Contrast-Space Projection for Network Meta-Analysis: An Exact and Invariant Study-Based Decomposition of Direct and Indirect Contributions

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Main Authors: Wang, Chong, Zhang, Yanqi, Jin, Zhezhen, O'Connor, Annette
Format: Preprint
Published: 2026
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author Wang, Chong
Zhang, Yanqi
Jin, Zhezhen
O'Connor, Annette
author_facet Wang, Chong
Zhang, Yanqi
Jin, Zhezhen
O'Connor, Annette
contents Network meta-analysis (NMA) combines direct and indirect comparisons across a connected treatment network to estimate relative treatment effects. However, there is a lack of exact contribution decompositions that reproduce NMA estimates, particularly in the presence of multi-arm trials that induce within-study correlations. We address this reproducibility gap by developing a contrast-space projection formulation of NMA. Working in the space of all estimable pairwise treatment contrasts, we express the NMA estimator as an explicit linear mapping of the observed contrasts onto the consistency-constrained contrast space induced by orthogonal projection. Building on this representation, we introduce a rigorous study-based definition of direct and indirect evidence through a canonical within-study reduction that removes algebraic redundancy and yields a unique, invariant decomposition. This leads to exact covariance-aware decompositions of the NMA estimator into study-level direct and indirect contributions, with indirect evidence further resolved into path-level components. The resulting weights are directly analogous to inverse-variance weights in pairwise meta-analysis and enable, to our knowledge, the first forest-plot representation that exactly reconstructs the NMA estimator. The framework also yields projection-based diagnostic and graphical tools, including forest plots, tension plots, and path-based visualizations. Applications to empirical datasets demonstrate how the proposed approach provides a reproducible and interpretable framework for understanding evidence contributions in network meta-analysis, supporting transparent interpretation and reporting.
format Preprint
id arxiv_https___arxiv_org_abs_2604_21994
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Contrast-Space Projection for Network Meta-Analysis: An Exact and Invariant Study-Based Decomposition of Direct and Indirect Contributions
Wang, Chong
Zhang, Yanqi
Jin, Zhezhen
O'Connor, Annette
Methodology
Applications
Computation
Machine Learning
Network meta-analysis (NMA) combines direct and indirect comparisons across a connected treatment network to estimate relative treatment effects. However, there is a lack of exact contribution decompositions that reproduce NMA estimates, particularly in the presence of multi-arm trials that induce within-study correlations. We address this reproducibility gap by developing a contrast-space projection formulation of NMA. Working in the space of all estimable pairwise treatment contrasts, we express the NMA estimator as an explicit linear mapping of the observed contrasts onto the consistency-constrained contrast space induced by orthogonal projection. Building on this representation, we introduce a rigorous study-based definition of direct and indirect evidence through a canonical within-study reduction that removes algebraic redundancy and yields a unique, invariant decomposition. This leads to exact covariance-aware decompositions of the NMA estimator into study-level direct and indirect contributions, with indirect evidence further resolved into path-level components. The resulting weights are directly analogous to inverse-variance weights in pairwise meta-analysis and enable, to our knowledge, the first forest-plot representation that exactly reconstructs the NMA estimator. The framework also yields projection-based diagnostic and graphical tools, including forest plots, tension plots, and path-based visualizations. Applications to empirical datasets demonstrate how the proposed approach provides a reproducible and interpretable framework for understanding evidence contributions in network meta-analysis, supporting transparent interpretation and reporting.
title Contrast-Space Projection for Network Meta-Analysis: An Exact and Invariant Study-Based Decomposition of Direct and Indirect Contributions
topic Methodology
Applications
Computation
Machine Learning
url https://arxiv.org/abs/2604.21994