Bayesian methods in meta-analysis: specication of prior distributions for the between-studies variability / Métodos bayesianos em metanálise: especificação da distribuição a priori para a variabilidade entre os estudos

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

MAZIN, S. C. Bayesian methods in meta-analysis: specication of prior distributions for the between-studies variability. 2009. 175s. Dissertation (master degree) - Faculty of Medicine of Ribeir~ao Preto, University of S~ao Paulo, Ribeir~ao Preto, 2009. Health professionals, researchers and others responsible for health policy are often overwhelmed by amounts of information that can not always be manageable, which makes the systematic review an ecient way to integrate existing knowledge generating information that may help decision making. In a systematic review, data from dierent studies can be quantitatively combined by statistical methods called meta-analysis. The meta-analysis is a statistical tool used to combine or integrate the results of several independent studies on the same topic. Among the studies that comprise the meta-analysis we have a variability that does not yield from the chance, called the heterogeneity. Heterogeneity is usually tested by Q or quantied by the statistic I2. The investigation of heterogeneity in meta-analysis has a great importance because the absence or presence indicates the most appropriate statistical model. In the absence of this variability we used a xed eect statistical model and a random eects model was used to incorporate the variability between studies in the meta-analysis. Many meta-analysis are composed of few studies, and in those cases, it is dicult to estimate the eect of meta-analytic measures by the classical theory because the asymptotic assumptions. In the Bayesian approach we do not have this problem, but we must be very careful about the specication of prior distribution. One advantage of Bayesian inference is the ability to predict an outcome for a future study. In this work, carried out a study about the specication of prior distribution for the parameter that expresses of the variance between studies and found that there is no single choice that features a prior distribution that would be considered uninformative at all times. The choice of a prior distribution uninformative depend heterogeneity among studies in the meta-analysis. Thus, the prior distribution should be examined very carefully and followed by a sensitivity analysis, especially when the number of studies is small.

ASSUNTO(S)

heterogeneidade metanalise bayesian methods. metodos bayesianos. heterogeneity meta-analysis

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