###data tidy####
data$`Recurrence as a main outcome`<-factor(data$`Recurrence as a main outcome`,
                         levels = c(0,1),
                         labels = c("No", "Yes"))
library(expss)
## 
## Attaching package: 'expss'
## The following objects are masked from 'package:dplyr':
## 
##     between, compute, contains, first, last, na_if, recode, vars
data$recurrence_prevalence<-data$n_recurrency/data$n_total

data<-apply_labels(data,
                   recurrence_prevalence= "Prevalence of recurrency (%)",
                   n_recurrency = "Recurrency (n)",
                   n_total = "Total (n)")

Prevalence metanalysis

Raw prevalence

data_prevalence<-data%>% select(n_recurrency,n_total,Study, TGA_definition, `Recurrence as a main outcome`)

data_prevalence<-na.omit(data_prevalence)
meta_prevalence<- metaprop(data_prevalence$n_recurrency, data_prevalence$n_total, studlab=data_prevalence$Study, sm="PFT", data=data_prevalence, method="Inverse", method.tau="DL")

summary(meta_prevalence)
## Number of studies combined: k = 35
## 
##                      proportion           95%-CI
## Fixed effect model       0.1081 [0.0988; 0.1177]
## Random effects model     0.1237 [0.0980; 0.1517]
## 
## Quantifying heterogeneity:
##  tau^2 = 0.0102 [0.0068; 0.0243]; tau = 0.1008 [0.0823; 0.1558]
##  I^2 = 83.2% [77.5%; 87.5%]; H = 2.44 [2.11; 2.82]
## 
## Test of heterogeneity:
##       Q d.f.  p-value
##  202.42   34 < 0.0001
## 
## Details on meta-analytical method:
## - Inverse variance method
## - DerSimonian-Laird estimator for tau^2
## - Jackson method for confidence interval of tau^2 and tau
## - Freeman-Tukey double arcsine transformation
forest.meta(meta_prevalence,
            comb.r=T, 
            comb.f=F, 
            prediction = T,
            leftcols = c("Study","n_recurrency","n_total",  "TGA_definition", "Recurrence as a main outcome"),
            leftlabs = c("Author", "Events", "Total", "TGA criteria", "Recurrency outcome"),
            xlab="Prevalence of recurrency")

## agregaria una columna de diagnostico de bias
forest.meta(meta_prevalence,
            comb.r=T, 
            comb.f=F, 
            prediction = T,
            xlab="Prevalence of recurrence")

Outliers and influential analysis

a<-find.outliers(meta_prevalence)

Estudios detectados como outliers (Random effects model)

a$out.study.random
## [1] "Oliveira, 2020"   "Romoli, 2020"     "Eisele, 2019"     "Han, 2019"       
## [5] "Keret, 2016"      "Moon, 2015"       "Akkawi, 2005"     "Fredericks, 1993"

Modelo sin outliers (Random effects model)

