Power of the adjusted Q statistic to evaluate heterogeneity in meta-analyses of cluster randomized trials

Autor: Allan Donner, Neil Klar, Shun Fu Lee
Rok vydání: 2017
Předmět:
Zdroj: Communications in Statistics - Simulation and Computation. 46:7062-7073
ISSN: 1532-4141
0361-0918
DOI: 10.1080/03610918.2016.1222426
Popis: 1. AbstractBecause of its simplicity, the Q statistic is frequently used to test the heterogeneity of the estimated intervention effect in meta-analyses of individually randomized trials. However, it is inappropriate to apply it directly to the meta-analyses of cluster randomized trials without taking clustering effects into account. We consider the properties of the adjusted Q statistic for testing heterogeneity in the meta-analyses of cluster randomized trials with binary outcomes. We also derive an analytic expression for the power of this statistic to detect heterogeneity in meta-analyses, which can be useful when planning a meta-analysis. A simulation study is used to assess the performance of the adjusted Q statistic, in terms of its Type I error rate and power. The simulation results are compared to that obtained from the proposed formula. It is found that the adjusted Q statistic has a Type I error rate close to the nominal level of 5%, as compared to the unadjusted Q statistic commonly used to te...
Databáze: OpenAIRE