Meta-analysis in the assessment of treatment outcome
Randomized clinical trials provide the most reliable estimates of the benefits and harms of treatments. Limited sample sizes restrict their power to allow informative analyses of secondary outcomes, or patient subgroups. The overall results of trials only apply to the average patient and clinical ap...
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| Formato: | Journal article |
| Idioma: | English |
| Publicado em: |
SAGE Publications
2006
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| _version_ | 1826270821517099008 |
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| author | Geddes, J |
| author2 | British Association for Psychopharmacology |
| author_facet | British Association for Psychopharmacology Geddes, J |
| author_sort | Geddes, J |
| collection | OXFORD |
| description | Randomized clinical trials provide the most reliable estimates of the benefits and harms of treatments. Limited sample sizes restrict their power to allow informative analyses of secondary outcomes, or patient subgroups. The overall results of trials only apply to the average patient and clinical application ignores the individual patient differences. Meta-analysis in the context of a systematic review can produced more precise estimates of effect by combining the results of primary studies. This is particularly valuable for investigating rare, but important outcomes such as suicide. Variations between the trial-specific results can be investigated by meta-regression. Individual patient data meta-analyses (IPDMAs) are potentially much more powerful designs because they allow analysis of patient-level variables. As more genetic factors are identified that might account for treatment variability between individuals, IPDMAs offer a powerful strategy that can be used on existing trial data sets. Despite practical difficulties, IPDMAs are increasingly being conducted. |
| first_indexed | 2024-03-06T21:46:51Z |
| format | Journal article |
| id | oxford-uuid:49e1a978-56c8-4f2b-bede-77a7d9f6fa6a |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T21:46:51Z |
| publishDate | 2006 |
| publisher | SAGE Publications |
| record_format | dspace |
| spelling | oxford-uuid:49e1a978-56c8-4f2b-bede-77a7d9f6fa6a2022-03-26T15:34:25ZMeta-analysis in the assessment of treatment outcomeJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:49e1a978-56c8-4f2b-bede-77a7d9f6fa6aPsychiatryEnglishOxford University Research Archive - ValetSAGE Publications2006Geddes, JBritish Association for PsychopharmacologyRandomized clinical trials provide the most reliable estimates of the benefits and harms of treatments. Limited sample sizes restrict their power to allow informative analyses of secondary outcomes, or patient subgroups. The overall results of trials only apply to the average patient and clinical application ignores the individual patient differences. Meta-analysis in the context of a systematic review can produced more precise estimates of effect by combining the results of primary studies. This is particularly valuable for investigating rare, but important outcomes such as suicide. Variations between the trial-specific results can be investigated by meta-regression. Individual patient data meta-analyses (IPDMAs) are potentially much more powerful designs because they allow analysis of patient-level variables. As more genetic factors are identified that might account for treatment variability between individuals, IPDMAs offer a powerful strategy that can be used on existing trial data sets. Despite practical difficulties, IPDMAs are increasingly being conducted. |
| spellingShingle | Psychiatry Geddes, J Meta-analysis in the assessment of treatment outcome |
| title | Meta-analysis in the assessment of treatment outcome |
| title_full | Meta-analysis in the assessment of treatment outcome |
| title_fullStr | Meta-analysis in the assessment of treatment outcome |
| title_full_unstemmed | Meta-analysis in the assessment of treatment outcome |
| title_short | Meta-analysis in the assessment of treatment outcome |
| title_sort | meta analysis in the assessment of treatment outcome |
| topic | Psychiatry |
| work_keys_str_mv | AT geddesj metaanalysisintheassessmentoftreatmentoutcome |