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Meta-Analysis of Diagnostic Test Accuracy Studies

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Meta-Analysis with R

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Abstract

Meta-analysis of diagnostic test accuracy (DTA) studies differs from meta-analysis of intervention studies in a number of respects. In this chapter, we explain the issues raised by meta-analysis of diagnostic accuracy studies and how these may be addressed. Alongside the statistical models, we present the R package mada [5] written for fitting these models and graphing the results.

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Notes

  1. 1.

    To install the R package mada use the R command install.packages("mada") . This will automatically install the package R package mvmeta which it depends on.

  2. 2.

    Confidence​ limits​ would​ be​ still​ different​ if​ we​ used the argument correction. control="none" as different methods are used to calculate these.

  3. 3.

    We use R object oldpar in order to restore the settings of the graphics windows. This is recommended after changing these settings for a specific plot; however, from now on we do not display this command.

  4. 4.

    R code to generate the figure is given in the web-appendix.

  5. 5.

    R code to generate the ROC curve is given in the web-appendix.

  6. 6.

    Note that this parameter should not be confused with the parameter \(\lambda\) of the hierarchical model.

  7. 7.

    Even though we are only interested in an estimate of parameter \(\lambda\), the rsSROC command generates a plot.

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Schwarzer, G., Carpenter, J.R., Rücker, G. (2015). Meta-Analysis of Diagnostic Test Accuracy Studies. In: Meta-Analysis with R. Use R!. Springer, Cham. https://doi.org/10.1007/978-3-319-21416-0_9

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