Literature DB >> 26196938

Correction: An Assessment of the Methodological Quality of Published Network Meta-Analyses: A Systematic Review.

James D Chambers, Huseyin Naci, Olivier J Wouters, Junhee Pyo, Shalak Gunjal, Ian R Kennedy, Mark G Hoey, Aaron Winn, Peter J Neumann.   

Abstract

[This corrects the article DOI: 10.1371/journal.pone.0121715.].

Entities:  

Mesh:

Year:  2015        PMID: 26196938      PMCID: PMC4510305          DOI: 10.1371/journal.pone.0131953

Source DB:  PubMed          Journal:  PLoS One        ISSN: 1932-6203            Impact factor:   3.240


In the second paragraph of the Results the sentence describing the number of studies receiving non-profit or no support should read “The majority of studies adopted a Bayesian framework (n = 214, 67%) and either received non-profit or no support (n = 217, 69%).” In the final paragraph of the Results the percentage of studies with a closed loop is incorrect. The correct sentence should read “Among studies with a closed loop, i.e., three or more included treatments had been compared in head-to-head trials, 31% did not report the consistency of direct and indirect evidence.” Under Publication Date the p value for 62% versus 79% should read (62% versus 79%, p = 0.0005). Under Source of Financial Support the p value for 49% versus 28% in the first paragraph should read (49% versus 28%, p = 0.0003). Under Source of Financial Support the second paragraph should read “Industry-supported studies more often used a Bayesian framework (77% versus 63%, p = 0.0191), and adjusted for study covariates (38% versus 25%, p = 0.0205); however, they less often performed a risk of bias assessment of included studies (54% versus 77%, p∠0.0001), and, for closed loop studies, less often compared the consistency of direct and indirect evidence (39% versus 79%, p∠0.0001).” In the Discussion the third paragraph should read “An interesting finding is that industry-sponsored studies more often used a Bayesian framework” Fig 1 is incorrect in the published article. Please see the correct Fig 1 here.
Fig 1

Identification of network meta-analyses included in review.

There are errors in Table 1 and Table 2 of the published article. Please see the correct tables here.
Table 1

Frequency of network meta-analyses (n = 318) by year, indication, and country

Year study published n
19971 (0.3%)
20033 (0.9%)
20041 (0.3%)
20063 (0.9%)
20073 (0.9%)
20089 (2.8%)
200916 (5.0%)
201021 (6.9%)
201144 (13.8%)
201266 (20.4%)
201378 (24.5%)
2014 (through July 31st)73 (23.0%)
International Statistical Classification of Diseases (ICD) disease categories n
Blood Disease3 (0.9%)
Circulatory System64 (20.1%)
Digestive System13 (4.1%)
Endocrine, Nutritional, Metabolic, and Immunity28 (8.8%)
Genitourinary System7 (2.2%)
Infectious and Parasite Disease14 (4.4%)
Mental and Behavioral Disorder13 (4.1%)
Musculoskeletal System and Connective Tissue45 (14.2%)
Neoplasm39 (12.3%)
Nervous System and Sensory Organs33 (10.4%)
Respiratory System20 (6.3%)
Skin and Subcutaneous Tissues9 (2.8%)
Other30 (9.4%)
Country n
USA81 (25.5%)
UK79 (24.8%)
Canada28 (8.8%)
Italy21 (6.6%)
China16 (5.0%)
France14 (4.4%)
The Netherlands10 (3.1%)
Germany8 (2.5%)
Brazil6 (1.9%)
Switzerland6 (1.9%)
Taiwan6 (1.9%)
Greece5 (1.6%)
Spain4 (1.3%)
Other34 (10.7%)
Type of pharmaceutical intervention included n
Multiple pharmaceuticals compared304 (95.6%)
Study included a non pharmaceutical treatment (e.g., surgery, exercise, counselling, etc)30 (9.4%)
Different strengths of the same pharmaceutical compared (e.g., simvastatin 20mg vs. 40mg)82 (25.8%)
Treatments in the same drug class grouped together as a comparator (e.g., beta-blockers, or statins)75 (23.6%)
Multiple modes of administration of a drug compared (e.g., oral, sublingual, intramuscular, etc)10 (3.1%)

† We limited our literature search to studies published in the medical literature. We did not include NMAs submitted to national health technology assessment agencies unless also published in the Ovid-MEDLINE database. * ‘Other countries’ includes Greece, Ireland, Singapore, Australia, Cameroon, Denmark, Finland, Hong Kong, Korea, Norway, Poland, and Portugal.

