论文标题
灵活的随机效应分布模型用于荟萃分析
Flexible random-effects distribution models for meta-analysis
论文作者
论文摘要
在荟萃分析中,随机效应模型是解决证据合成分析中研究中异质性之间的标准工具。对于随机效应分布模型,由于其计算和概念简单性,在大多数系统评价中都采用了正态分布模型。但是,限制性模型假设可能会对实践的总体结论产生严重影响。在本文中,我们首先提供了两个现实证据的例子,这些证据清楚地表明了正态分布假设不合适。为了解决模型限制问题,我们提出了可以灵活地调节偏度,峰度和尾部重量的替代性柔性随机效应模型:偏斜正态分布,偏度T-分布,不对称的subbotin分布,Jones-faddy分布和SINH-ARCSINH分布。我们还开发了一个R Flexmeta,可以轻松执行这些方法。使用灵活的随机效应分布模型,两个荟萃分析的结果显着改变,可能会影响这些系统评价的整体结论。灵活的方法和计算工具可以提供更精确的证据,至少建议将这些方法作为评估随机效应模型的正态分布假设的影响的灵敏度分析工具。
In meta-analysis, the random-effects models are standard tools to address between-study heterogeneity in evidence synthesis analyses. For the random-effects distribution models, the normal distribution model has been adopted in most systematic reviews due to its computational and conceptual simplicity. However, the restrictive model assumption might have serious influences on the overall conclusions in practices. In this article, we first provide two examples of real-world evidence that clearly show that the normal distribution assumption is unsuitable. To address the model restriction problem, we propose alternative flexible random-effects models that can flexibly regulate skewness, kurtosis and tailweight: skew normal distribution, skew t-distribution, asymmetric Subbotin distribution, Jones-Faddy distribution, and sinh-arcsinh distribution. We also developed a R package, flexmeta, that can easily perform these methods. Using the flexible random-effects distribution models, the results of the two meta-analyses were markedly altered, potentially influencing the overall conclusions of these systematic reviews. The flexible methods and computational tools can provide more precise evidence, and these methods would be recommended at least as sensitivity analysis tools to assess the influence of the normal distribution assumption of the random-effects model.