netheat | R Documentation |
This function creates a net heat plot, a graphical tool for locating inconsistency in network meta-analyses.
netheat(
x,
random = FALSE,
tau.preset = NULL,
showall = TRUE,
nchar.trts = x$nchar.trts,
...
)
x |
An object of class |
random |
A logical indicating whether the net heat plot should be based on a random effects model. |
tau.preset |
An optional value for the square-root of the
between-study variance |
showall |
A logical indicating whether results should be shown for all designs or only a sensible subset (see Details). |
nchar.trts |
A numeric defining the minimum number of characters used to create unique treatment names. |
... |
Additional arguments. |
The net heat plot is a matrix visualization proposed by Krahn et al. (2013) that highlights hot spots of inconsistency between specific direct evidence in the whole network and renders transparent possible drivers.
In this plot, the area of a gray square displays the contribution
of the direct estimate of one design in the column to a network
estimate in a row. In combination, the colors show the detailed
change in inconsistency when relaxing the assumption of consistency
for the effects of single designs. The colors on the diagonal
represent the inconsistency contribution of the corresponding
design. The colors on the off-diagonal are associated with the
change in inconsistency between direct and indirect evidence in a
network estimate in the row after relaxing the consistency
assumption for the effect of one design in the column. Cool colors
indicate an increase and warm colors a decrease: the stronger the
intensity of the color, the greater the difference between the
inconsistency before and after the detachment. So, a blue colored
element indicates that the evidence of the design in the column
supports the evidence in the row. A clustering procedure is applied
to the heat matrix in order to find warm colored hot spots of
inconsistency. In the case that the colors of a column
corresponding to design d
are identical to the colors on the
diagonal, the detaching of the effect of design d
dissolves
the total inconsistency in the network.
The pairwise contrasts corresponding to designs of three- or multi-arm studies are marked by '_' following the treatments of the design.
Designs where only one treatment is involved in other designs of
the network or where the removal of corresponding studies would
lead to a splitting of the network do not contribute to the
inconsistency assessment. By default (showall = TRUE
), these
designs are not incorporated into the net heat plot. If
showall = FALSE
, additional designs with minimal
contribution to the inconsistency Q statistic are not incorporated
(i.e., designs with abs(Q.inc.design)
<=
.Machine$double.eps^0.5)
.).
In the case of random = TRUE
, the net heat plot is based on
a random effects model generalised for multivariate meta-analysis
in which the between-study variance \tau^2
is estimated by the
method of moments (see Jackson et al., 2012) and embedded in a full
design-by-treatment interaction model (see Higgins et al., 2012).
Ulrike Krahn ulrike.krahn@bayer.com
Krahn U, Binder H, König J (2013): A graphical tool for locating inconsistency in network meta-analyses. BMC Medical Research Methodology, 13, 35
Jackson D, White IR and Riley RD (2012): Quantifying the impact of between-study heterogeneity in multivariate meta-analyses. Statistics in Medicine, 31, 3805–20
Higgins JPT, Jackson D, Barrett JK, Lu G, Ades AE, White IR (2012): Consistency and inconsistency in network meta-analysis: concepts and models for multi-arm studies. Research Synthesis Methods, 3, 98–110
netmeta
data(Senn2013)
# Only consider first five studies (to reduce runtime of example)
#
studies <- unique(Senn2013$studlab)
Senn2013.5 <- subset(Senn2013, studlab %in% studies[1:5])
# Conduct network meta-analysis with placebo as reference treatment
#
net1 <- netmeta(TE, seTE, treat1, treat2, studlab,
data = Senn2013.5, sm = "MD", reference = "plac")
# Generate a net heat plot based on a common effects model
#
netheat(net1)
## Not run:
# Generate a net heat plot based on a random effects model
#
netheat(net1, random = TRUE)
## End(Not run)
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