Bayesian Meta-Analyses Could Be More: A Case Study in Trial of Labor After a Cesarean-section Outcomes and Complications
By: Ashley Klein, Edward Raff, Marcia DesJardin
The meta-analysis's utility is dependent on previous studies having accurately captured the variables of interest, but in medical studies, a key decision variable that impacts a physician's decisions was not captured. This results in an unknown effect size and unreliable conclusions. A Bayesian approach may allow analysis to determine if the claim of a positive effect is still warranted, and we build a Bayesian approach to this common medical scenario. To demonstrate its utility, we assist professional OBGYNs in evaluating Trial of Labor After a Cesarean-section (TOLAC) situations where few interventions are available for patients and find the support needed for physicians to advance patient care.
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