Methods for individual participant data meta-analysis of relative treatment effects: a methodologic overview

Article type
Authors
Debray T1, Moons K1, van Valkenhoef G2, Efthimiou O3, Hummel N4, Groenwold R1, Reitsma H1
1Julius Center for Health Sciences and Primary Care, The Netherlands
2University Medical Center Groningen, The Netherlands
3University of Ioannina, Greece
4Universität Bern, Switzerland
Abstract
Background: Individual participant data (IPD) meta-analysis is an increasingly used approach for synthesizing and investigating treatment effect estimates. Over the past few years, numerous methods for conducting an IPD meta-analysis (IPD-MA) have been proposed, often making different assumptions and modeling choices while addressing a similar research question. As a consequence, meta-analytic models sometimes lead to conflicting results, which casts doubt on their utility and validity.
Objectives: To assist researchers to choose appropriate methods and provide recommendations on their implementation when planning and conducting an IPD-MA.
Methods: We conducted a literature review to provide an overview of methods for performing an IPD-MA using evidence from clinical trials or non-randomized studies when investigating treatment efficacy. Articles were eligible if they presented statistical methods, results from empirical case studies or provided methodological guidance.
Results: A total of 153 records (out of 3360 unique records identified) were included.
Conclusions: IPD-MA offer numerous advantages over meta-analyses that are solely based on published AD. There is substantial, although disperse, information on how IPD-MA should be conducted. This review may help systematic reviewers with a limited background in medical statistics to identify relevant methods for their IPD-MA.