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Dose-response meta-analysis: application and practice using the R software

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The objective of this study was to describe the general approaches of dose-response meta-analysis (DRMA) available for the quantitative synthesis of data using the R software. We conducted a DRMA using two types of data, the difference of means in continuous data and the odds ratio in binary data. The package commands of the R software were “doseresmeta” for the overall effect sizes that were separated into a linear model, quadratic model, and restricted cubic split model for better understanding. The effect sizes according to the dose and a test for linearity were demonstrated and interpreted by analyzing one-stage and two-stage DRMA. The authors examined several flexible models of exposure to pool study-specific trends and made a graphical presentation of the dose-response trend. This study focused on practical methods of DRMA rather than theoretical concepts for researchers who did not major in statistics. The authors hope that this study will help many researchers use the R software to perform DRMAs more easily, and that related research will be pursued.

Abstract

The objective of this study was to describe the general approaches of dose-response meta-analysis (DRMA) available for the quantitative synthesis of data using the R software. We conducted a DRMA using two types of data, the difference of means in continuous data and the odds ratio in binary data. The package commands of the R software were “doseresmeta” for the overall effect sizes that were separated into a linear model, quadratic model, and restricted cubic split model for better understanding. The effect sizes according to the dose and a test for linearity were demonstrated and interpreted by analyzing one-stage and two-stage DRMA. The authors examined several flexible models of exposure to pool study-specific trends and made a graphical presentation of the dose-response trend. This study focused on practical methods of DRMA rather than theoretical concepts for researchers who did not major in statistics. The authors hope that this study will help many researchers use the R software to perform DRMAs more easily, and that related research will be pursued.

참고문헌 (9)

  1. Hwang SD, "Meta-analysis: from forest plot to network meta-analysis", pp.247~266 (2018), Hannarae
  2. Shim SR, "Dose response meta-analysis using R software" (2019), SDB Lab
  3. 심성률, "STATA 명령문을 이용한 용량-반응 메타분석", 보건정보통계학회지, 41(3), pp.351~359 (2016), 한국보건정보통계학회[DOI]
  4. "The dosresmeta R package: performing multivariate dose-response meta-analysis"[URL]
  5. Greenland S, "Methods for trend estimation from summarized dose-response data, with applications to meta-analysis", Am J Epidemiol, 135, pp.1301~1309 (1992)
  6. Berlin JA, "Meta-analysis of epidemiologic dose-response data", Epidemiology, 4, pp.218~228 (1993)
  7. Greenland S, "Avoiding power loss associated with categorization and ordinal scores in dose-response and trend analysis", Epidemiology, 6, pp.450~454 (1995)
  8. Liu Q, "A two-stage hierarchical regression model for meta-analysis of epidemiologic nonlinear dose-response data", Comput Stat Data Anal, 53, pp.4157~4167 (2009)
  9. Orsini N, "A procedure to tabulate and plot results after flexible modeling of a quantitative covariate", Stat J, 11, pp.1~29 (2011)

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