A new and improved confidence interval for the Mantel-Haenszel risk difference

Writing the variance of the Mantel–Haenszel estimator under the null of homogeneity and inverting the corresponding test, we arrive at an improved confidence interval for the common risk difference in stratified 2 × 2 tables. This interval outperforms a variety of other intervals currently recommend...

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Veröffentlicht in:Statistics in medicine 2014-07, Vol.33 (17), p.2968-2983
1. Verfasser: Klingenberg, Bernhard
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description Writing the variance of the Mantel–Haenszel estimator under the null of homogeneity and inverting the corresponding test, we arrive at an improved confidence interval for the common risk difference in stratified 2 × 2 tables. This interval outperforms a variety of other intervals currently recommended in the literature and implemented in software. We also discuss a score‐type confidence interval that allows to incorporate strata/study weights. Both of these intervals work very well under many scenarios common in stratified trials or in a meta‐analysis, including situations with a mixture of both small and large strata sample sizes, unbalanced treatment allocation, or rare events. The new interval has the advantage that it is available in closed form with a simple formula. In addition, it applies to matched pairs data. We illustrate the methodology with various stratified clinical trials and a meta‐analysis. R code to reproduce all analysis is provided in the Appendix. Copyright © 2014 John Wiley & Sons, Ltd.
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source Wiley Online Library - AutoHoldings Journals; MEDLINE
subjects Antineoplastic Agents - therapeutic use
Clinical trials
Clinical Trials as Topic
Confidence Intervals
Data Interpretation, Statistical
difference of proportion
Humans
Influenza Vaccines - standards
Influenza, Human - prevention & control
matched pairs
Medical statistics
Medical treatment
Meta-analysis
Meta-Analysis as Topic
Multiple Myeloma - drug therapy
Multiple Myeloma - mortality
Risk
Sample Size
score interval
stratified 2 × 2 tables
title A new and improved confidence interval for the Mantel-Haenszel risk difference
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