30
Meta-analysis overview A practical guide ipdforest Power Summary One-stage meta-analysis in Stata power issues and analyses with ipdforest Evan Kontopantelis Centre for Primary Care Institute of Population Health Faculty of Medicine University of Manchester Amsterdam, 5 Nov 2012 Kontopantelis ipdforest

Amsterdam 2012 - one stage meta-analysis

Embed Size (px)

DESCRIPTION

One-stage meta-analysis in Stata: power issues and analyses with ipdforest

Citation preview

Page 1: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

One-stage meta-analysis in Statapower issues and analyses with ipdforest

Evan Kontopantelis

Centre for Primary CareInstitute of Population Health

Faculty of MedicineUniversity of Manchester

Amsterdam, 5 Nov 2012

Kontopantelis ipdforest

Page 2: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

Outline

1 Meta-analysis overview

2 A practical guide

3 ipdforestmethodsexamples

4 Power

5 Summary

Kontopantelis ipdforest

Page 3: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

Timeline

‘Meta’ is a Greek preposition meaning ‘after’, someta-analysis =⇒ post-analysisEfforts to pool results from individual studies back as far as1904The first attempt that assessed a therapeutic interventionwas published in 1955In 1976 Glass first used the term to describe a "statisticalanalysis of a large collection of analysis results fromindividual studies for the purpose of integrating thefindings"

Kontopantelis ipdforest

Page 4: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

Meta-analysing reported study results

A two-stage processthe relevant summary effect statistics are extracted frompublished papers on the included studiesthese are then combined into an overall effect estimateusing a suitable meta-analysis model

However, problems often arisepapers do not report all the statistical information requiredas inputpapers report a statistic other than the effect size whichneeds to be transformed with a loss of precisiona study might be too different to be included (populationclinically heterogeneous)

Kontopantelis ipdforest

Page 5: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

Individual Patient DataIPD

These problems can be avoided when IPD from eachstudy are available

outcomes can be easily standardisedclinical heterogeneity can be addressed with subgroupanalyses and patient-level covariate controlling

Can be analysed in a single- or two-stage processmixed-effects regression models can be used to combineinformation across studies in a single stagethis is currently the best approach, with the two-stagemethod being at best equivalent in certain scenarios

Kontopantelis ipdforest

Page 6: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

Forest plot

One advantage of two-stage meta-analysis is the ability toconvey information graphically through a forest plot

study effects available after the first stage of the process,and can be used to demonstrate the relative strength of theintervention in each study and across allinformative, easy to follow and particularly useful forreaders with little or no methodological experiencekey feature of meta-analysis and always presented whentwo-stage meta-analyses are performed

In one-stage meta-analysis, only the overall effect iscalculated and creating a forest-plot is not straightforward

Enter ipdforest

Kontopantelis ipdforest

Page 7: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

The hypothetical study

Individual patient data from randomised controlled trialsFor each trial we have

a binary control/intervention membership variablebaseline and follow-up data for the continuous outcomecovariates

Assume measurements consistent across trials andstandardisation is not requiredWe will explore linear random-effects models with thextmixed command; application to the logistic case usingxtmelogit should be straightforwardIn the models that follow, in general, we denote fixedeffects with ‘γ’s and random effects with ‘β’s

Kontopantelis ipdforest

Page 8: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

Model 1fixed common intercept; random treatment effect; fixed effect for baseline

Yi j = γ0 + β1jgroupi j + γ2Ybi j + εi j εi j ∼ N(0, σ2j )

β1j = γ1 + u1j u1j ∼ N(0, τ12)

i : the patientj : the trialYi j : the outcomeγ0: fixed common interceptβ1j : random treatmenteffect for trial jγ1: mean treatment effectgroupi j : group membership

γ2: fixed baseline effectYbi j : baseline scoreu1j : random treatmenteffect for trial jτ1

