Model averaging for robust extrapolation in evidence synthesis

Stat Med. 2019 Feb 20;38(4):674-694. doi: 10.1002/sim.7991. Epub 2018 Oct 10.

Abstract

Extrapolation from a source to a target, eg, from adults to children, is a promising approach to utilize external information when data are sparse. In the context of meta-analyses, one is commonly faced with a small number of studies, whereas potentially relevant additional information may also be available. Here, we describe a simple extrapolation strategy using heavy-tailed mixture priors for effect estimation in meta-analysis, which effectively results in a model-averaging technique. The described method is robust in the sense that a potential prior-data conflict, ie, a discrepancy between source and target data, is explicitly anticipated. The aim of this paper is to develop a solution for this particular application to showcase the ease of implementation by providing R code, and to demonstrate the robustness of the general approach in simulations.

Keywords: bridging; extrapolation; informative prior; meta-analysis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Data Interpretation, Statistical*
  • Graft Rejection / prevention & control
  • Humans
  • Interleukin-2 Receptor alpha Subunit / antagonists & inhibitors
  • Liver Transplantation / methods
  • Meta-Analysis as Topic
  • Migraine Disorders / drug therapy
  • Models, Statistical*
  • Treatment Outcome

Substances

  • Interleukin-2 Receptor alpha Subunit