Mixed-Effects Poisson Regression Models for Meta-Analysis of Follow-Up Studies with Constant or Varying Durations
We present a framework for meta-analysis of follow-up studies with constant or varying duration using the binary nature of the data directly. We use a generalized linear mixed model framework with the Poisson likelihood and the log link function. We fit models with fixed and random study effects using Stata for performing meta-analysis of follow-up studies with constant or varying duration. The methods that we present are capable of estimating all the effect measures that are widely used in such studies such as the Risk Ratio, the Risk Difference (in case of studies with constant duration), as well as the Incidence Rate Ratio and the Incidence Rate Difference (for studies of varying duration). The methodology presented here naturally extends previously published methods for meta-analysis of binary data in a generalized linear mixed model framework using the Poisson likelihood. Simulation results suggest that the method is uniformly more powerful compared to summary based methods, in particular when the event rate is low and the number of studies is small. The methods were applied in several already published meta-analyses with very encouraging results. The methods are also directly applicable to individual patients' data offering advanced options for modeling heterogeneity and confounders. Extensions of the models for more complex situations, such as competing risks models or recurrent events are also discussed. The methods can be implemented in standard statistical software and illustrative code in Stata is given in the appendix.
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Volume (Year): 5 (2009)
Issue (Month): 1 (June)
|Contact details of provider:|| Web page: http://www.degruyter.com|
|Order Information:||Web: http://www.degruyter.com/view/j/ijb|
When requesting a correction, please mention this item's handle: RePEc:bpj:ijbist:v:5:y:2009:i:1:n:21. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Peter Golla)
If references are entirely missing, you can add them using this form.