2: between trial varianceεi j : error termσ2

j : within trial variance fortrial j

Kontopantelis ipdforest

Page 9: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

Model 1fixed common intercept; random treatment effect; fixed effect for baseline

Possibly the simplest approachIn Stata it can be expressed as

xtmixed Y i.group Yb || studyid:group,noconswherestudyid, the trial identifiergroup, control/intervention membershipY and Yb, endpoint and baseline scoresnote that the nocons option suppresses estimation of theintercept as a random effect

Kontopantelis ipdforest

Page 10: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

Model 2fixed trial specific intercepts; random treatment effect; fixed trial-specific effects forbaseline

Common intercept & fixed baseline difficult to justifyA more accepted model allows for different fixed interceptsand fixed baseline effects for each trial:

Yi j = γ0 j + β1 jgroupi j + γ2 jYbi j + εi jβ1 j = γ1 + u1 jwhereγ0 j the fixed intercept for trial jγ2 j the fixed baseline effect for trial j

In Stata expressed as:xtmixed Y i.group i.studyid Yb1 Yb2 Yb3 Yb4|| studyid:group, noconswhere Yb‘i’=Yb if studyid=‘i’ and zero otherwise

Kontopantelis ipdforest

Page 11: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

Model 3random trial intercept; random treatment effect; fixed trial-specific effects for baseline

Another possibility, althought contentious, is to assume trialintercepts are random (e.g. multi-centre trial):

Yi j = β0 j + β1 jgroupi j + γ2 jYbi j + εi jβ0 j = γ0 + u0 jβ1 j = γ1 + u1 jwiser to assume random effects correlation ρ 6= 0:εi j ∼ N(0, σ2

j ) u0 j ∼ N(0, τ20 )

u1 j ∼ N(0, τ21 ) cov(u0 j ,u1 j) = ρτ0τ1

In Stata expressed as:xtmixed Y i.group Yb1 Yb2 Yb3 Yb4 ||studyid:group, cov(uns)cov(uns): allows for distinct estimation of all REvariance-covariance components

Kontopantelis ipdforest

Page 12: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

Model 4random trial intercept; random treatment effect; random effects for baseline

The baseline could also have been modelled as arandom-effect:

Yi j = β0 j + β1 jgroupi j + β2 jYbi j + εi jβ0 j = γ0 + u0 jβ1 j = γ1 + u1 jβ2 j = γ2 + u2 jas before, non-zero random effects correlations:

u0 j ∼ N(0, τ20 ) u1 j ∼ N(0, τ2

1 )u2 j ∼ N(0, τ2

2 ) cov(u0 j ,u1 j) = ρ1τ0τ1cov(u0 j ,u2 j) = ρ2τ0τ2 cov(u1 j ,u2 j) = ρ3τ1τ2

In Stata expressed as:xtmixed Y i.group Yb || studyid:group Yb,cov(uns)

Kontopantelis ipdforest

Page 13: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

Model 5Interactions and covariates

A covariate or an interaction term can be modelled as afixed or random effectAssuming continuous and standardised variable age wecan expand Model 2 to include fixed effects for both ageand its interaction with the treatment:

Yi j = γ0 j +β1 jgroupi j +γ2 jYbi j +γ3agei j +γ4groupi jagei j +εi jβ1 j = γ1 + u1 j

In Stata expressed as:xtmixed Y i.group i.studyid Yb1 Yb2 Yb3 Yb4age i.group#c.age || studyid:group, nocons

If modelled as a random effect, non-convergence issuesmore likely to be encountered

Kontopantelis ipdforest

Page 14: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

methodsexamples

General

ipdforest is issued following an IPD meta-analysis thatuses mixed effects two-level regression, with patientsnested within trials and a

linear model (xtmixed)orlogistic model (xtmelogit)

Provides a meta-analysis summary table and a forest plotTrial effects are calculated within ipdforest

Can calculate and report both main and interaction effectsOverall effect(s) and variance estimates are extracted fromthe preceding regression

