Borrowing of strength and study weights in multivariate and network meta-analysis

Stat Methods Med Res. 2017 Dec;26(6):2853-2868. doi: 10.1177/0962280215611702. Epub 2015 Nov 6.

Abstract

Multivariate and network meta-analysis have the potential for the estimated mean of one effect to borrow strength from the data on other effects of interest. The extent of this borrowing of strength is usually assessed informally. We present new mathematical definitions of 'borrowing of strength'. Our main proposal is based on a decomposition of the score statistic, which we show can be interpreted as comparing the precision of estimates from the multivariate and univariate models. Our definition of borrowing of strength therefore emulates the usual informal assessment. We also derive a method for calculating study weights, which we embed into the same framework as our borrowing of strength statistics, so that percentage study weights can accompany the results from multivariate and network meta-analyses as they do in conventional univariate meta-analyses. Our proposals are illustrated using three meta-analyses involving correlated effects for multiple outcomes, multiple risk factor associations and multiple treatments (network meta-analysis).

Keywords: Borrowing of strength; correlation; descriptive statistics; mixed treatment comparisons; multiple treatments meta-analysis; multivariate meta-analysis; random-effects models; study weights.

MeSH terms

  • Biostatistics / methods
  • Blood Pressure / drug effects
  • Cardiovascular Diseases / prevention & control
  • Humans
  • Hypertension / drug therapy
  • Hypertension / physiopathology
  • Likelihood Functions
  • Models, Statistical
  • Multivariate Analysis*
  • Myocardial Infarction / drug therapy
  • Network Meta-Analysis*
  • Randomized Controlled Trials as Topic / statistics & numerical data
  • Stroke / prevention & control
  • Thrombolytic Therapy / methods