メタアナリシス 続き

MikuHatsune2012-11-04

前回の続きで、別のパッケージを教えてもらった。

install.packages("meta")
install.packages("rmeta")
library(meta)
library(rmeta)

data(catheter, package="rmeta")

a <- catheter[complete.cases(catheter$col.trt, catheter$n.trt, catheter$col.ctrl, catheter$n.ctrl),]
b <- metabin(col.trt, n.trt, col.ctrl, n.ctrl, data=a, sm="OR", studlab=Name, comb.fixed=TRUE, comb.random=TRUE)
windows(width=7, height=7); par(lwd=1, las=1, family="sans", cex=1)
forest.meta(b)

windows(width=7, height=7); par(lwd=1, las=1, family="sans", cex=1)
funnel(b)

b
               OR             95%-CI %W(fixed) %W(random)
Ciresi     0.6946  [0.3400;  1.4192]      6.10       9.90
George     0.1176  [0.0425;  0.3254]      7.20       6.96
Hannan     0.8261  [0.3978;  1.7153]      5.29       9.71
Heard      0.6031  [0.3838;  0.9477]     16.20      13.14
vanHeerden 0.2667  [0.0712;  0.9991]      2.97       4.96
Maki       0.4898  [0.2924;  0.8206]     14.04      12.32
Bach(a)    0.0651  [0.0031;  1.3643]      1.56       1.23
Ramsay     0.5844  [0.3729;  0.9158]     16.72      13.18
Appavu     0.5455  [0.0287; 10.3683]      0.39       1.31
Trazzera   0.4673  [0.2325;  0.9392]      7.74      10.09
Collins    0.0950  [0.0219;  0.4114]      6.77       4.27
Bach(b)    0.1107  [0.0249;  0.4934]      5.24       4.14
Tennenberg 0.2190  [0.0969;  0.4947]      9.79       8.81

Number of studies combined: k=13

                         OR            95%-CI       z  p.value
Fixed effect model   0.4396  [0.3601; 0.5367] -8.0700 < 0.0001
Random effects model 0.3915  [0.2758; 0.5558] -5.2459 < 0.0001

Quantifying heterogeneity:
tau^2 = 0.1900; H = 1.5 [1.1; 2.04]; I^2 = 55.3% [16.7%; 76.1%]

Test of heterogeneity:
     Q d.f.  p.value
 26.87   12   0.0081

Details on meta-analytical method:
- Mantel-Haenszel method
metabias(b)

        Linear regression test of funnel plot asymmetry (efficient score)

data:  b 
t = -2.145, df = 11, p-value = 0.05513
alternative hypothesis: asymmetry in funnel plot 
sample estimates:
      bias    se.bias      slope 
-1.9353989  0.9022968 -0.1745479