Trial sequential analysis: plain and simple
About: This article is published in Korean Journal of Anesthesiology. The article was published on 02 Aug 2021. and is currently open access.
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Citations
Trial sequential analysis: novel approach for meta-analysis.
TL;DR: The use of trial sequential analysis (TSA) has increased recently, providing more information on the precision and uncertainty of meta-analysis results as mentioned in this paper, which makes it a powerful tool for clinicians to assess the conclusiveness of metaanalysis.
Effect of dexmedetomidine on hemodynamic responses to tracheal intubation: A meta-analysis with meta-regression and trial sequential analysis.
Alessandro De Cassai,Annalisa Boscolo,Federico Geraldini,Francesco Zarantonello,Tommaso Pettenuzzo,Laura Pasin,Margherita Iuzzolino,Nicolò Rossini,Elisa Pesenti,Giovanni Zecchino,Nicolò Sella,Marina Munari,Paolo Navalesi +12 more
TL;DR: In this paper, a meta-analysis was conducted to investigate dexmedetomidine efficacy in attenuating sympathetic response to tracheal intubation, compared with placebo or no dexmedetermidine, in terms of heart rate and blood pressure.
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Efficacy and safety of adjunctive corticosteroids in the treatment of severe community-acquired pneumonia: a systematic review and meta-analysis of randomized controlled trials
Jheng-Yan Wu,Ya-Wen Tsai,Wan-Hsuan Hsu,Tingting Liu,Po-Yu Huang,Min-Hsiang Chuang,Chih-Cheng Lai +6 more
TL;DR: In this article , a systematic review and meta-analysis aimed to investigate the clinical efficacy and safety of systemic corticosteroids in the treatment of patients with severe community-acquired pneumonia (sCAP).
Oral Vancomycin Prophylaxis for Primary and Secondary Prevention of Clostridioides difficile Infection in Patients Treated with Systemic Antibiotic Therapy: A Systematic Review, Meta-Analysis and Trial Sequential Analysis
Alberto Enrico Maraolo,Maria Mazzitelli,Emanuela Zappulo,Riccardo Scotto,M. Granata,Roberto Andini,Emanuele Durante-Mangoni,Nicola Petrosillo,Ivan Gentile +8 more
TL;DR: OVP appears to be an efficacious option for prevention of CDI in high-risk subjects undergoing SAT, Nevertheless, additional data from RCTs are needed to establish OVP as good clinical practice and define optimal dosage and duration.
Intravenous vitamin C monotherapy in critically ill patients: a systematic review and meta-analysis of randomized controlled trials with trial sequential analysis
Zheng-Yii Lee,Luis Alfonso Ortiz-Reyes,Charles Chin Han Lew,Mehedi Hasan,Lu Ke,Jayshil J. Patel,Christian Stoppe,Daren K. Heyland +7 more
TL;DR: A recent landmark randomized controlled trial (RCT) in septic patients demonstrated an increased risk of death and persistent organ dysfunction with intravenous Vitamin C (IVVC) monotherapy, which represents a disparate result from previous systematic reviews and meta-analyses as discussed by the authors .
References
Trial sequential analysis may establish when firm evidence is reached in cumulative meta-analysis.
TL;DR: TSA may establish when firm evidence is reached in meta-analysis, and six randomly selected neonatal meta-analyses showed early potentially spurious P<0.05 values, establishing firm evidence of an intervention effect.
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Trial Sequential Analysis in systematic reviews with meta-analysis
TL;DR: Trial Sequential Analysis represents analysis of meta-analytic data, with transparent assumptions, and better control of type I and type II errors than the traditional meta-analysis using naïve unadjusted confidence intervals.
Estimating required information size by quantifying diversity in random-effects model meta-analyses
TL;DR: D2 seems a better alternative than I2 to consider model variation in any random-effects meta-analysis despite the choice of the between trial variance estimator that constitutes the model.
Interim analysis: the alpha spending function approach
David L. DeMets,K. K. G. Lan +1 more
TL;DR: The alpha spending function approach is reviewed, and its applicability to a variety of commonly used statistical procedures, including survival and longitudinal methods are detailed.