Evidence map›Paper›PMID 41626977›Full record

ArticleResearch synthesis methods2025

Regression augmented weighting adjustment for indirect comparisons in health decision modelling.

Chengyang Gao, Anna Heath, Gianluca Baio

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Article in Research synthesis methods, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Chengyang GaoDepartment of Statistical Science, https://ror.org/02jx3x895University College London, London, UK.
Anna HeathDepartment of Statistical Science, https://ror.org/02jx3x895University College London, London, UK.
Gianluca BaioDepartment of Statistical Science, https://ror.org/02jx3x895University College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding the relative costs and effectiveness of all competing interventions is crucial to informing health resource allocations. However, to receive regulatory approval for efficacy, novel pharmaceuticals are typically only compared against placebo or standard of care. The relative efficacy against the best alternative intervention relies on indirect comparisons of different interventions. When treatment effect modifiers are distributed differently across trials, population adjustment is necessary to ensure a fair comparison. Matching-Adjusted Indirect Comparisons (MAIC) is the most widely adopted weighting-based method for this purpose. Nevertheless, MAIC can exhibit instability under poor population overlap. Regression-based approaches to overcome this issue are heavily dependent on parametric assumptions.

methodsWe introduce a novel method, 'G-MAIC,' which combines outcome regression and weighting-adjustment to address these limitations. Inspired by Bayesian survey inference, G-MAIC employs Bayesian bootstrap to propagate the uncertainty of population-adjusted estimates. We evaluate the performance of G-MAIC against standard non-adjusted methods, MAIC and Parametric G-computation, in a simulation study encompassing 18 scenarios with varying trial sample sizes, population overlaps, and covariate structures.

resultsUnder poor overlap and small sample sizes, MAIC can produce non-sensible variance estimations or increased bias compared to non-adjusted methods, depending on covariate structures in the two trials compared. G-MAIC mitigates this issue, achieving comparable performance to parametric G-computation with reduced reliance on parametric assumptions.

conclusionG-MAIC presents a robust alternative to the widely adopted MAIC for population-adjusted indirect comparisons. The underlying framework is flexible such that it can accommodate advanced nonparametric outcome models and alternative weighting schemes.

Indexed as

Decision Support TechniquesAlgorithmsBayes TheoremComputer SimulationCost-Benefit AnalysisCost-Effectiveness AnalysisHumansModels, StatisticalRegression AnalysisResearch DesignSample SizeUncertaintyindirect treatment comparisonsmatching-adjusted indirect comparisonsparameteric G-computationpopulation adjustment

Identifiers

PMID41626977
PMCPMC12657667

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.