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meta (version 3.0-1)

metabin: Meta-analysis of binary outcome data

Description

Calculation of fixed and random effects estimates (risk ratio, odds ratio, risk difference or arcsine difference) for meta-analyses with binary outcome data. Mantel-Haenszel, inverse variance and Peto method are available for pooling.

Usage

metabin(event.e, n.e, event.c, n.c, studlab,
        data=NULL, subset=NULL, method="MH",
        sm=ifelse(!is.na(charmatch(method, c("Peto", "peto"),
                                   nomatch=NA)), "OR", "RR"),
        incr=0.5, allincr=FALSE, addincr=FALSE, allstudies=FALSE,
        MH.exact=FALSE, RR.cochrane=FALSE,
        level=0.95, level.comb=level,
        comb.fixed=TRUE, comb.random=TRUE,
        hakn=FALSE,
        method.tau="DL", tau.preset=NULL, TE.tau=NULL,
        tau.common=FALSE,
        prediction=FALSE, level.predict=level,
        method.bias=NULL,
        title="", complab="", outclab="",
        label.e="Experimental", label.c="Control",
        label.left="", label.right="",
        byvar, bylab, print.byvar=TRUE,
        print.CMH=FALSE, keepdata=TRUE, warn=TRUE)

Arguments

event.e
Number of events in experimental group.
n.e
Number of observations in experimental group.
event.c
Number of events in control group.
n.c
Number of observations in control group.
studlab
An optional vector with study labels.
data
An optional data frame containing the study information, i.e., event.e, n.e, event.c, and n.c.
subset
An optional vector specifying a subset of studies to be used.
method
A character string indicating which method is to be used for pooling of studies. One of "Inverse", "MH", or "Peto", can be abbreviated.
sm
A character string indicating which summary measure ("RR", "OR", "RD", or "AS") is to be used for pooling of studies, see Details.
incr
Could be either a numerical value which is added to each cell frequency for studies with a zero cell count or the character string "TA" which stands for treatment arm continuity correction, see Details.
allincr
A logical indicating if incr is added to each cell frequency of all studies if at least one study has a zero cell count. If FALSE (default), incr is added only to each cell frequency of studies with a zero cell count.
addincr
A logical indicating if incr is added to each cell frequency of all studies irrespective of zero cell counts.
allstudies
A logical indicating if studies with zero or all events in both groups are to be included in the meta-analysis (applies only if sm is equal to "RR" or "OR").
MH.exact
A logical indicating if incr is not to be added to all cell frequencies for studies with a zero cell count to calculate the pooled estimate based on the Mantel-Haenszel method.
RR.cochrane
A logical indicating if 2*incr instead of 1*incr is to be added to n.e and n.c in the calculation of the risk ratio (i.e., sm="RR") for studies with a zero cell. This is used in
level
The level used to calculate confidence intervals for individual studies.
level.comb
The level used to calculate confidence intervals for pooled estimates.
comb.fixed
A logical indicating whether a fixed effect meta-analysis should be conducted.
comb.random
A logical indicating whether a random effects meta-analysis should be conducted.
prediction
A logical indicating whether a prediction interval should be printed.
level.predict
The level used to calculate prediction interval for a new study.
hakn
A logical indicating whether the method by Hartung and Knapp should be used to adjust test statistics and confidence intervals.
method.tau
A character string indicating which method is used to estimate the between-study variance $\tau^2$. Either "DL", "REML", "ML", "HS", "SJ", "HE", or "EB"
tau.preset
Prespecified value for between-study variance $\tau^2$.
TE.tau
Overall treatment effect used to estimate the between-study variance $\tau^2$.
tau.common
A logical indicating whether tau-squared should be the same across subgroups.
method.bias
A character string indicating which test for funnel plot asymmetry is to be used. Either "rank", "linreg", "mm", "count", "score", or "peters", can be abbreviated.
title
Title of meta-analysis / systematic review.
complab
Comparison label.
outclab
Outcome label.
label.e
Label for experimental group.
label.c
Label for control group.
label.left
Graph label on left side of forest plot.
label.right
Graph label on right side of forest plot.
byvar
An optional vector containing grouping information (must be of same length as event.e).
bylab
A character string with a label for the grouping variable.
print.byvar
A logical indicating whether the name of the grouping variable should be printed in front of the group labels.
print.CMH
A logical indicating whether result of the Cochran-Mantel-Haenszel test for overall effect should be printed.
keepdata
A logical indicating whether original data (set) should be kept in meta object.
warn
A logical indicating whether warnings should be printed (e.g., if incr is added to studies with zero cell frequencies).

