2009
DOI: 10.1111/j.1467-985x.2008.00593.x
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Multivariate Meta-Analysis: The Effect of Ignoring Within-Study Correlation

Abstract: Multivariate meta-analysis allows the joint synthesis of summary estimates from multiple end points and accounts for their within-study and between-study correlation. Yet practitioners usually meta-analyse each end point independently. I examine the role of within-study correlation in multivariate meta-analysis, to elicit the consequences of ignoring it. Using analytic reasoning and a simulation study, the within-study correlation is shown to influence the 'borrowing of strength' across end points, and wrongly… Show more

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Cited by 187 publications
(311 citation statements)
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“…Multivariate meta-analysis models are increasingly used to synthesise multiple correlated outcomes in meta-analysis [11], to improve the efficiency of summary estimates by borrowing strength across outcomes and thereby reducing the impact of missing data [12,36]. In this work we used the multivariate normal approximation to the multinomial distribution to model the observed data in each study.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Multivariate meta-analysis models are increasingly used to synthesise multiple correlated outcomes in meta-analysis [11], to improve the efficiency of summary estimates by borrowing strength across outcomes and thereby reducing the impact of missing data [12,36]. In this work we used the multivariate normal approximation to the multinomial distribution to model the observed data in each study.…”
Section: Discussionmentioning
confidence: 99%
“…In particular, test accuracy results from neighbouring thresholds are likely to be quite similar, and results for a missing threshold are bounded between any pair of higher and lower thresholds that are available. Statistically it is appealing to utilise such related information and, if possible, 'borrow strength' by considering all thresholds simultaneously [11][12][13][14]. 25 1In this article we propose a new approach for meta-analysing diagnostic test accuracy studies when there are multiple threshold results per study, when the studies use the same (or similarly validated or standardised) methods of measuring the continuous test (e.g.…”
Section: Introductionmentioning
confidence: 99%
“…Values for the mean effects were chosen to be representative for the small and moderate effects commonly found in social and behavioral sciences (Cohen, 1988). The value used for the between-study variance in effect sizes (0.10) results in a realistic ratio with the sampling variance of observed effect sizes (about 0.08 for studies with n 0 25 and 0.04 for studies with n 0 50) and avoids the possibility that the effects of correlation at either level become ignorable (Riley, 2009). Covariances at the subject level were chosen to cover the range of possible values of correlation coefficients (covariances correspond with correlation coefficients of 0, .4, and .8).…”
Section: Simulation Studymentioning
confidence: 99%
“…However, their univariate meta-analysis approach bears an essential caveat, since the computation of mean values across primary studies does not account for interactions between the examined proxy variables. Riley (2009) shows that ignoring these dependencies in a meta-analysis can lead to a heavily biased estimation of the aggregated results. Furthermore, independent testing of correlated effects increases the chance of finding spuriously significant results (Bender et al 2008).…”
Section: Introductionmentioning
confidence: 99%