Table 2

Assessment of network meta-analysis study characteristics

Assessment criteriaAll studies (n = 318)Journal quality (n = 301)* Date of study publication (n = 318)Source of study support (n = 315)**
Low impact factor (<3.534) (n = 147)High impact factor (≥3.534) (n = 154)p-valueOlder studies (published prior to 2013) (n = 167)Recent studies (2013, 2014) (n = 151)p-valueIndustry support (n = 98)Non-Industry support/ no support (n = 217)p-value
General study characteristics
Number of treatments compared6.3 (±6.4)6.8 (±8.5)6.0 (±3.9)0.31366.0 (±4.2)6.7 (±8.2)0.38165.9 (±3.6)6.5 (±7.3)0.446
Total number of studies32.9 (±45.5)28.3 (±38.6)36.5 (±46.9)0.099230.5 (±50.2)35.5 (±50.2)0.334122.7 (±29.4)37.4 (±50.5) 0.0079
Total number of patients26875 (±65936)21938 (±46061)33292 (±82859)0.154923711 (±49899)30460 (±80375)0.373210945 (±13183)33864 (±77635) 0.005
HTA region (UK, AUS and Canada) 110 (35%)50 (34%)56 (36%)0.670968 (41%)42 (28%) 0.0156 48 (49%)62 (28%) 0.0003
Journal impact factor5.5 (±6.2)NANANA5.8 (±6.5)5.2 (±5.9)0.37913.1 (±1.7)6.5 (±7.1) <0.0001
Study method
Bayesian framework214 (67%)91 (62%)109 (71%)0.1038106 (63%)108 (72%)0.127375 (77%)139 (63%) 0.0191
Risk of bias assessment of included studies223 (70%)100 (68%)111 (72%)0.4446103 (62%)120 (79%) 0.0005 53 (54%)170 (77%) <0.0001
Adjustment for covariates92 (29%)35 (24%)51 (33%)0.074454 (32%)38 (25%)0.160137 (38%)55 (25%) 0.0205
Random effects model*** 221 (70%)98 (67%)114 (75%)0.1609116 (69%)106 (71%)0.745367 (68%)155 (71%)0.6243
Assessment of model fit127 (40%)53 (36%)70 (45%)0.097969 (41%)58 (38%)0.598546 (47%)81 (37%)0.0894
Sensitivity analysis179 (56%)73 (50%)96 (62%) 0.0267 88 (53%)91 (60%)0.175257 (58%)122 (58%)0.6542
Consistency of direct and indirect evidence reported**** (closed loop studies only, n = 167)116 (69%)39 (57%)73 (79%) 0.0017 57 (66%)59 (73%)0.360616 (39%)100 (79%) <0.0001
Study transparency and reproducibility
Search terms reported254 (80%)112 (76%)129 (84%)0.1007129 (77%)125 (83%)0.220161 (62%)193 (88%) <0.0001
Network diagram194 (61%)85 (58%)101 (66%)0.1671103 (62%)91 (60%)0.797462 (63%)132 (60%)0.5829
Extracted data from contributing clinical studies206 (65%)87 (60%)106 (69%)0.0955116 (69%)91 (60%)0.101158 (60%)149 (68%)0.1726
Table of key clinical study characteristics286 (90%)128 (87%)141 (92%)0.2084145 (87%)141 (93%)0.052789 (91%)197 (90%)0.729
Model code (Bayesian framework only, n = 214)35 (16%)9 (6%)24 (16%) 0.0085 24 (14%)11 (7%) 0.0439 8 (8%)27 (12%)0.2811
Presentation of study findings
Full matrix of head-to-head comparisons203 (64%)84 (57%)108 (70%) 0.0191 110 (66%)93 (62%)0.429444 (45%)159 (73%) <0.0001
Reported probability of being best (Bayesian framework only, n = 214)87 (41%)32 (22%)51 (33%) 0.0277 41 (25%)46 (30%)0.238925 (26%)62 (28%)0.623
Ranking of included treatments (Bayesian framework only, n = 214)67 (31%)26 (18%)40 (26%)0.082929 (17%)39 (26%)0.066411 (11%)56 (26%) 0.0031

† Regions in which submissions to HTA agencies generally require a NMA

* 17 studies published in journals with no associated impact factor

** 3 studies for which source of study support was unclear

*** 77 studies reported both fixed and random effects models, 38 studies did not report models used

**** Consistency only reported for studies with a closed loop

† We limited our literature search to studies published in the medical literature. We did not include NMAs submitted to national health technology assessment agencies unless also published in the Ovid-MEDLINE database. * ‘Other countries’ includes Greece, Ireland, Singapore, Australia, Cameroon, Denmark, Finland, Hong Kong, Korea, Norway, Poland, and Portugal. † Regions in which submissions to HTA agencies generally require a NMA * 17 studies published in journals with no associated impact factor ** 3 studies for which source of study support was unclear *** 77 studies reported both fixed and random effects models, 38 studies did not report models used **** Consistency only reported for studies with a closed loop
  1 in total

Review 1.  An assessment of the methodological quality of published network meta-analyses: a systematic review.

Authors:  James D Chambers; Huseyin Naci; Olivier J Wouters; Junhee Pyo; Shalak Gunjal; Ian R Kennedy; Mark G Hoey; Aaron Winn; Peter J Neumann
Journal:  PLoS One       Date:  2015-04-29       Impact factor: 3.240

  1 in total

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