The hierarchical metaregression approach and learning from clinical evidence

Abstract

The hierarchical metaregression (HMR) approach is a multiparameter Bayesian approach for meta‐analysis, which generalizes the standard mixed effects models by explicitly modeling the data collection process in the meta‐analysis. The HMR allows to investigate the potential external validity of experimental results as well as to assess the internal validity of the studies included in a systematic review. The HMR automatically identifies studies presenting conflicting evidence and it downweights their influence in the meta‐analysis. In addition, the HMR allows to perform cross‐evidence synthesis, which combines aggregated results from randomized controlled trials to predict effectiveness in a single‐arm observational study with individual participant data (IPD). In this paper, we evaluate the HMR approach using simulated data examples. We present a new real case study in diabetes research, along with a new R package called jarbes (just a rather Bayesian evidence synthesis), which automatizes the complex computations involved in the HMR.