Rigorous Bivariate Synthesis of Benefit-Risk Profiles for Direct Oral Anticoagulants in Atrial Fibrillation

Abstract

Selection of anticoagulant therapy relies on a balance between ischemic stroke prevention (the benefit) and (the risk) of major bleeding.[1] This analysis highlights a bivariate random effect meta-analysis of the four key Phase III trials. Making a comparison of Direct Oral Anticoagulant (DOACs) versus warfarin drawing on the four key Phase III trials:RE-LY, ROCKET-AF, ARISTOTLE, and ENGAGE AF-TIMI 48. This is done by incorporating modern small sample adjustments and conformal prediction intervals, in order to provide a strengthened framework for evidence based decision making under uncertainty.

https://doi.org/10.66040/st.v1i1.12
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References

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2. Riley, R. D., et al. (2017). Multivariate and network meta-analysis of multiple outcomes and multiple treatments: rationale, concepts, and examples.3 BMJ, 358, j3932.

3. Viechtbauer, W. (2005). Bias and efficiency of meta-analytic variance estimators in the random-effects model.4 Journal of Educational and Behavioral Statistics, 30(3), 261-293.

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