IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0212650.html
   My bibliography  Save this article

Description of network meta-analysis geometry: A metrics design study

Author

Listed:
  • Fernanda S Tonin
  • Helena H Borba
  • Antonio M Mendes
  • Astrid Wiens
  • Fernando Fernandez-Llimos
  • Roberto Pontarolo

Abstract

Background: The conduction and report of network meta-analysis (NMA), including the presentation of the network-plot, should be transparent. We aimed to propose metrics adapted from graph theory and social network-analysis literature to numerically describe NMA geometry. Methods: A previous systematic review of NMAs of pharmacological interventions was performed. Data on the graph’s presentation were collected. Network-plots were reproduced using Gephi 0.9.1. Eleven geometric metrics were tested. The Spearman test for non-parametric correlation analyses and the Bland-Altman and Lin’s Concordance tests were performed (IBM SPSS Statistics 24.0). Results: From the 477 identified NMAs only 167 graphs could be reproduced because they provided enough information on the plot characteristics. The median nodes and edges were 8 (IQR 6–11) and 10 (IQR 6–16), respectively, with 22 included studies (IQR 13–35). Metrics such as density (median 0.39, ranged 0.07–1.00), median thickness (2.0, IQR 1.0–3.0), percentages of common comparators (median 68%), and strong edges (median 53%) were found to contribute to the description of NMA geometry. Mean thickness, average weighted degree and average path length produced similar results than other metrics, but they can lead to misleading conclusions. Conclusions: We suggest the incorporation of seven simple metrics to report NMA geometry. Editors and peer-reviews should ensure that guidelines for NMA report are strictly followed before publication.