Kontopantelis ipdforest

Page 15: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

methodsexamples

Process

ipdforest estimates individual trial effects and theirstandard errors using one-level linear or logisticregressionsFollowing xtmixed, regress is used and followingxtmelogit, logit is used, for each trialipdforest controls these regressions for fixed- orrandom-effects covariates that were specified in thepreceding two-level regressionUser has full control over included covariates in thecommand (e.g. specification as fixed- or random-effects)But we strongly recommend using the same specifications

Kontopantelis ipdforest

Page 16: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

methodsexamples

Estimation details

In the estimation of individual trial effects, ipdforestcontrols for a random-effects covariate (i.e. allowing theregression coefficient to vary by trial) by including thecovariate as an independent variable in each regressionControl for a fixed-effect covariate (regression coefficientassumed constant across trials and given by the coefficientestimated under two-level model) is a little more complex.

Not possible to specify a fixed value for a regressioncoefficient under regress and the continuous outcomevariable is adjusted by subtracting the contribution of thefixed covariates to its values in a first step prior to analysisFor a binary outcome the equivalent is achieved throughuse of the offset option in logit

Kontopantelis ipdforest

Page 17: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

methodsexamples

Heterogeneitypart I

Between-trial variability τ2 in the treatment effect, knownas heterogeneity, arises from differences in trial design,quality, outcomes or populationsFor continuous outcomes, ipdforest reports, I2 and H2

M ,based on the xtmixed outputFor binary outcomes, an estimate of the within-trialvariance is not reported under xtmelogit and henceheterogeneity measures cannot be computedBetween-trial variability estimate τ̂2 and its confidenceinterval is reported under both models.

Kontopantelis ipdforest

Page 18: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

methodsexamples

Heterogeneitypart II

We are not calculating an IPD version of Cochran’s Q, theorthodox χ2

k−1 homogeneity test, considering its poorperformance when the number of trials k is smallBesides, taking into account even low levels of τ2 byadopting a random-effects model is a more conservativeapproach than the fixed-effect oneWhen between-trial variance is estimated to be close tozero, results with the two approaches converge

Kontopantelis ipdforest

Page 19: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

methodsexamples

Depression intervention

We apply the ipdforest command to a dataset of 4depression intervention trialsComplete information in terms of age, gender,control/intervention group membership, continuousoutcome baseline and endpoint values for 518 patientsResults not published yet; we use fake author names andgenerated random continuous & binary outcome variables,while keeping the covariates at their actual valuesIntroduced correlation between baseline and endpointscores and between-trial variabilityLogistic IPD meta-analysis, followed by ipdforest

Kontopantelis ipdforest

Page 20: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

methodsexamples

Dataset

. use ipdforest_example.dta,

. describe

Contains data from ipdforest_example.dtaobs: 518vars: 17 6 Feb 2012 11:14size: 20,202

storage display valuevariable name type format label variable label

studyid byte %22.0g stid Study identifierpatid int %8.0g Patient identifiergroup byte %20.0g grplbl Intervention/control groupsex byte %10.0g sexlbl Genderage float %10.0g Age in yearsdepB byte %9.0g Binary outcome, endpointdepBbas byte %9.0g Binary outcome, baselinedepBbas1 byte %9.0g Bin outcome baseline, trial 1depBbas2 byte %9.0g Bin outcome baseline, trial 2depBbas5 byte %9.0g Bin outcome baseline, trial 5depBbas9 byte %9.0g Bin outcome baseline, trial 9depC float %9.0g Continuous outcome, endpointdepCbas float %9.0g Continuous outcome, baselinedepCbas1 float %9.0g Cont outcome baseline, trial 1depCbas2 float %9.0g Cont outcome baseline, trial 2depCbas5 float %9.0g Cont outcome baseline, trial 5depCbas9 float %9.0g Cont outcome baseline, trial 9

