Pulse Brain · Growing Health Evidence Index
Peer-reviewed

Development of the Instrument to assess the Credibility of Effect Modification Analyses (ICEMAN) in randomized controlled trials and meta-analyses

Stefan Schandelmaier, Matthias Briel, Ravi Varadhan, Christopher H. Schmid, Niveditha Devasenapathy, Rodney A. Hayward, Joel Gagnier, Michael Borenstein, Geert J. M. G. van der Heijden, Issa J Dahabreh, Xin Sun, Willi Sauerbrei, Michael Walsh, John P. A. Ioannidis, Lehana Thabane, Gordon H. Guyatt

Canadian Medical Association Journal · 2020

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Summary

BACKGROUND: Most randomized controlled trials (RCTs) and meta-analyses of RCTs examine effect modification (also called a subgroup effect or interaction), in which the effect of an intervention varies by another variable (e.g., age or disease severity). Assessing the credibility of an apparent effect modification presents challenges; therefore, we developed the Instrument for assessing the Credibility of Effect Modification Analyses (ICEMAN). METHODS: To develop ICEMAN, we established a detailed concept; identified candidate credibility considerations in a systematic survey of the literature; together with experts, performed a consensus study to identify key considerations and develop them into instrument items; and refined the instrument based on feedback from trial investigators, systema

Source type
Peer-reviewed study
DOI
10.1503/cmaj.200077
Catalogue ID
BFmokjob7i-7jt0r5
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