Individual Participant Data (IPD) meta-analysis of prognostic studies

Article type
Authors
Debray T1, Moons K1, Reitsma J2, Riley R3
1Julius Center for Health Sciences and Primary Care
2Julius Center for Health Sciences and Primary Care, The Netherlands
3Keele University, United Kingdom
Abstract
Objectives: This workshop introduces individual participant data (IPD) meta-analysis in risk prediction research and the required statistical methodology. We will illustrate the implementation of IPD meta-analysis using case studies and example papers.
Description: The development and validation of prediction models is an important area in contemporary medical research. During the past few years, evidence synthesis and meta-analysis of individual participant data (IPD) has become increasingly popular, not only for intervention research but also for improving the development, validation and generalizability of prediction models. IPD meta-analyses (IPD-MA) provide unique opportunities to develop and enhance the applicability of prediction models across (sub)populations and settings. There is, however, little guidance on how to conduct an IPD-MA aimed at developing and validating diagnostic and prognostic prediction models, and how to interpret their findings.
We will discuss how such types of IPD-MA differ from IPD-MA for assessing treatment effects. We identify key advantages and challenges in IPD-MA of prediction models. We provide recommendations for the design of such IPD-MA including the selection of relevant studies. We discuss statistical methods for handling between-study heterogeneity and other issues regarding prediction model development and validation. We illustrate this using various empirical examples across medical disciplines.