Sorted by: studyid patid

Kontopantelis ipdforest

Page 21: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

methodsexamples

ME logistic regression model - continuous interactionfixed trial intercepts; fixed trial effects for baseline; random treatment and age effects

. xtmelogit depB group agec sex i.studyid depBbas1 depBbas2 depBbas5 depBbas9 i> .group#c.agec || studyid:group agec, var nocons or

Mixed-effects logistic regression Number of obs = 518Group variable: studyid Number of groups = 4

Obs per group: min = 42avg = 129.5max = 214

Integration points = 7 Wald chi2(11) = 42.06Log likelihood = -326.55747 Prob > chi2 = 0.0000

depB Odds Ratio Std. Err. z P>|z| [95% Conf. Interval]

group 1.840804 .3666167 3.06 0.002 1.245894 2.71978agec .9867902 .0119059 -1.10 0.270 .9637288 1.010403sex .7117592 .1540753 -1.57 0.116 .4656639 1.087912

studyid2 1.050007 .5725516 0.09 0.929 .3606166 3.0573035 .8014551 .5894511 -0.30 0.763 .189601 3.3877999 1.281413 .6886057 0.46 0.644 .4469619 3.673735

depBbas1 3.152908 1.495281 2.42 0.015 1.244587 7.987253depBbas2 4.480302 1.863908 3.60 0.000 1.982385 10.12574depBbas5 2.387336 1.722993 1.21 0.228 .5802064 9.823007depBbas9 1.881203 .7086507 1.68 0.093 .8990569 3.936262

group#c.agec1 1.011776 .0163748 0.72 0.469 .9801858 1.044385

_cons .5533714 .2398342 -1.37 0.172 .2366472 1.293993

Random-effects Parameters Estimate Std. Err. [95% Conf. Interval]

studyid: Independentvar(group) 8.86e-21 2.43e-11 0 .var(agec) 5.99e-18 4.40e-11 0 .

Kontopantelis ipdforest

Page 22: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

methodsexamples

ipdforestmodelling main effect and interaction

. ipdforest group, fe(sex) re(agec) ia(agec) or

One-stage meta-analysis results using xtmelogit (ML method) and ipdforestMain effect (group)

Study Effect [95% Conf. Interval] % Weight

Hart 2005 2.118 0.942 4.765 19.88Richards 2004 2.722 1.336 5.545 30.69Silva 2008 2.690 0.748 9.676 8.11Kompany 2009 1.895 0.969 3.707 41.31

Overall effect 1.841 1.246 2.720 100.00

One-stage meta-analysis results using xtmelogit (ML method) and ipdforestInteraction effect (group x agec)

Study Effect [95% Conf. Interval] % Weight

Hart 2005 0.972 0.901 1.049 19.88Richards 2004 0.995 0.937 1.055 30.69Silva 2008 0.987 0.888 1.098 8.11Kompany 2009 1.077 1.015 1.144 41.31

Overall effect 1.012 0.980 1.044 100.00

Heterogeneity Measures

value [95% Conf. Interval]

I^2 (%) .H^2 .tau^2 est 0.000 0.000 .

Kontopantelis ipdforest

Page 23: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

methodsexamples

Forest plotsmain effect and interaction

Overall effect

Kompany 2009

Silva 2008

Richards 2004

Hart 2005

Stu

dies

0 2 3 4 5 6 7 8 9 101Effect sizes and CIs (ORs)

Main effect (group)

Overall effect

Kompany 2009

Silva 2008

Richards 2004

Hart 2005

Stu

dies

0 .2 .4 .6 .8 1.2 1.41Effect sizes and CIs (ORs)

Interaction effect (group x agec)

Kontopantelis ipdforest

Page 24: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

methodsexamples

ME logistic regression model - binary interactionfixed trial intercepts; fixed trial effects for baseline & age cat; random treatment effect

