Table 2.
Tests for heterogeneity
|
||||
---|---|---|---|---|
Analysis group | No of studies | Pooled odds ratio (95% CI) | P value (Q statistic) | I2(%) |
Active treatment arm considered beneficial | 19 | 0.55 (0.49 to 0.62) | 0.71 | 0 |
Post-myocardial infarction studies onlyw1-w3 w5-w8 | 7 | 0.52 (0.41 to 0.66) | 0.96 | 0 |
HIV studies onlyw9-w15 | 7 | 0.53 (0.41 to 0.69) | 0.06 | 50.2 |
Primary prevention studies onlyw16 w17 | 2 | 0.58 (0.46 to 0.73) | 0.99 | 0 |
Method used to measure adherence: | ||||
Objective method (pill count, pharmacy refill, blood level, medication event monitor system)w1-w3 w5-w8 w11 w13-w15 w17 w19-w21 | 15 | 0.53 (0.46 to 0.60) | 0.99 | 0 |
Subjective method (patient self report, clinician impression)w9 w10 w12 w16 | 4 | 0.55 (0.37 to 0.83) | 0.05 | 61.0 |
Threshold used to define good adherence group: | ||||
≥75%w1-w3 w5 w7 w11 w13-w17 w19 | 12 | 0.54 (0.48 to 0.61) | 0.97 | 0 |
≥80%w1 w5 w7 w11 w14 w16 w19 | 7 | 0.58 (0.50 to 0.68) | 1.00 | 0 |
≥90%w11 w14 w16 | 3 | 0.60 (0.49 to 0.73) | 0.91 | 0 |
Study design: | ||||
Randomised controlled studies onlyw1-w3 w8 w16 w17 | 6 | 0.55 (0.46 to 0.65) | 0.95 | 0 |
Cohort studies onlyw5-w7 w9-w15 w19-w21 | 13 | 0.55 (0.47 to 0.64) | 0.36 | 8.6 |