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Audrey Béliveau

Publications and source records attributed to Audrey Béliveau.

7 recordsLinked to original sources

Identifying Conditions Favouring Multiplicative Heterogeneity Models in Network Meta-Analysis

Explicit modelling of between-study heterogeneity is essential in network meta-analysis (NMA) to ensure valid inference and avoid overstating precision. While the additive random-effects (RE) model is the conventional approach, the multiplicative-effect (ME) model remains underexplored. The ME model inflates within-study variances by a common factor estimated via weighted least squares, yielding identical point estimates to a fixed-effect model while inflating confidence intervals. We empirically compared RE and ME models across NMAs of two-arm studies with significant heterogeneity from the nmadb database, assessing model fit using the Akaike Information Criterion. The ME model often provided comparable or better fit to the RE model. Case studies further revealed that RE models are sensitive to extreme and imprecise observations, whereas ME models assign less weight to such observations and hence exhibit greater robustness to publication bias. Our results suggest that the ME model warrant consideration alongside conventional RE model in NMA practice.

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Creating treatment and component hierarchies in component network meta-analysis

Component network meta-analysis (CNMA) is a statistical methodology that enables estimation of relative effects for multi-component treatments, such as combinations of antidepressants, and individual components, such as single antidepressants, by synthesizing data from multiple studies. A commonly desired output of a systematic review and meta-analysis is a hierarchy of the treatments in terms of a certain performance metric. Methods have been established for standard network meta-analysis (NMA), but have not yet been extended to CNMA. In particular, CNMA presents unique challenges because the set of relative effects that can be uniquely estimated is more complex to determine compared to standard NMA, and a hierarchy involving relative effects that are not uniquely estimable is misleading. We present a step-by-step workflow for answering treatment hierarchy questions in both frequentist and Bayesian CNMA, including explicitly identifying the uniquely estimable relative effects. We illustrate the workflow by posing multiple treatment hierarchy questions in two distinct networks, one concerning primary care of depression and one disconnected network investigating treatment for chronic lymphocytic leukemia.

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Uncovering All Highly Credible Binary Treatment Hierarchy Questions in Network Meta-Analysis

In recent years, there has been growing research interest in addressing treatment hierarchy questions within network meta-analysis (NMA). In NMAs involving many treatments, the number of possible hierarchy questions becomes prohibitively large. To manage this complexity, previous work has recommended pre-selecting specific hierarchy questions of interest (e.g., ``among options A, B, C, D, E, do treatments A and B have the two best effects in terms of improving outcome X?") and calculating the empirical probabilities of the answers being true given the data. In contrast, we propose an efficient and scalable algorithmic approach that eliminates the need for pre-specification by systematically generating a comprehensive catalog of highly credible treatment hierarchy questions, specifically, those with empirical probabilities exceeding a chosen threshold (e.g., 95%). This enables decision-makers to extract all meaningful insights supported by the data. An additional algorithm trims redundant insights from the output to facilitate interpretation. We define and address six broad types of binary hierarchy questions (i.e., those with true/false answers), covering standard hierarchy questions answered using existing ranking metrics - pairwise comparisons and (cumulative) ranking probabilities - as well as many other complex hierarchy questions. We have implemented our methods in an R package and illustrate their application using real NMA datasets on diabetes and depression interventions. Beyond NMA, our approach is relevant to any decision problem concerning three or more treatment options.

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Rapid Scaling of Compositional Uncertainty from Sample to Population Levels

Understanding population composition is essential across ecological, evolutionary, conservation, and resource management contexts. Modern methods such as genetic stock identification (GSI) estimate the proportion of individuals from each subpopulation using genetic data. Ideally, these estimates are obtained through mixture analysis, which captures both sampling and genetic uncertainty. However, historical datasets often rely on individual assignment methods that only account for sample-level uncertainty, limiting the validity of population-level inferences. To address this, we propose a reverse Dirichlet-multinomial model and derive multiple variance estimators to propagate uncertainty from the sample to the population level. We extend this framework to genetic mark-recapture studies, assess performance via simulation, and apply our method to estimate the escapement of Sockeye Salmon (Oncorhynchus nerka) in the Taku River.

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Bayesian unanchored additive models for component network meta-analysis

Component network meta-analysis (CNMA) models are an extension of standard network meta-analysis (NMA) models which account for the use of multicomponent treatments in the network. This article contributes innovatively to several statistical aspects of CNMA. First, by introducing a unified notation, we establish that currently available methods differ in the way they assume additivity, an important distinction that has been overlooked so far in the literature. In particular, one model uses a more restrictive form of additivity than the other which we term an anchored and unanchored model, respectively. We show that an anchored model can provide a poor fit to the data if it is misspecified. Second, given that Bayesian models are often preferred by practitioners, we develop two novel unanchored Bayesian CNMA models presented under the unified notation. An extensive simulation study examining bias, coverage probabilities, and treatment rankings confirms the favorable performance of the novel models. This is the first simulation study to compare the statistical properties of CNMA models in the literature. Finally, the use of our novel models is demonstrated on a real dataset, and the results of CNMA models on the dataset are compared.

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Precision of Treatment Hierarchy: A Metric for Quantifying Certainty in Treatment Hierarchies from Network Meta-Analysis

Network meta-analysis (NMA) is an extension of pairwise meta-analysis which facilitates the estimation of relative effects for multiple competing treatments. A hierarchy of treatments is a useful output of an NMA. Treatment hierarchies are produced using ranking metrics. Common ranking metrics include the Surface Under the Cumulative RAnking curve (SUCRA) and P-scores, which are the frequentist analogue to SUCRAs. Both metrics consider the size and uncertainty of the estimated treatment effects, with larger values indicating a more preferred treatment. Although SUCRAs and P-scores themselves consider uncertainty, treatment hierarchies produced by these ranking metrics are typically reported without a measure of certainty, which might be misleading to practitioners. We propose a new metric, Precision of Treatment Hierarchy (POTH), which quantifies the certainty in producing a treatment hierarchy from SUCRAs or P-scores. The metric connects three statistical quantities: The variance of the SUCRA values, the variance of the mean rank of each treatment, and the average variance of the distribution of individual ranks for each treatment. POTH provides a single, interpretable value which quantifies the degree of certainty in producing a treatment hierarchy. We show how the metric can be adapted to apply to subsets of treatments in a network, for example, to quantify the certainty in the hierarchy of the top three treatments. We calculate POTH for a database of NMAs to investigate its empirical properties, and we demonstrate its use on three published networks.

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Plant-Capture Methods for Estimating Population Size from Uncertain Plant Captures

Plant-capture is a variant of classical capture-recapture methods used to estimate the size of a population. In this method, decoys referred to as "plants" are introduced into the population in order to estimate the capture probability. The method has shown considerable success in estimating population sizes from limited samples in many epidemiological, ecological, and demographic studies. However, previous plant-recapture studies have not systematically accounted for uncertainty in the capture status of each individual plant. In this work, we propose various approaches to formally incorporate uncertainty into the plant-capture model arising from (i) the capture status of plants and (ii) the heterogeneity between multiple survey sites. We present two inference methods and compare their performance in simulation studies. We then apply our methods to estimate the size of the homeless population in several US cities using the large-scale "S-night" study conducted by the US Census Bureau.

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