. xtmelogit depB group i.agecat sex i.studyid depBbas1 depBbas2 depBbas5 depBba> s9 i.group#i.agecat || studyid:group, var nocons or

Mixed-effects logistic regression Number of obs = 518Group variable: studyid Number of groups = 4

Obs per group: min = 42avg = 129.5max = 214

Integration points = 7 Wald chi2(11) = 42.67Log likelihood = -326.24961 Prob > chi2 = 0.0000

depB Odds Ratio Std. Err. z P>|z| [95% Conf. Interval]

group 1.931763 .5702338 2.23 0.026 1.083151 3.4452331.agecat .7389353 .213031 -1.05 0.294 .4199616 1.300179

sex .7173044 .154959 -1.54 0.124 .469698 1.095439

studyid2 1.029638 .5608887 0.05 0.957 .3539959 2.9948235 .828577 .6082301 -0.26 0.798 .1965599 3.4927779 1.266728 .6812765 0.44 0.660 .4414556 3.634794

depBbas1 3.196139 1.515334 2.45 0.014 1.261999 8.094542depBbas2 4.625802 1.923028 3.68 0.000 2.047989 10.44832depBbas5 2.354493 1.692149 1.19 0.233 .5756364 9.630454depBbas9 1.902359 .7183054 1.70 0.089 .9075907 3.987446

group#agecat1 0 .9277371 .3558053 -0.20 0.845 .4374944 1.9673311 1 1 (omitted)

_cons .6175744 .2800575 -1.06 0.288 .253914 1.502076

Random-effects Parameters Estimate Std. Err. [95% Conf. Interval]

studyid: Identityvar(group) 2.24e-19 1.24e-10 0 .

Kontopantelis ipdforest

Page 25: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

methodsexamples

ipdforestmodelling main effect and interaction

. ipdforest group, fe(sex i.agecat) ia(i.agecat) or

One-stage meta-analysis results using xtmelogit (ML method) and ipdforestMain effect (group), agecat=0

Study Effect [95% Conf. Interval] % Weight

Mead 2005 3.594 1.133 11.402 19.88Willemse 2004 2.814 1.034 7.657 30.69Lovell 2008 3.750 0.585 24.038 8.11Meyer 2009 1.010 0.475 2.147 41.31

Overall effect 1.792 1.079 2.976 100.00

One-stage meta-analysis results using xtmelogit (ML method) and ipdforestMain effect (group), agecat=1

Study Effect [95% Conf. Interval] % Weight

Mead 2005 1.166 0.376 3.617 19.88Willemse 2004 2.566 1.007 6.543 30.69Lovell 2008 1.935 0.340 11.003 8.11Meyer 2009 3.551 1.134 11.126 41.31

Overall effect 1.932 1.083 3.445 100.00

Heterogeneity Measures

value [95% Conf. Interval]

I^2 (%) .H^2 .tau^2 est 0.000 0.000 .

Kontopantelis ipdforest

Page 26: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

methodsexamples

Forest plotsmain effect for each age group

Overall effect

Meyer 2009

Lovell 2008

Willemse 2004

Mead 2005

Stu

dies

0 2 4 6 8 10 12 14 16 18 20 22 24 261Effect sizes and CIs (ORs)

Main effect (group), agecat=0

Overall effect

Meyer 2009

Lovell 2008

Willemse 2004

Mead 2005

Stu

dies

0 2 4 6 8 10 121Effect sizes and CIs (ORs)

Main effect (group), agecat=1

Kontopantelis ipdforest

Page 27: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

Power calculationsto detect a moderator effect

The best approach is through simulationsAs always, numerous assumptions need to be made

effect sizes (main and interaction)exposure and covariate distributionscorrelation between variableswithin-study (error) variancebetween-study (error) variance - ICC

Generate 100s of data sets using the assumed model(s)Estimate what % of these give a significant p-value for theinteractionCan be trial and error till desired power level achieved

Kontopantelis ipdforest

Page 28: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

Research on power calculations with simulationsThe Stata Journal (2002)2, Number 2, pp. 107–124

Power by simulation

A. H. FeivesonNASA Johnson Space [email protected]

Abstract. This paper describes how to write Stata programs to estimate the powerof virtually any statistical test that Stata can perform. Examples given includethe t test, Poisson regression, Cox regression, and the nonparametric rank-sumtest.