Value

  • An object of class c("metabin", "meta") with corresponding print, summary, plot function. The object is a list containing the following components:
  • event.e, n.e, event.c, n.c, studlab,
  • sm, method, incr, allincr, addincr,
  • allstudies, MH.exact, RR.cochrane, warn,
  • level, level.comb, comb.fixed, comb.random,
  • hakn, method.tau, tau.preset, TE.tau, method.bias,
  • tau.common, title, complab, outclab,
  • label.e, label.c, label.left, label.right,
  • byvar, bylab, print.byvarAs defined above.
  • TE, seTEEstimated treatment effect and standard error of individual studies.
  • w.fixed, w.randomWeight of individual studies (in fixed and random effects model).
  • TE.fixed, seTE.fixedEstimated overall treatment effect and standard error (fixed effect model).
  • lower.fixed, upper.fixedLower and upper confidence interval limits (fixed effect model).
  • zval.fixed, pval.fixedz-value and p-value for test of overall treatment effect (fixed effect model).
  • TE.random, seTE.randomEstimated overall treatment effect and standard error (random effects model).
  • lower.random, upper.randomLower and upper confidence interval limits (random effects model).
  • zval.random, pval.randomz-value or t-value and corresponding p-value for test of overall treatment effect (random effects model).
  • prediction, level.predictAs defined above.
  • seTE.predictStandard error utilised for prediction interval.
  • lower.predict, upper.predictLower and upper limits of prediction interval.
  • kNumber of studies combined in meta-analysis.
  • QHeterogeneity statistic Q.
  • df.QDegrees of freedom for heterogeneity statistic.
  • tauSquare-root of between-study variance.
  • se.tauStandard error of square-root of between-study variance.
  • CScaling factor utilised internally to calculate common tau-squared across subgroups.
  • Q.CMHCochran-Mantel-Haenszel test statistic for overall effect.
  • incr.e, incr.cIncrement added to cells in the experimental and control group, respectively.
  • sparseLogical flag indicating if any study included in meta-analysis has any zero cell frequencies.
  • df.haknDegrees of freedom for test of treatment effect for Hartung-Knapp method (only if hakn=TRUE).
  • keepdataAs defined above.
  • dataOriginal data (set) used in function call (if keepdata=TRUE).
  • subsetInformation on subset of original data used in meta-analysis (if keepdata=TRUE).
  • callFunction call.
  • versionVersion of R package meta used to create object.

Details

Treatment estimates and standard errors are calculated for each study. The following measures of treatment effect are available:
  • Risk ratio (sm="RR")
  • Odds ratio (sm="OR")
  • Risk difference (sm="RD")
  • Arcsine difference (sm="AS")

For studies with a zero cell count, by default, 0.5 is added to all cell frequencies of these studies; if incr is "TA" a treatment arm continuity correction is used instead (Sweeting et al., 2004; Diamond et al., 2007). Treatment estimates and standard errors are only calculated for studies with zero or all events in both groups if allstudies is TRUE. Internally, both fixed effect and random effects models are calculated regardless of values choosen for arguments comb.fixed and comb.random. Accordingly, the estimate for the random effects model can be extracted from component TE.random of an object of class "meta" even if comb.random=FALSE. However, all functions in R package meta will adequately consider the values for comb.fixed and comb.random. E.g. function print.meta will not print results for the random effects model if comb.random=FALSE.

By default, both fixed effect and random effects models are considered (arguments comb.fixed=TRUE and comb.random=TRUE). If method is "MH" (default), the Mantel-Haenszel method is used to calculate the fixed effect estimate; if method is "Inverse", inverse variance weighting is used for pooling; finally, if method is "Peto", the Peto method is used for pooling. By default, the DerSimonian-Laird estimate is used in the random effects model (see paragraph on argument method.tau). For the Peto method, Peto's log odds ratio, i.e. (O-E)/V and its standard error sqrt(1/V) with O-E and V denoting "Observed minus Expected" and "V", are utilised in the random effects model. Accordingly, results of a random effects model using sm="Peto" can be (slightly) different to results from a random effects model using sm="MH" or sm="Inverse". For the Mantel-Haenszel method, by default (if MH.exact is FALSE), 0.5 is added to all cell frequencies of a study with a zero cell count in the calculation of the pooled risk ratio or odds ratio as well as the estimation of the variance of the pooled risk difference, risk ratio or odds ratio. This approach is also used in other software, e.g. RevMan 5 and the Stata procedure metan. According to Fleiss (in Cooper & Hedges, 1994), there is no need to add 0.5 to a cell frequency of zero to calculate the Mantel-Haenszel estimate and he advocates the exact method (MH.exact=TRUE). Note, the estimate based on the exact method is not defined if the number of events is zero in all studies either in the experimental or control group.