Suggested Citation

  • Fernanda S Tonin & Helena H Borba & Antonio M Mendes & Astrid Wiens & Fernando Fernandez-Llimos & Roberto Pontarolo, 2019. "Description of network meta-analysis geometry: A metrics design study," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-14, February.
  • Handle: RePEc:plo:pone00:0212650
    DOI: 10.1371/journal.pone.0212650
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0212650
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0212650&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0212650?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Shannon M Sullivan & Doug Coyle & George Wells, 2014. "What Guidance Are Researchers Given on How to Present Network Meta-Analyses to End-Users such as Policymakers and Clinicians? A Systematic Review," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-18, December.
    2. Sofia Dias & Nicky J. Welton & Alex J. Sutton & A. E. Ades, 2013. "Evidence Synthesis for Decision Making 5," Medical Decision Making, , vol. 33(5), pages 657-670, July.
    3. Sofia Dias & Alex J. Sutton & A. E. Ades & Nicky J. Welton, 2013. "Evidence Synthesis for Decision Making 2," Medical Decision Making, , vol. 33(5), pages 607-617, July.
    4. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    5. Georgia Salanti & Cinzia Del Giovane & Anna Chaimani & Deborah M Caldwell & Julian P T Higgins, 2014. "Evaluating the Quality of Evidence from a Network Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(7), pages 1-14, July.
    6. Binod Neupane & Danielle Richer & Ashley Joel Bonner & Taddele Kibret & Joseph Beyene, 2014. "Network Meta-Analysis Using R: A Review of Currently Available Automated Packages," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-17, December.
    7. Jansen, Jeroen P. & Naci, Huseyin, 2013. "Is network meta-analysis as valid as standard pairwise meta-analysis? It all depends on the distribution of effect modifiers," LSE Research Online Documents on Economics 55472, London School of Economics and Political Science, LSE Library.
    8. Dunn, Adam G. & Westbrook, Johanna I., 2011. "Interpreting social network metrics in healthcare organisations: A review and guide to validating small networks," Social Science & Medicine, Elsevier, vol. 72(7), pages 1064-1068, April.
    9. Anna Chaimani & Julian P T Higgins & Dimitris Mavridis & Panagiota Spyridonos & Georgia Salanti, 2013. "Graphical Tools for Network Meta-Analysis in STATA," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-12, October.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Konstantinos Katsanos & Panagiotis Kitrou & Stavros Spiliopoulos & Ioannis Maroulis & Theodore Petsas & Dimitris Karnabatidis, 2017. "Comparative effectiveness of different transarterial embolization therapies alone or in combination with local ablative or adjuvant systemic treatments for unresectable hepatocellular carcinoma: A net," PLOS ONE, Public Library of Science, vol. 12(9), pages 1-31, September.
    2. Dong Hyuk Kang & Kang Su Cho & Won Sik Ham & Hyungmin Lee & Jong Kyou Kwon & Young Deuk Choi & Joo Yong Lee, 2016. "Comparison of High, Intermediate, and Low Frequency Shock Wave Lithotripsy for Urinary Tract Stone Disease: Systematic Review and Network Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-22, July.
    3. Konstantinos Katsanos & Stavros Spiliopoulos & Prakash Saha & Athanasios Diamantopoulos & Narayan Karunanithy & Miltiadis Krokidis & Bijan Modarai & Dimitris Karnabatidis, 2015. "Comparative Efficacy and Safety of Different Antiplatelet Agents for Prevention of Major Cardiovascular Events and Leg Amputations in Patients with Peripheral Arterial Disease: A Systematic Review and," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-19, August.
    4. Wei Ding & Yulin Tan & Yan Qian & Wenbo Xue & Yibo Wang & Peng Jiang & Xuezhong Xu, 2020. "First-line targ veted therapies of advanced hepatocellular carcinoma: A Bayesian network analysis of randomized controlled trials," PLOS ONE, Public Library of Science, vol. 15(3), pages 1-19, March.
    5. Fei Wen & Hongheng Du & Liangliang Ding & Jinxi Hu & Zifeng Huang & Hua Huang & Kaikai Li & Yuxia Mo & Anyin Kuang, 2020. "Clinical efficacy and safety of drug interventions for primary and secondary prevention of osteoporotic fractures in postmenopausal women: Network meta-analysis followed by factor and cluster analysis," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-22, June.
    6. Dipen A Patel & Sonya J Snedecor & Wing Yu Tang & Lavanya Sudharshan & Jessica W Lim & Robert Cuffe & Sonia Pulgar & Kim A Gilchrist & Rodrigo Refoios Camejo & Jennifer Stephens & Garrett Nichols, 2014. "48-Week Efficacy and Safety of Dolutegravir Relative to Commonly Used Third Agents in Treatment-Naive HIV-1–Infected Patients: A Systematic Review and Network Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(9), pages 1-10, September.
    7. Felix A Achana & Alex J Sutton & Denise Kendrick & Persephone Wynn & Ben Young & David R Jones & Stephanie J Hubbard & Nicola J Cooper, 2015. "The Effectiveness of Different Interventions to Promote Poison Prevention Behaviours in Households with Children: A Network Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-18, April.
    8. Shannon M Sullivan & Doug Coyle & George Wells, 2014. "What Guidance Are Researchers Given on How to Present Network Meta-Analyses to End-Users such as Policymakers and Clinicians? A Systematic Review," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-18, December.
    9. Yicong Ye & Hongzhi Xie & Yong Zeng & Xiliang Zhao & Zhuang Tian & Shuyang Zhang, 2014. "Optimal Oral Antithrombotic Regimes for Patients with Acute Coronary Syndrome: A Network Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-8, March.
    10. Keith Tolley & Michael Hutchinson & Xiaojun You & Ping Wang & Bjoern Sperling & Ankush Taneja & Mohammed Kashif Siddiqui & Elizabeth Kinter, 2015. "A Network Meta-Analysis of Efficacy and Evaluation of Safety of Subcutaneous Pegylated Interferon Beta-1a versus Other Injectable Therapies for the Treatment of Relapsing-Remitting Multiple Sclerosis," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-21, June.
    11. Howard Thom & Frank Ender & Saisudha Samavedam & Caridad Perez Vivez & Subhajit Gupta & Mukesh Dhariwal & Jan de Haan & Derek O’Boyle, 2019. "Effect of AcrySof versus other intraocular lens properties on the risk of Nd:YAG capsulotomy after cataract surgery: A systematic literature review and network meta-analysis," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-15, August.
    12. Lukas Schwingshackl & Sofia Dias & Barbara Strasser & Georg Hoffmann, 2013. "Impact of Different Training Modalities on Anthropometric and Metabolic Characteristics in Overweight/Obese Subjects: A Systematic Review and Network Meta-Analysis," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-10, December.
    13. Cho-Hao Lee & Po-Huang Chen & Chin Lin & Chieh-Yung Wang & Ching-Liang Ho, 2020. "A network meta-analysis of maintenance therapy in chronic lymphocytic leukemia," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-18, January.
    14. Pepijn Vemer & Maiwenn J Al & Mark Oppe & Maureen P M H Rutten-van Mölken, 2017. "Mix and match. A simulation study on the impact of mixed-treatment comparison methods on health-economic outcomes," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-20, February.
    15. Cho Naing & Maxine A Whittaker & Norah Htet Htet & Saint Nway Aye & Joon Wah Mak, 2019. "Efficacy of antimalarial drugs for treatment of uncomplicated falciparum malaria in Asian region: A network meta-analysis," PLOS ONE, Public Library of Science, vol. 14(12), pages 1-16, December.
    16. Jia-Guo Zhao & Jia Wang & Xiao-Hui Meng & Xian-Tie Zeng & Shi-Lian Kan, 2017. "Surgical interventions to treat humerus shaft fractures: A network meta-analysis of randomized controlled trials," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-12, March.
    17. Stephane Régnier & William Malcolm & Felicity Allen & Jonathan Wright & Vladimir Bezlyak, 2014. "Efficacy of Anti-VEGF and Laser Photocoagulation in the Treatment of Visual Impairment due to Diabetic Macular Edema: A Systematic Review and Network Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(7), pages 1-10, July.
    18. Laura M Sawyer & Kinga Malottki & Celia Sabry-Grant & Najeeda Yasmeen & Emily Wright & Anne Sohrt & Emma Borg & Richard B Warren, 2019. "Assessing the relative efficacy of interleukin-17 and interleukin-23 targeted treatments for moderate-to-severe plaque psoriasis: A systematic review and network meta-analysis of PASI response," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-31, August.
    19. Theodoros Papakonstantinou & Adriani Nikolakopoulou & Julian P. T. Higgins & Matthias Egger & Georgia Salanti, 2020. "CINeMA: Software for semiautomated assessment of the confidence in the results of network meta‐analysis," Campbell Systematic Reviews, John Wiley & Sons, vol. 16(1), March.
    20. Areti Angeliki Veroniki & Jesmin Antony & Sharon E Straus & Huda M Ashoor & Yaron Finkelstein & Paul A Khan & Marco Ghassemi & Erik Blondal & John D Ivory & Brian Hutton & Kevin Gough & Brenda R Hemme, 2018. "Comparative safety and effectiveness of perinatal antiretroviral therapies for HIV-infected women and their children: Systematic review and network meta-analysis including different study designs," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-23, June.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0212650. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.