a$m.random
##                          proportion           95%-CI %W(fixed) %W(random)
## Lee DA, 2021                 0.1250 [0.0641; 0.2127]       2.8        4.2
## Oliveira, 2020               0.2714 [0.1720; 0.3910]       0.0        0.0
## Morris, 2020                 0.1370 [0.1167; 0.1593]      32.7        7.3
## Waliszewska-Prosol, 2020     0.0714 [0.0198; 0.1729]       1.8        3.3
## Tynas, 2020                  0.1613 [0.0932; 0.2520]       2.9        4.3
## Romoli, 2020                 0.0743 [0.0534; 0.1002]       0.0        0.0
## Eisele, 2019                 0.0347 [0.0140; 0.0701]       0.0        0.0
## Han, 2019                    0.4430 [0.3312; 0.5592]       0.0        0.0
## Alessandro, 2019             0.0788 [0.0457; 0.1248]       6.4        5.7
## Himeno, 2017                 0.0667 [0.0337; 0.1162]       5.2        5.3
## Arena, 2017                  0.1403 [0.0973; 0.1932]       6.9        5.8
## Keret, 2016                  0.0260 [0.0071; 0.0652]       0.0        0.0
## Moon, 2015                   0.3333 [0.1459; 0.5697]       0.0        0.0
## Kwon, 2014                   0.1176 [0.0712; 0.1795]       4.8        5.2
## Buhr, 2012                   0.1395 [0.0530; 0.2793]       1.4        2.8
## Uttner, 2012                 0.0000 [0.0000; 0.1951]       0.5        1.4
## Auyeung, 2010                0.1852 [0.0630; 0.3808]       0.9        2.0
## Lee SY, 2009                 0.0488 [0.0060; 0.1653]       1.3        2.7
## Agosti,2008                  0.1385 [0.0842; 0.2100]       4.1        4.9
## Chung, 2007                  0.1176 [0.0146; 0.3644]       0.5        1.4
## Quinette,2006                0.0634 [0.0294; 0.1169]       4.5        5.1
## Akkawi, 2005                 0.0448 [0.0217; 0.0809]       0.0        0.0
## Toledo, 2005                 0.2097 [0.1418; 0.2919]       3.9        4.8
## Pantoni, 2005                0.0784 [0.0218; 0.1888]       1.6        3.1
## Lampl, 2004                  0.1875 [0.0405; 0.4565]       0.5        1.4
## Chen, 1999                   0.1071 [0.0227; 0.2823]       0.9        2.1
## Pai, 1999                    0.1200 [0.0255; 0.3122]       0.8        1.9
## Klotzsch, 1996               0.2264 [0.1228; 0.3621]       1.7        3.2
## Zorzon, 1995                 0.0938 [0.0352; 0.1930]       2.0        3.5
## Fredericks, 1993             0.2632 [0.1554; 0.3966]       0.0        0.0
## Gallassi, 1993               0.2439 [0.1236; 0.4030]       1.3        2.7
## Melo,1992                    0.0588 [0.0123; 0.1624]       1.6        3.1
## Gandolfo,1992                0.2157 [0.1404; 0.3081]       3.2        4.4
## Hodges, 1990                 0.0789 [0.0367; 0.1446]       3.6        4.7
## Hinge, 1986                  0.2162 [0.1289; 0.3272]       2.3        3.8
##                          exclude
## Lee DA, 2021                    
## Oliveira, 2020                 *
## Morris, 2020                    
## Waliszewska-Prosol, 2020        
## Tynas, 2020                     
## Romoli, 2020                   *
## Eisele, 2019                   *
## Han, 2019                      *
## Alessandro, 2019                
## Himeno, 2017                    
## Arena, 2017                     
## Keret, 2016                    *
## Moon, 2015                     *
## Kwon, 2014                      
## Buhr, 2012                      
## Uttner, 2012                    
## Auyeung, 2010                   
## Lee SY, 2009                    
## Agosti,2008                     
## Chung, 2007                     
## Quinette,2006                   
## Akkawi, 2005                   *
## Toledo, 2005                    
## Pantoni, 2005                   
## Lampl, 2004                     
## Chen, 1999                      
## Pai, 1999                       
## Klotzsch, 1996                  
## Zorzon, 1995                    
## Fredericks, 1993               *
## Gallassi, 1993                  
## Melo,1992                       
## Gandolfo,1992                   
## Hodges, 1990                    
## Hinge, 1986                     
## 
## Number of studies combined: k = 27
## 
##                      proportion           95%-CI
## Fixed effect model       0.1207 [0.1091; 0.1327]
## Random effects model     0.1198 [0.0996; 0.1415]
## 
## Quantifying heterogeneity:
##  tau^2 = 0.0032 [0.0009; 0.0106]; tau = 0.0564 [0.0305; 0.1029]
##  I^2 = 57.6% [34.9%; 72.3%]; H = 1.54 [1.24; 1.90]
## 
## Test of heterogeneity:
##      Q d.f. p-value
##  61.28   26  0.0001
## 
## Details on meta-analytical method:
## - Inverse variance method
## - DerSimonian-Laird estimator for tau^2
## - Jackson method for confidence interval of tau^2 and tau
## - Freeman-Tukey double arcsine transformation
## - Clopper-Pearson confidence interval for individual studies

Influential analysis

inf.analysis <- InfluenceAnalysis(x =meta_prevalence,
                                  random = TRUE)
## [===========================================================================] DONE
plot(inf.analysis, "influence")

Publication bias (Funnel Plot)

# Produce funnel plot
funnel.meta(meta_prevalence,cex = 0.8,
            studlab = TRUE)

title("Funnel Plot (TGA recurrence prevalence)")

col.contour = c("gray75", "gray85", "gray95")

# Generate funnel plot (we do not include study labels here)
funnel.meta(meta_prevalence,studlab = TRUE, cex.studlab = 0.5,
            contour = c(0.9, 0.95, 0.99),
            col.contour = col.contour)

# Add a legend
legend(x = 0.6, y = 0.001, cex = 0.8,
       legend = c("p < 0.1", "p < 0.05", "p < 0.01"),
       fill = col.contour)

# Add a title
title("Contour-Enhanced Funnel Plot (TGA recurrence prevalence)")

Publication bias (Egger´s test)

eggers.test(meta_prevalence)
## Eggers' test of the intercept 
## ============================= 
## 
##  intercept       95% CI     t         p
##      1.128 -0.52 - 2.78 1.338 0.1900994
## 
## Eggers' test does not indicate the presence of funnel plot asymmetry.

