Abstract

Network meta-analysis is a powerful approach for synthesizing direct and indirect evidence about multiple treatment comparisons from a collection of independent studies. At present, the most widely used method in network meta-analysis is contrast-based, in which a baseline treatment needs to be specified in each study, and the analysis focuses on modeling relative treatment effects (typically log odds ratios). However, population-averaged treatment-specific parameters, such as absolute risks, cannot be estimated by this method without an external data source or a separate model for a reference treatment. Recently, an arm-based network meta-analysis method has been proposed, and the R package pcnetmeta provides user-friendly functions for its implementation. This package estimates both absolute and relative effects, and can handle binary, continuous, and count outcomes.

Highlights

  • In diverse scientific fields, such as social and medical research, summaries of cumulative knowledge are increasingly based on the results of meta-analyses (Hunter and Schmidt 1996; Lindholm et al 2005; Cooper et al 2009)

  • This article presents an overview of the R package pcnetmeta

  • Markov chain Monte Carlo (MCMC) convergence diagnostics have been extensively discussed in the literature (Cowles and Carlin 1996; Kass et al 1998)

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Summary

Introduction

Traditional meta-analysis focuses on direct pairwise comparisons between two treatments in the collected studies. Single-arm studies cannot be included in the contrast-based model but they may provide valuable information for treatment comparisons and enhance the robustness of a network meta-analysis (Lin et al 2016a). This article introduces the R package pcnetmeta (Lin et al 2016b), which performs network meta-analysis using the arm-based model and provides estimates for various effect sizes. This package is available from Comprehensive R Archive Network (R Core Team 2015) at http://CRAN.R-project.org/ package=pcnetmeta.

Arm-based model for binary outcomes
Arm-based model for continuous outcomes
Using the R package pcnetmeta
Data structure for network meta-analysis
Plotting the network
Performing arm-based network meta-analysis
Plotting treatment rank probabilities
Discussion
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