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st: metan command STATA IC 12.1


From   shadi Kalantarian <[email protected]>
To   statalist <[email protected]>
Subject   st: metan command STATA IC 12.1
Date   Wed, 10 Jul 2013 15:54:46 -0400

I am doing a meta-analysis in which I will need to generate pooled
prevalence rates. For each study, prevalence and its 95% confidence
interval was calculated using exact binomial (cii command, exact level
(95)). I used metan command in two different ways:

1) metan p se, random
2) metan p U95 L95, random

When I use the first command (the one with standard error) the
reported confidence intervals in the forest plot are completely
different from those calculated with cii command. Why does this
happen? and does this mean I should not use metan p se command?

study  total cases SE (standard error) p (prevalence)  L95     U95
one    51     9       0.053382      0.176471  0.084009    0.308726
two    45     11     0.064064      0.244444  0.128823    0.395371
three  30     4       0.062063      0.133333  0.037554    0.307219
four    12     3       0.125              0.25          0.054861    0.571858



. metan p l95 u95 , random

           Study     |     ES    [95% Conf. Interval]     % Weight
---------------------+---------------------------------------------------
1                    |  0.176       0.084     0.309         38.55
2                    |  0.244       0.129     0.395         27.40
3                    |  0.133       0.038     0.307         26.77
4                    |  0.250       0.055     0.572          7.28
---------------------+---------------------------------------------------
D+L pooled ES        |  0.189       0.119     0.259        100.00
---------------------+---------------------------------------------------

  Heterogeneity chi-squared =   1.58 (d.f. = 3) p = 0.664
  I-squared (variation in ES attributable to heterogeneity) =   0.0%
  Estimate of between-study variance Tau-squared =  0.0000

  Test of ES=0 : z=   5.31 p = 0.000


. metan p se , random

           Study     |     ES    [95% Conf. Interval]     % Weight
---------------------+---------------------------------------------------
1                    |  0.176       0.072     0.281         38.22
2                    |  0.244       0.119     0.370         26.54
3                    |  0.133       0.012     0.255         28.27
4                    |  0.250       0.005     0.495          6.97
---------------------+---------------------------------------------------
D+L pooled ES        |  0.187       0.123     0.252        100.00
---------------------+---------------------------------------------------

  Heterogeneity chi-squared =   1.84 (d.f. = 3) p = 0.605
  I-squared (variation in ES attributable to heterogeneity) =   0.0%
  Estimate of between-study variance Tau-squared =  0.0000

  Test of ES=0 : z=   5.68 p = 0.000

Thank you,
Shadi Kalantarian MD MPH
Research Fellow
Massachusetts General Hospital
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