Reporting of results from network meta-analyses: methodological systematic review
    Bafeta, Aida
    Trinquart, Ludovic
    Seror, Raphaele
    Ravaud, Philippe
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2014, 348
  • [3] GRADE approach to rate the certainty from a network meta-analysis: avoiding spurious judgments of imprecision in sparse networks
    Brignardello-Petersen, Romina
    Murad, M. Hassan
    Walter, Stephen D.
    McLeod, Shelley
    Carrasco-Labra, Alonso
    Rochwerg, Bram
    Schunemann, Holger J.
    Tomlinson, George
    Guyatt, Gordon H.
    [J]. JOURNAL OF CLINICAL EPIDEMIOLOGY, 2019, 105 : 60 - 67
  • [4] Advances in the GRADE approach to rate the certainty in estimates from a network meta-analysis
    Brignardello-Petersen, Romina
    Bonner, Ashley
    Alexander, Paul E.
    Siemieniuk, Reed A.
    Furukawa, Toshi A.
    Rochwerg, Bram
    Hazlewood, Glen S.
    Alhazzani, Waleed
    Mustafa, Reem A.
    Murad, M. Hassan
    Puhan, Milo A.
    Schunemann, Holger J.
    Guyatt, Gordon H.
    [J]. JOURNAL OF CLINICAL EPIDEMIOLOGY, 2018, 93 : 36 - 44
  • [5] First step: the clinical question
    Carlos Claro, Juan
    Lustig, Nicole
    Soto, Mauricio
    Rada, Gabriel
    [J]. REVISTA MEDICA DE CHILE, 2012, 140 (08) : 1067 - 1072
  • [6] Useful tools and methods for literature retrieval in pubmed: step-by-step guide for physicians
    Hevia M, Joaquin
    Huete G, Alvaro
    Alfaro F, Sandra
    Palominos V, Veronica
    [J]. REVISTA MEDICA DE CHILE, 2017, 145 (12) : 1610 - 1618
  • [7] CONVINCING EVIDENCE FROM CONTROLLED AND UNCONTROLLED STUDIES ON THE LIPID-LOWERING EFFECT OF A STATIN
    Higgins, Julian
    [J]. COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2012, (12):
  • [8] The PRISMA Extension Statement for Reporting of Systematic Reviews Incorporating Network Meta-analyses of Health Care Interventions: Checklist and Explanations
    Hutton, Brian
    Salanti, Georgia
    Caldwell, Deborah M.
    Chaimani, Anna
    Schmid, Christopher H.
    Cameron, Chris
    Ioannidis, John P. A.
    Straus, Sharon
    Thorlund, Kristian
    Jansen, Jeroen P.
    Mulrow, Cynthia
    Catala-Lopez, Ferran
    Gotzsche, Peter C.
    Dickersin, Kay
    Boutron, Isabelle
    Altman, Douglas G.
    Moher, David
    [J]. ANNALS OF INTERNAL MEDICINE, 2015, 162 (11) : 777 - 784
  • [9] Letelier LM, 2005, REV MED CHILE, V133, P246
  • [10] Clinical guidelines using the GRADE system (Grading of Recommendations Assessment, Development and Evaluation)
    Mendoza, Carolina
    Kraemer, Patricia
    Herrera, Paloma
    Burdiles, Pamela
    Sepulveda, Dino
    Nunez, Eliozka
    Munoz, Cecilia
    Neumann, Ignacio
    [J]. REVISTA MEDICA DE CHILE, 2017, 145 (11) : 1463 - 1470