Top

Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

16-05-2023 | REVIEW

A guide to appropriately planning and conducting meta-analyses: part 3. Special considerations—the network meta-analysis

Authors: Kyle N. Kunze, Jeffrey Kay, Ayoosh Pareek, Jari Dahmen, Jorge Chahla, Shane J. Nho, Riley J. Williams III, Darren de Sa, Jon Karlsson

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 7/2023

Abstract

The meta-analysis has become one of the predominant studies designs in orthopaedic literature. Within recent years, the network meta-analysis has been implicated as a powerful approach to comparing multiple treatments for an outcome of interest when conducting a meta-analysis (as opposed to two competing treatments which is typical of a traditional meta-analysis). With the increasing use of the network meta-analysis, it is imperative for readers to possess the ability to independently and critically evaluate these types of studies. The purpose of this article is to provide the necessary foundation of knowledge to both properly conduct and interpret the results of a network meta-analysis.

Ahn E, Kang H (2021) Concepts and emerging issues of network meta-analysis. Korean J Anesthesiol 74:371–382CrossRefPubMedPubMedCentral

Amer MA, Smith MD, Herbison GP, McCall JL (2020) Network meta-analysis: what it is and why you should know. ANZ J Surg 90:954–956CrossRefPubMed

Challoumas D, Biddle M, McLean M, Millar NL (2020) Comparison of treatments for frozen shoulder: a systematic review and meta-analysis. JAMA Netw Open 3:e2029581CrossRefPubMedPubMedCentral

Gonzalez-Xuriguera CG, Vergara-Merino L, Garegnani L, Ortiz-Munoz L, Meza N (2021) Introduction to network meta-analysis for evidence synthesis. Medwave 21:e8315. https://doi.org/10.5867/medwave.2021.06.8315CrossRefPubMed

Kunze KN, Polce EM, Lilly DT, Garcia FL, Cohn MR, Nho SJ et al (2020) Adjunct analgesia reduces pain and opioid consumption after hip arthroscopy: a systematic review of randomized controlled trials. Am J Sports Med 48:3638–3651CrossRefPubMed

Lameire DL, Khalik HA, Phillips M, MacDonald AE, Banfield L, de Sa D et al (2022) Thromboprophylaxis after knee arthroscopy does not decrease the risk of deep vein thrombosis: a network meta-analysis. Knee Surg Sports Traumatol Arthrosc 30:2364–2376CrossRefPubMed

Mavridis D (2019) Network meta-analysis in a nutshell. Evid Based Ment Health 22:100–101CrossRefPubMed

Mbuagbaw L, Rochwerg B, Jaeschke R, Heels-Andsell D, Alhazzani W, Thabane L et al (2017) Approaches to interpreting and choosing the best treatments in network meta-analyses. Syst Rev 6:79. https://doi.org/10.1186/s13643-017-0473-zCrossRefPubMedPubMedCentral

Puhan MA, Schunemann HJ, Murad MH, Li T, Brignardello-Petersen R, Singh JA et al (2014) A GRADE Working Group approach for rating the quality of treatment effect estimates from network meta-analysis. BMJ 349:g5630. https://doi.org/10.1136/bmj.g5630CrossRefPubMed

10.

Rücker G, Schwarzer G (2015) Ranking treatments in frequentist network meta-analysis works without resampling methods. BMC Med Res Methodol 15:58. https://doi.org/10.1186/s12874-015-0060-8CrossRefPubMedPubMedCentral

11.

Sadeghirad B, Foroutan F, Zoratti MJ, Busse JW, Brignardello-Petersen R, Guyatt G et al (2022) Theory and practice of Bayesian and frequentist frameworks for network meta-analysis. BMJ Evid-Based Med. https://doi.org/10.1136/bmjebm-2022-111928bmjebm-2022-111928CrossRefPubMed

12.

Seide SE, Jensen K, Kieser M (2020) A comparison of Bayesian and frequentist methods in random-effects network meta-analysis of binary data. Res Synthe Methods 11:363–378CrossRef

13.

Senn S, Gavini F, Magrez D, Scheen A (2013) Issues in performing a network meta-analysis. Stat Methods Med Res 22:169–189CrossRefPubMed

14.

Shim S, Yoon BH, Shin IS, Bae JM (2017) Network meta-analysis: application and practice using Stata. Epidemiol Health 39:e2017047CrossRefPubMedPubMedCentral

15.

Singh H, Knapik DM, Polce EM, Eikani CK, Bjornstad AH, Gursoy S et al (2022) Relative efficacy of intra-articular injections in the treatment of knee osteoarthritis: a systematic review and network meta-analysis. Am J Sports Med 50:3140–3148CrossRefPubMed

16.

Tian J, Gao Y, Zhang J, Yang Z, Dong S, Zhang T et al (2021) Progress and challenges of network meta-analysis. J Evid Based Med 14:218–231CrossRefPubMed

17.

Uhlmann L, Jensen K, Kieser M (2018) Hypothesis testing in Bayesian network meta-analysis. BMC Med Res Methodol 18:128. https://doi.org/10.1186/s12874-018-0574-yCrossRefPubMedPubMedCentral

18.

Watt J, Del Giovane C (2022) Network meta-analysis. Methods Mol Biol 2345:187–201CrossRefPubMed

19.

Yang A, Pechlivanoglou P, Aoyama K (2022) Interpreting and assessing confidence in network meta-analysis results: an introduction for clinicians. J Anesth 36:524–531CrossRefPubMedPubMedCentral

Title: A guide to appropriately planning and conducting meta-analyses: part 3. Special considerations—the network meta-analysis
Authors: Kyle N. Kunze
Jeffrey Kay
Ayoosh Pareek
Jari Dahmen
Jorge Chahla
Shane J. Nho
Riley J. Williams III
Darren de Sa
Jon Karlsson
Publication date: 16-05-2023
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 7/2023
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-023-07419-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A guide to appropriately planning and conducting meta-analyses: part 3. Special considerations—the network meta-analysis

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 7/2023

A quadruple peripheral nerve block outside the OR for anterior cruciate ligament reconstruction reduces the OR occupancy time

A new self-assessment tool following shoulder stabilization surgery, the auto-Walch and auto-Rowe questionnaires

Latarjet procedure without capsular repair produces favorable clinical results and avoids limitation in external rotation

Preoperative quantitative pivot shift does not correlate with in vivo kinematics following ACL reconstruction with or without lateral extraarticular tenodesis

Meniscal resection increases the risk of residual knee laxity even in patients undergoing anatomic double-bundle anterior cruciate ligament reconstruction with eight strands of hamstring autografts

No correlation exists between coracoid tunnel widening and loss of reduction after arthroscopic acromioclavicular fixation using tightrope system