Keywords: st0010, power, simulation, random number generation, postfile, copula,sample size

1 Introduction

Statisticians know that in order to properly design a study producing experimentaldata, one needs to have some idea of whether the scope of the study is sufficient to givea reasonable expectation that hypothesized effects will be detectable over experimentalerror. Most of us have at some time used published procedures or canned softwareto obtain sample sizes for studies intended to be analyzed by t tests, or even analysisof variance. However, with more complex methods for describing and analyzing bothcontinuous and discrete data (for example, generalized linear models, survival models,selection models), possibly with provisions for random effects and robust variance es-timation, the closed-form expressions for power or for sample sizes needed to achievea certain power do not exist. Nevertheless, Stata users with moderate programmingability can write their own routines to estimate the power of virtually any statisticaltest that Stata can perform.

2 General approach to estimating power

2.1 Statistical inference

Before describing methodology for estimating power, we first define the term “power”and illustrate the quantities that can affect it. In this article, we restrict ourselvesto classical (as opposed to Bayesian) methodology for performing statistical inferenceon the effect of experimental variable(s) X on a response Y . This is accomplished bycalculating a p-value that attempts to probabilistically describe the extent to which thedata are consistent with a null hypothesis, H0, that X has no effect on Y . We wouldthen reject H0 if the p-value is less than a predesignated threshold α. It should bepointed out that considerable criticism of the use of p-values for statistical inference hasappeared in the literature; for example, Berger and Sellke (1987), Loftus (1993), andSchervish (1996). However, for this article, we accept this methodology as the modusoperandi.

c© 2002 Stata Corporation st0010

COMMENTARY Open Access

Simulation methods to estimate design power:an overview for applied researchBenjamin F Arnold1*†, Daniel R Hogan2†, John M Colford Jr1 and Alan E Hubbard3

Abstract

Background: Estimating the required sample size and statistical power for a study is an integral part of studydesign. For standard designs, power equations provide an efficient solution to the problem, but they areunavailable for many complex study designs that arise in practice. For such complex study designs, computersimulation is a useful alternative for estimating study power. Although this approach is well known amongstatisticians, in our experience many epidemiologists and social scientists are unfamiliar with the technique. Thisarticle aims to address this knowledge gap.

Methods: We review an approach to estimate study power for individual- or cluster-randomized designs usingcomputer simulation. This flexible approach arises naturally from the model used to derive conventional powerequations, but extends those methods to accommodate arbitrarily complex designs. The method is universallyapplicable to a broad range of designs and outcomes, and we present the material in a way that is approachablefor quantitative, applied researchers. We illustrate the method using two examples (one simple, one complex)based on sanitation and nutritional interventions to improve child growth.

Results: We first show how simulation reproduces conventional power estimates for simple randomized designsover a broad range of sample scenarios to familiarize the reader with the approach. We then demonstrate how toextend the simulation approach to more complex designs. Finally, we discuss extensions to the examples in thearticle, and provide computer code to efficiently run the example simulations in both R and Stata.

Conclusions: Simulation methods offer a flexible option to estimate statistical power for standard and non-traditional study designs and parameters of interest. The approach we have described is universally applicable forevaluating study designs used in epidemiologic and social science research.

