TY - JOUR
T1 - Overall similarity and consistency assessment scores are not sufficiently accurate for predicting discrepancy between direct and indirect comparison estimates
AU - Xiong, Tengbin
AU - Parekh-Bhurke, Sheetal
AU - Loke, Yoon K.
AU - Abdelhamid, Asmaa
AU - Sutton, Alex J.
AU - Eastwood, Alison J.
AU - Holland, Richard
AU - Chen, Yen-Fu
AU - Walsh, Tanya
AU - Glenny, Anne-Marie
AU - Song, Fujian
PY - 2013/2
Y1 - 2013/2
N2 - Objectives: Indirect comparison methods have been increasingly used to assess the effectiveness of different interventions comparatively. This study evaluated a Trial Similarity and Evidence Consistency Assessment (TSECA) framework for assessing key assumptions underlying the validity of indirect comparisons.Study Design and Setting: We applied the TSECA framework to 94 Cochrane Systematic Reviews that provided data to compare two interventions by both direct and indirect comparisons. Using the TSECA framework, two reviewers independently assessed and scored trial similarity and evidence consistency. A detailed case study provided further insight into the usefulness and limitations of the framework proposed.Results: Trial similarity and evidence consistency scores obtained using the assessment framework were not associated with statistically significant inconsistency between direct and indirect estimates. The case study illustrated that the assessment framework could be used to identify potentially important differences in participants, interventions, and outcome measures between different sets of trials in the indirect comparison.Conclusion: Although the overall trial similarity and evidence consistency scores are unlikely to be sufficiently accurate for predicting inconsistency between direct and indirect estimates, the assessment framework proposed in this study can be a useful tool for identifying between-trial differences that may threaten the validity of indirect treatment comparisons. (C) 2013 Elsevier Inc. All rights reserved.
AB - Objectives: Indirect comparison methods have been increasingly used to assess the effectiveness of different interventions comparatively. This study evaluated a Trial Similarity and Evidence Consistency Assessment (TSECA) framework for assessing key assumptions underlying the validity of indirect comparisons.Study Design and Setting: We applied the TSECA framework to 94 Cochrane Systematic Reviews that provided data to compare two interventions by both direct and indirect comparisons. Using the TSECA framework, two reviewers independently assessed and scored trial similarity and evidence consistency. A detailed case study provided further insight into the usefulness and limitations of the framework proposed.Results: Trial similarity and evidence consistency scores obtained using the assessment framework were not associated with statistically significant inconsistency between direct and indirect estimates. The case study illustrated that the assessment framework could be used to identify potentially important differences in participants, interventions, and outcome measures between different sets of trials in the indirect comparison.Conclusion: Although the overall trial similarity and evidence consistency scores are unlikely to be sufficiently accurate for predicting inconsistency between direct and indirect estimates, the assessment framework proposed in this study can be a useful tool for identifying between-trial differences that may threaten the validity of indirect treatment comparisons. (C) 2013 Elsevier Inc. All rights reserved.
KW - Indirect treatment comparison
KW - Mixed treatment comparison
KW - Multiple treatment meta-analysis
KW - BIAS
KW - Network meta-analysis
KW - CONTROLLED TRIALS
KW - Evidence consistency
KW - Trial similarity
KW - MIXED TREATMENT COMPARISONS
KW - VALIDITY
KW - NETWORK METAANALYSIS
KW - INCONSISTENCY
KW - EFFICACY
KW - COMPETING INTERVENTIONS
UR - http://www.scopus.com/inward/record.url?scp=84871333665&partnerID=8YFLogxK
U2 - 10.1016/j.jclinepi.2012.06.022
DO - 10.1016/j.jclinepi.2012.06.022
M3 - Literature review
SN - 0895-4356
VL - 66
SP - 184
EP - 191
JO - Journal of Clinical Epidemiology
JF - Journal of Clinical Epidemiology
IS - 2
ER -