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

Abstract:

: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.

journal_name

Stat Med

journal_title

Statistics in medicine

authors

Klingenberg B

doi

10.1002/sim.6122

subject

Has Abstract

pub_date

2014-07-30 00:00:00

pages

2968-83

issue

17

eissn

0277-6715

issn

1097-0258

journal_volume

33

pub_type

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