Meta-analysis With Zero-event Studies: A Comparative Study With Application to COVID-19 Data (preprint)

Background: Meta-analysis is a statistical method to synthesize evidence from a number of independent studies, including those from clinical studies with binary outcomes. In practice, when there are zero events in one or both groups, it may cause statistical problems in the subsequent analysis. Methods: In this paper, by considering the relative risk as the effect size, we conduct a comparative study that consists of four continuity correction methods and another state-of-the-art method without the continuity correction, namely the generalized linear mixed models. To further advance the literature, we also introduce a new method of the continuity correction for estimating the relative risk. Results: From the simulation studies, the new method performs well in terms of mean squared error when there are few studies. In contrast, the generalized linear mixed model performs the best when the number of studies is large. In addition, by reanalyzing a recent COVID-19 data, it is evident that the double-zero-event studies impact on the estimate of the mean effect size. Conclusion: We recommend the new method to handle the zero-event studies when there are only few studies in the meta-analysis, or instead use the GLMM when the number of studies is large. The double-zero-event study may beinformative, and so we suggest not excluding them.

Estimating the reciprocal of a binomial proportion (preprint)

As a classic parameter from the binomial distribution, the binomial proportion has been well studied in the literature owing to its wide range of applications. In contrast, the reciprocal of the binomial proportion, also known as the inverse proportion, is often overlooked, even though it also plays an important role in various fields including clinical studies and random sampling. The maximum likelihood estimator of the inverse proportion suffers from the zero-event problem, and to overcome it, alternative methods have been developed in the literature. Nevertheless, there is little work addressing the optimality of the existing estimators, as well as their practical performance comparison. Inspired by this, we propose to further advance the literature by developing an optimal estimator for the inverse proportion in a family of shrinkage estimators. We further derive the explicit and approximate formulas for the optimal shrinkage parameter under different settings. Simulation studies show that the performance of our new estimator performs better than, or as well as, the existing competitors in most practical settings. Finally, to illustrate the usefulness of our new method, we also revisit a recent meta-analysis on COVID-19 data for assessing the relative risks of physical distancing on the infection of coronavirus, in which six out of seven studies encounter the zero-event problem.