If R package metafor (Viechtbauer 2010) is installed, the following statistical methods are also available.

For the random effects model (argument comb.random=TRUE), the method by Hartung and Knapp (Hartung, Knapp 2001; Knapp, Hartung 2003) is used to adjust test statistics and confidence intervals if argument hakn=TRUE (internally R function rma.uni of R package metafor is called).

Several methods are available to estimate the between-study variance $\tau^2$ (argument method.tau):

  • DerSimonian-Laird estimator (method.tau="DL") (default)
  • Restricted maximum-likelihood estimator (method.tau="REML")
  • Maximum-likelihood estimator (method.tau="ML")
  • Hunter-Schmidt estimator (method.tau="HS")
  • Sidik-Jonkman estimator (method.tau="SJ")
  • Hedges estimator (method.tau="HE")
  • Empirical Bayes estimator (method.tau="EB").
For all but the DerSimonian-Laird method the R function rma.uni of R package metafor is called internally. See help page of R function rma.uni for more details on the various methods to estimate between-study variance $\tau^2$.

A prediction interval for treatment effect of a new study is calculated (Higgins et al., 2009) if arguments prediction and comb.random are TRUE.

R function update.meta can be used to redo the meta-analysis of an existing metabin object by only specifying arguments which should be changed.

References

Cooper H & Hedges LV (1994), The Handbook of Research Synthesis. Newbury Park, CA: Russell Sage Foundation.

Diamond GA, Bax L, Kaul S (2007), Uncertain Effects of Rosiglitazone on the Risk for Myocardial Infarction and Cardiovascular Death. Annals of Internal Medicine, 147, 578--581.

DerSimonian R & Laird N (1986), Meta-analysis in clinical trials. Controlled Clinical Trials, 7, 177--188.

Fleiss JL (1993), The statistical basis of meta-analysis. Statistical Methods in Medical Research, 2, 121--145.

Greenland S & Robins JM (1985), Estimation of a common effect parameter from sparse follow-up data. Biometrics, 41, 55--68.

Hartung J & Knapp G (2001), A Refined Method for the Meta-analysis of Controlled Clinical Trials with Binary Outcome. Statistics in Medicine, 20, 3875--89. Higgins JPT, Thompson SG, Spiegelhalter DJ (2009), A re-evaluation of random-effects meta-analysis. Journal of the Royal Statistical Society: Series A, 172, 137-159.

Knapp G & Hartung J (2003), Improved Tests for a Random Effects Meta-regression with a Single Covariate. Statistics in Medicine, 22, 2693-710, doi: 10.1002/sim.1482 . Review Manager (RevMan) [Computer program]. Version 5.1. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2011.

Pettigrew HM, Gart JJ, Thomas DG (1986), The bias and higher cumulants of the logarithm of a binomial variate. Biometrika, 73, 425--435.

Ruecker G, Schwarzer G, Carpenter JR (2008) Arcsine test for publication bias in meta-analyses with binary outcomes. Statistics in Medicine, 27, 746--763. StataCorp. 2011. Stata Statistical Software: Release 12. College Station, TX: StataCorp LP. Sweeting MJ, Sutton AJ, Lambert PC (2004), What to add to nothing? Use and avoidance of continuity corrections in meta-analysis of sparse data. Statistics in Medicine, 23, 1351--1375.

Viechtbauer W (2010), Conducting Meta-Analyses in R with the Metafor Package. Journal of Statistical Software, 36, 1--48.

See Also

update.meta, funnel, metabias, metacont, metagen, print.meta

Examples

Run this code
metabin(10, 20, 15, 20, sm="OR", warn=FALSE)

##
## Different results:
##
metabin(0, 10, 0, 10, sm="OR", warn=FALSE)
metabin(0, 10, 0, 10, sm="OR", allstudies=TRUE, warn=FALSE)


data(Olkin95)

meta1 <- metabin(event.e, n.e, event.c, n.c,
                 data=Olkin95, subset=c(41,47,51,59),
                 sm="RR", method="I")
summary(meta1)
funnel(meta1)

meta2 <- metabin(event.e, n.e, event.c, n.c,
                 data=Olkin95, subset=Olkin95$year<1970,
                 sm="RR", method="I")
summary(meta2)
forest(meta2)

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