Produce a forest plot. Includes graphical summary of results if applied to output of suitable model-fitting function. forest methods for madad and madauni objects are provided.
Objects of the class reitsma are output by the function with the same name. Apart from standard methods the functions sroc, mcsroc and ROCellipse provide SROC curves and confidence regions for fits.
Assuming that a weighted Youden index is maximized in all primary studies, the Ruecker-Schumacher approach estimates individual ROC curves and then averages them.
Given the frequencies of true positives, false negative, false positives and true negatives from primary diagnostic studies madad calculates various summary statistics. Apart from sensitivities, specificities and false positive rates the function also calculates the diagnostic odds ratio (DOR) and the positve and negative likelihood ratios, together with their respective confidence intervals. Also two hypothesis tests are calculated: one testing the equality of the sensitivities and the same for the false positive rates.
The function fits the bivariate model of Reitsma et al. (2005) that Harbord et al. (2007) have shown to be equivalent to the HSROC of Rutter&Gatsonis (2001). We specify the model as a linear mixed model with known variances of the random effects, similar to the computational approach by Reitsma et al. (2005). Variance components are estimated by restricted maximum likelihood (REML) as a default but ML estimation is available as well. In addition meta-regression is possible and the use of other transformations than the logit, using the approach of Doebler et al. (2012).
This package provides functions for diagnostic meta-analysis. Next to basic analysis and visualization the bivariate Model of Reitsma et al. (2005) that is equivalent to the HSROC of Rutter&Gatsonis (2001) can be fitted. A new approach based to diagnostic meta-analysis of Holling et al. (2012) is also available. Standard methods like summary, plot and so on are provided.
The classic strategy to meta-analysis of diagnostic accuracy data is to pool a univariate measure of accuracy like the diagnostic odds ratio, the positive likelihood ratio or the negative likelihood ratio. For fixed effect estimation a Mantel-Haenszel estimator is implemented and for random effect estimation a DerSimonian-Laird estimator is available.
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