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분야역학역학
계열Process / pipelineProcess / pipeline
기원 연도2000s–2010s (formalized as a pooled approach)1980s–1990s (formalized practice)
창시자Based on Fine & Gray (1999) competing risks framework; meta-analytic synthesis methods established through methodological literature (mid-2000s onward)Developed iteratively through epidemiological meta-analysis literature; Greenland, Berlin, Colditz among key contributors
유형Systematic review / meta-analysisQuantitative synthesis / observational epidemiology
원전Riley, R. D., Hayden, J. A., Steyerberg, E. W., et al. (2013). Prognosis Research Strategy (PROGRESS) 2: Prognostic Factor Research. PLOS Medicine, 10(2), e1001380. DOI ↗Greenland, S., & Longnecker, M. P. (1992). Methods for trend estimation from summarized dose-response data, with applications to meta-analysis. American Journal of Epidemiology, 135(11), 1301-1309. DOI ↗
별칭meta-analysis of competing risks, pooled competing risks analysis, systematic review competing riskscohort meta-analysis, pooled cohort analysis, meta-analysis of cohort studies, prospective cohort meta-analysis
관련52
요약Meta-analytic competing risks analysis pools results from multiple primary studies that each used a competing risks framework, allowing summary estimates of cause-specific or subdistribution hazard ratios and cumulative incidence functions. Because standard meta-analytic methods may misrepresent competing events, specialized pooling strategies are required that respect the subdistribution hazard structure introduced by Fine and Gray and the distinction between cause-specific and all-cause hazard models.A meta-analytic cohort study systematically identifies, appraises, and statistically pools the findings of two or more independent cohort studies addressing the same exposure-outcome relationship. By combining large prospective datasets, it provides more precise risk estimates than any single cohort alone, makes dose-response patterns detectable, and enables subgroup analyses across diverse populations. It is the design of choice when cohort-level evidence exists but individual studies are underpowered or inconsistent.
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