Keywords: Computer Simulation, Power, Research Design, Sample Size

BackgroundEstimating the sample size and statistical power for astudy is an integral part of study design and has profoundconsequences for the cost and statistical precision of astudy. There exist analytic (closed-form) power equationsfor simple designs such as parallel randomized trials withtreatment assigned at the individual level or cluster(group) level [1]. Statisticians have also derived equationsto estimate power for more complex designs, such asdesigns with two levels of correlation [2] or designs withtwo levels of correlation, multiple treatments and

attrition [3]. The advantage of using an equation to esti-mate power for study designs is that the approach is fastand easy to implement using existing software. For thisreason, power equations are used to inform most studydesigns. However, in our applied research we have routi-nely encountered study designs that do not conform toconventional power equations (e.g. multiple treatmentinterventions, where one treatment is deployed at thegroup level and a second at the individual level). In thesesituations, simulation techniques offer a flexible alterna-tive that is easy to implement in modern statisticalsoftware.Here, we provide an overview of a general method to

estimate study power for randomized trials based on asimulation technique that arises naturally from the

* Correspondence: [email protected]† Contributed equally1Division of Epidemiology, School of Public Health, University of California,Berkeley, CA, USAFull list of author information is available at the end of the article

Arnold et al. BMC Medical Research Methodology 2011, 11:94http://www.biomedcentral.com/1471-2288/11/94

© 2011 Arnold et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative CommonsAttribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction inany medium, provided the original work is properly cited.

Kontopantelis ipdforest

Page 29: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Meta-analysis overviewA practical guide

ipdforestPower

Summary

What to take home

A few different approaches exist for conducting one-stageIPD meta-analysisStata can cope through the xtmixed and the xtmelogitcommandsThe ipdforest command aims to help meta-analysts

calculate trial effectsdisplay results in standard meta-analysis tablesproduce familiar and ‘expected’ forest-plots

The best way to calculate power to detect complex effectsis through simulations

Kontopantelis ipdforest

Page 30: Amsterdam 2012 - one stage meta-analysis

Heal

th S

cien

ces P

rimar

y Ca

re R

esea

rch

Grou

p

[Poster title]

ABSTRACT TITLE: [Add text here.]

BACKGROUND: [Add text here.]

OBJECTIVE: [Add text here.]

METHODS: [Add text here.]

RESULTS: [Add text here.]

CONCLUSIONS: [Add text here.]

BACKGROUND [Add title, if necessary.]

Label One

Label Two

Label Three

Label Four

[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4 1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]

OBJECTIVE

[Repeat objective from above.]

METHODS

[Add title, if necessary.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add key point.] [Add description of key point.]

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

RESULTS

[Add title, if necessary.]

[Add key point.] [Add key point.] [Add key point.] [Add key point.] [Add key point.]

CONCLUSIONS

[Add text as bulleted list or a paragraph.] [Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Add key point.]

[Graphic title]

RESULTS

[Graphic title] [Graphic title]

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

0% 20% 40% 60% 80% 100%

1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.]

[Replace, move, resize, or delete graphic, as necessary.] [Replace, move, resize, or delete graphic, as necessary.]

For additional information please contact: [Name] [Department] [Institution or organization] [E-mail address]

Excepteur Sint Lkl

(n=212) Controls

(n=27)

Lorum Wt (kg) 18 (SD 10) 29 (SD 07)

Ipsum (wk) 31 (SD 5) 37 (SD 2)

Irure: B W H HB O

Unknown

79 (373%) 121 (571%)

2 (09%) 0

1 (05%) 9 (42%)

7 (259%) 18 (667%)

0 1 (37%) 1 (37%)

0

Proident F

Lorem

106 (50%) 101 (476%)

5 (24%)

17 (63%) 10 (37%)

Nostrud: N Y

Unknown

172 (811%) 22 (104%) 18 (85%)

26 (963%) 0

1 (37%)

[Add title, if necessary.]

[Add key point.] [Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add title, if necessary.]

[Add key point.]

[Sub-bullet] [Sub-bullet]

[Add key point.]

[Sub-bullet] [Sub-bullet]

Appendix Thank you!

Comments, suggestions:[email protected]

Kontopantelis ipdforest