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Rainforest plots for the presentation of patient-subgroup analysis in clinical trials

Zhang, Zhongheng ; Kossmeier, Michael ; Tran, Ulrich S ; Voracek, Martin and Zhang, Haoyang LU orcid (2017) In Annals of Translational Medicine 5(24). p.1-6
Abstract

While the conventional forest plot is useful to present results within subgroups of patients in clinical studies, it has been criticized for several reasons. First, small subgroups are visually overemphasized by long confidence interval lines, which is misleading. Second, the point estimates of large subgroups are difficult to discern because of the large box representing the precision of the estimate within subgroups. Third, confidence intervals depicted by lines might incorrectly convey the impression that all points within the interval are equally likely. Rainforest plots have been proposed to overcome these potentially misleading aspects of conventional forest plots. The metaviz package enables to generate rainforest plots for... (More)

While the conventional forest plot is useful to present results within subgroups of patients in clinical studies, it has been criticized for several reasons. First, small subgroups are visually overemphasized by long confidence interval lines, which is misleading. Second, the point estimates of large subgroups are difficult to discern because of the large box representing the precision of the estimate within subgroups. Third, confidence intervals depicted by lines might incorrectly convey the impression that all points within the interval are equally likely. Rainforest plots have been proposed to overcome these potentially misleading aspects of conventional forest plots. The metaviz package enables to generate rainforest plots for meta-analysis within the statistical computing environment R. We suggest the application of rainforest plots for the depiction of subgroup analysis in clinical trials. In this tutorial, detailed step-by-step guidance on the generation of rainforest plot for this purpose is provided.

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Please use this url to cite or link to this publication:
author
; ; ; and
publishing date
type
Contribution to journal
publication status
published
in
Annals of Translational Medicine
volume
5
issue
24
article number
485
pages
1 - 6
publisher
AME Publishing Company
external identifiers
  • pmid:29299447
  • scopus:85038024212
ISSN
2305-5839
DOI
10.21037/atm.2017.10.07
language
English
LU publication?
no
id
923528e3-e4e2-4848-92ce-5b65cfcc5259
date added to LUP
2024-02-05 16:14:36
date last changed
2024-06-03 15:09:52
@article{923528e3-e4e2-4848-92ce-5b65cfcc5259,
  abstract     = {{<p>While the conventional forest plot is useful to present results within subgroups of patients in clinical studies, it has been criticized for several reasons. First, small subgroups are visually overemphasized by long confidence interval lines, which is misleading. Second, the point estimates of large subgroups are difficult to discern because of the large box representing the precision of the estimate within subgroups. Third, confidence intervals depicted by lines might incorrectly convey the impression that all points within the interval are equally likely. Rainforest plots have been proposed to overcome these potentially misleading aspects of conventional forest plots. The metaviz package enables to generate rainforest plots for meta-analysis within the statistical computing environment R. We suggest the application of rainforest plots for the depiction of subgroup analysis in clinical trials. In this tutorial, detailed step-by-step guidance on the generation of rainforest plot for this purpose is provided.</p>}},
  author       = {{Zhang, Zhongheng and Kossmeier, Michael and Tran, Ulrich S and Voracek, Martin and Zhang, Haoyang}},
  issn         = {{2305-5839}},
  language     = {{eng}},
  number       = {{24}},
  pages        = {{1--6}},
  publisher    = {{AME Publishing Company}},
  series       = {{Annals of Translational Medicine}},
  title        = {{Rainforest plots for the presentation of patient-subgroup analysis in clinical trials}},
  url          = {{http://dx.doi.org/10.21037/atm.2017.10.07}},
  doi          = {{10.21037/atm.2017.10.07}},
  volume       = {{5}},
  year         = {{2017}},
}