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Published in: Systematic Reviews 1/2017

Open Access 01-12-2017 | Commentary

Approaches to interpreting and choosing the best treatments in network meta-analyses

Authors: L. Mbuagbaw, B. Rochwerg, R. Jaeschke, D. Heels-Andsell, W. Alhazzani, L. Thabane, Gordon H. Guyatt

Published in: Systematic Reviews | Issue 1/2017

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Abstract

When randomized trials have addressed multiple interventions for the same health problem, network meta-analyses (NMAs) permit researchers to statistically pool data from individual studies including evidence from both direct and indirect comparisons. Grasping the significance of the results of NMAs may be very challenging. Authors may present the findings from such analyses in several numerical and graphical ways. In this paper, we discuss ranking strategies and visual depictions of rank, including the surface under the cumulative ranking (SUCRA) curve method. We present ranking approaches’ merits and limitations and provide an example of how to apply the results of a NMA to clinical practice.
Literature
3.
go back to reference Cipriani A, Barbui C, Rizzo C, Salanti G. What is a multiple treatments meta-analysis? Epidemiol Psychiatr Sci. 2012;21:151–3.CrossRefPubMed Cipriani A, Barbui C, Rizzo C, Salanti G. What is a multiple treatments meta-analysis? Epidemiol Psychiatr Sci. 2012;21:151–3.CrossRefPubMed
4.
5.
go back to reference Mills EJ, Thorlund K, Ioannidis JP. Demystifying trial networks and network meta-analysis. BMJ. 2013;346:f2914.CrossRefPubMed Mills EJ, Thorlund K, Ioannidis JP. Demystifying trial networks and network meta-analysis. BMJ. 2013;346:f2914.CrossRefPubMed
7.
8.
go back to reference Sullivan SM, Coyle D, Wells G. What guidance are researchers given on how to present network meta-analyses to end-users such as policymakers and clinicians? A systematic review. PLoS ONE. 2014;9:e113277.CrossRefPubMedPubMedCentral Sullivan SM, Coyle D, Wells G. What guidance are researchers given on how to present network meta-analyses to end-users such as policymakers and clinicians? A systematic review. PLoS ONE. 2014;9:e113277.CrossRefPubMedPubMedCentral
9.
go back to reference Salanti G, Ades AE, Ioannidis JP. Graphical methods and numerical summaries for presenting results from multiple-treatment meta-analysis: an overview and tutorial. J Clin Epidemiol. 2011;64:163–71.CrossRefPubMed Salanti G, Ades AE, Ioannidis JP. Graphical methods and numerical summaries for presenting results from multiple-treatment meta-analysis: an overview and tutorial. J Clin Epidemiol. 2011;64:163–71.CrossRefPubMed
10.
go back to reference Tan SH, Cooper NJ, Bujkiewicz S, Welton NJ, Caldwell DM, Sutton AJ. Novel presentational approaches were developed for reporting network meta-analysis. J Clin Epidemiol. 2014;67:672–80.CrossRefPubMed Tan SH, Cooper NJ, Bujkiewicz S, Welton NJ, Caldwell DM, Sutton AJ. Novel presentational approaches were developed for reporting network meta-analysis. J Clin Epidemiol. 2014;67:672–80.CrossRefPubMed
11.
go back to reference Puhan MA, Schunemann HJ, Murad MH, Li T, Brignardello-Petersen R, Singh JA, Kessels AG, Guyatt GH. A GRADE Working Group approach for rating the quality of treatment effect estimates from network meta-analysis. BMJ. 2014;349:g5630.CrossRefPubMed Puhan MA, Schunemann HJ, Murad MH, Li T, Brignardello-Petersen R, Singh JA, Kessels AG, Guyatt GH. A GRADE Working Group approach for rating the quality of treatment effect estimates from network meta-analysis. BMJ. 2014;349:g5630.CrossRefPubMed
12.
go back to reference Jansen JP, Fleurence R, Devine B, Itzler R, Barrett A, Hawkins N. Interpreting indirect treatment comparisons and network meta-analysis for health-care decision making: report of the ISPOR Task Force on Indirect Treatment Comparisons Good Research Practices: part 1. Value Health. 2011;14(4):417–28.CrossRefPubMed Jansen JP, Fleurence R, Devine B, Itzler R, Barrett A, Hawkins N. Interpreting indirect treatment comparisons and network meta-analysis for health-care decision making: report of the ISPOR Task Force on Indirect Treatment Comparisons Good Research Practices: part 1. Value Health. 2011;14(4):417–28.CrossRefPubMed
13.
go back to reference Rochwerg B, Alhazzani W, Sindi A, Heels-Ansdell D, Thabane L, Fox-Robichaud A, Mbuagbaw L, Szczeklik W, Alshamsi F, Altayyar S, et al. Fluid resuscitation in sepsis: a systematic review and network meta-analysis. Ann Intern Med. 2014;161:347–55.CrossRefPubMed Rochwerg B, Alhazzani W, Sindi A, Heels-Ansdell D, Thabane L, Fox-Robichaud A, Mbuagbaw L, Szczeklik W, Alshamsi F, Altayyar S, et al. Fluid resuscitation in sepsis: a systematic review and network meta-analysis. Ann Intern Med. 2014;161:347–55.CrossRefPubMed
Metadata
Title
Approaches to interpreting and choosing the best treatments in network meta-analyses
Authors
L. Mbuagbaw
B. Rochwerg
R. Jaeschke
D. Heels-Andsell
W. Alhazzani
L. Thabane
Gordon H. Guyatt
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Systematic Reviews / Issue 1/2017
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-017-0473-z

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