MetaBayesDTA: codeless Bayesian meta-analysis of test accuracy, with or without a gold standard

Abstract Background The statistical models developed for meta-analysis of diagnostic test accuracy studies require specialised knowledge to implement. This is especially true since recent guidelines, such as those in Version 2 of the Cochrane Handbook of Systematic Reviews of Diagnostic Test Accurac...

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Main Authors: Enzo Cerullo, Alex J. Sutton, Hayley E. Jones, Olivia Wu, Terry J. Quinn, Nicola J. Cooper
Format: Article
Language:English
Published: BMC 2023-05-01
Series:BMC Medical Research Methodology
Subjects:
Online Access:https://doi.org/10.1186/s12874-023-01910-y
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author Enzo Cerullo
Alex J. Sutton
Hayley E. Jones
Olivia Wu
Terry J. Quinn
Nicola J. Cooper
author_facet Enzo Cerullo
Alex J. Sutton
Hayley E. Jones
Olivia Wu
Terry J. Quinn
Nicola J. Cooper
author_sort Enzo Cerullo
collection DOAJ
description Abstract Background The statistical models developed for meta-analysis of diagnostic test accuracy studies require specialised knowledge to implement. This is especially true since recent guidelines, such as those in Version 2 of the Cochrane Handbook of Systematic Reviews of Diagnostic Test Accuracy, advocate more sophisticated methods than previously. This paper describes a web-based application - MetaBayesDTA - that makes many advanced analysis methods in this area more accessible. Results We created the app using R, the Shiny package and Stan. It allows for a broad array of analyses based on the bivariate model including extensions for subgroup analysis, meta-regression and comparative test accuracy evaluation. It also conducts analyses not assuming a perfect reference standard, including allowing for the use of different reference tests. Conclusions Due to its user-friendliness and broad array of features, MetaBayesDTA should appeal to researchers with varying levels of expertise. We anticipate that the application will encourage higher levels of uptake of more advanced methods, which ultimately should improve the quality of test accuracy reviews.
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spelling doaj.art-d7642c9e86e045ba914e00b1ace4d2e02023-05-28T11:20:20ZengBMCBMC Medical Research Methodology1471-22882023-05-0123112010.1186/s12874-023-01910-yMetaBayesDTA: codeless Bayesian meta-analysis of test accuracy, with or without a gold standardEnzo Cerullo0Alex J. Sutton1Hayley E. Jones2Olivia Wu3Terry J. Quinn4Nicola J. Cooper5Biostatistics Research Group, Department of Population Health Sciences, University of LeicesterBiostatistics Research Group, Department of Population Health Sciences, University of LeicesterPopulation Health Sciences, University of Bristol, Bristol Medical SchoolComplex Reviews Support Unit, University of Leicester & University of GlasgowComplex Reviews Support Unit, University of Leicester & University of GlasgowBiostatistics Research Group, Department of Population Health Sciences, University of LeicesterAbstract Background The statistical models developed for meta-analysis of diagnostic test accuracy studies require specialised knowledge to implement. This is especially true since recent guidelines, such as those in Version 2 of the Cochrane Handbook of Systematic Reviews of Diagnostic Test Accuracy, advocate more sophisticated methods than previously. This paper describes a web-based application - MetaBayesDTA - that makes many advanced analysis methods in this area more accessible. Results We created the app using R, the Shiny package and Stan. It allows for a broad array of analyses based on the bivariate model including extensions for subgroup analysis, meta-regression and comparative test accuracy evaluation. It also conducts analyses not assuming a perfect reference standard, including allowing for the use of different reference tests. Conclusions Due to its user-friendliness and broad array of features, MetaBayesDTA should appeal to researchers with varying levels of expertise. We anticipate that the application will encourage higher levels of uptake of more advanced methods, which ultimately should improve the quality of test accuracy reviews.https://doi.org/10.1186/s12874-023-01910-yMeta-AnalysisDiagnostic test accuracyApplicationImperfect gold standardLatent class
spellingShingle Enzo Cerullo
Alex J. Sutton
Hayley E. Jones
Olivia Wu
Terry J. Quinn
Nicola J. Cooper
MetaBayesDTA: codeless Bayesian meta-analysis of test accuracy, with or without a gold standard
BMC Medical Research Methodology
Meta-Analysis
Diagnostic test accuracy
Application
Imperfect gold standard
Latent class
title MetaBayesDTA: codeless Bayesian meta-analysis of test accuracy, with or without a gold standard
title_full MetaBayesDTA: codeless Bayesian meta-analysis of test accuracy, with or without a gold standard
title_fullStr MetaBayesDTA: codeless Bayesian meta-analysis of test accuracy, with or without a gold standard
title_full_unstemmed MetaBayesDTA: codeless Bayesian meta-analysis of test accuracy, with or without a gold standard
title_short MetaBayesDTA: codeless Bayesian meta-analysis of test accuracy, with or without a gold standard
title_sort metabayesdta codeless bayesian meta analysis of test accuracy with or without a gold standard
topic Meta-Analysis
Diagnostic test accuracy
Application
Imperfect gold standard
Latent class
url https://doi.org/10.1186/s12874-023-01910-y
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