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Bibliographic Details
Main Authors: Disher, Timothy, Cameron, Chris, Hutton, Brian
Format: Preprint
Published: 2025
Subjects:
Online Access:https://arxiv.org/abs/2506.22154
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author Disher, Timothy
Cameron, Chris
Hutton, Brian
author_facet Disher, Timothy
Cameron, Chris
Hutton, Brian
contents Network meta-analysis (NMA) synthesizes evidence for multiple treatments, but decisions on node formation can have important statistical implications including bias or inflated uncertainty. Existing data-driven methods often lack flexibility or fail to fully account for node uncertainty and adjust for between-trial heterogeneity simultaneously. We introduce a Bayesian non-parametric framework using a Dirichlet process prior with a regularized horseshoe base measure. This data-driven approach allows treatments to cluster based on their effects while formally propagating uncertainty about the clustering structure itself. We extend this method to incorporate baseline risk meta-regression, enabling clustering even under heterogeneity, and demonstrate implementation using standard MCMC software. We apply the method to case studies in rheumatology and pain and find adjusting for baseline risk heterogeneity can substantially change which treatments are clustered together, highlighting the importance of methods to allow for meta-regression.
format Preprint
id arxiv_https___arxiv_org_abs_2506_22154
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Bayesian non-parametric lumping and splitting of nodes in Network Meta-Analysis under heterogeneity
Disher, Timothy
Cameron, Chris
Hutton, Brian
Methodology
Network meta-analysis (NMA) synthesizes evidence for multiple treatments, but decisions on node formation can have important statistical implications including bias or inflated uncertainty. Existing data-driven methods often lack flexibility or fail to fully account for node uncertainty and adjust for between-trial heterogeneity simultaneously. We introduce a Bayesian non-parametric framework using a Dirichlet process prior with a regularized horseshoe base measure. This data-driven approach allows treatments to cluster based on their effects while formally propagating uncertainty about the clustering structure itself. We extend this method to incorporate baseline risk meta-regression, enabling clustering even under heterogeneity, and demonstrate implementation using standard MCMC software. We apply the method to case studies in rheumatology and pain and find adjusting for baseline risk heterogeneity can substantially change which treatments are clustered together, highlighting the importance of methods to allow for meta-regression.
title Bayesian non-parametric lumping and splitting of nodes in Network Meta-Analysis under heterogeneity
topic Methodology
url https://arxiv.org/abs/2506.22154