Prevalence Stratified

###separados por seguimiento

data2<-data

data2$FU<-cut(data2$Follow_up_time, 
                   breaks=c(0, 24, 48, 100), 
                   labels=c("< 2 years","2 to 4 years","> 4years")) 
 

data2<-data2 %>% filter(FU != "")


meta<-metaprop(data2$n_recurrency, data2$n_total, studlab=data2$Study, sm="PFT", data=data2, method="Inverse", method.tau="DL")


meta2<-update.meta(meta, 
            byvar = FU, 
            tau.common = FALSE)


meta2
##                  proportion           95%-CI %W(fixed) %W(random)           FU
## Oliveira, 2020       0.2714 [0.1720; 0.3910]       6.4        7.5    < 2 years
## Alessandro, 2019     0.0788 [0.0457; 0.1248]      18.4        9.5    < 2 years
## Buhr, 2012           0.1395 [0.0530; 0.2793]       3.9        6.3    < 2 years
## Uttner, 2012         0.0000 [0.0000; 0.1951]       1.6        3.8    < 2 years
## Auyeung, 2010        0.1852 [0.0630; 0.3808]       2.5        5.0 2 to 4 years
## Agosti,2008          0.1385 [0.0842; 0.2100]      11.8        8.8    < 2 years
## Toledo, 2005         0.2097 [0.1418; 0.2919]      11.3        8.7     > 4years
## Pantoni, 2005        0.0784 [0.0218; 0.1888]       4.7        6.7     > 4years
## Chen, 1999           0.1071 [0.0227; 0.2823]       2.6        5.1 2 to 4 years
## Zorzon, 1995         0.0938 [0.0352; 0.1930]       5.8        7.3 2 to 4 years
## Melo,1992            0.0588 [0.0123; 0.1624]       4.7        6.7 2 to 4 years
## Gandolfo,1992        0.2157 [0.1404; 0.3081]       9.3        8.4     > 4years
## Hodges, 1990         0.0789 [0.0367; 0.1446]      10.4        8.6 2 to 4 years
## Hinge, 1986          0.2162 [0.1289; 0.3272]       6.7        7.6     > 4years
## 
## Number of studies combined: k = 14
## 
##                      proportion           95%-CI
## Fixed effect model       0.1297 [0.1097; 0.1509]
## Random effects model     0.1297 [0.0928; 0.1712]
## 
## Quantifying heterogeneity:
##  tau^2 = 0.0074 [0.0021; 0.0269]; tau = 0.0859 [0.0461; 0.1639]
##  I^2 = 69.3% [46.8%; 82.3%]; H = 1.81 [1.37; 2.38]
## 
## Test of heterogeneity:
##      Q d.f.  p-value
##  42.39   13 < 0.0001
## 
## Results for subgroups (fixed effect model):
##                     k proportion           95%-CI     Q   I^2
## FU = < 2 years      5     0.1154 [0.0865; 0.1474] 19.13 79.1%
## FU = 2 to 4 years   5     0.0870 [0.0551; 0.1245]  3.30  0.0%
## FU = > 4years       4     0.1904 [0.1504; 0.2338]  6.07 50.6%
## 
## Test for subgroup differences (fixed effect model):
##                    Q d.f. p-value
## Between groups 13.90    2  0.0010
## Within groups  28.49   11  0.0027
## 
## Results for subgroups (random effects model):
##                     k proportion           95%-CI  tau^2    tau
## FU = < 2 years      5     0.1195 [0.0542; 0.2036] 0.0117 0.1080
## FU = 2 to 4 years   5     0.0870 [0.0551; 0.1245]      0      0
## FU = > 4years       4     0.1841 [0.1280; 0.2475] 0.0030 0.0547
## 
## Test for subgroup differences (random effects model):
##                     Q d.f. p-value
## Between groups   7.51    2  0.0233
## 
## Details on meta-analytical method:
## - Inverse variance method
## - DerSimonian-Laird estimator for tau^2
## - Jackson method for confidence interval of tau^2 and tau
## - Freeman-Tukey double arcsine transformation
## - Clopper-Pearson confidence interval for individual studies
forest(meta2,
       comb.r=T, 
       comb.f=F, 
       prediction = T,
       xlab="Prevalence of recurrence" )

Metaregresion

data_prevalence2<-data%>% select(n_recurrency,n_total,Study, TGA_definition, `Recurrence as a main outcome`,Follow_up_time)

data_prevalence2<-na.omit(data_prevalence2)
meta_prevalence2<- metaprop(data_prevalence2$n_recurrency, data_prevalence2$n_total, studlab=data_prevalence2$Study, sm="PFT", data=data_prevalence2, method="Inverse", method.tau="DL")

meta_reg<-metareg(meta_prevalence2, ~Follow_up_time)

meta_reg
## 
## Mixed-Effects Model (k = 16; tau^2 estimator: DL)
## 
## tau^2 (estimated amount of residual heterogeneity):     0.0051 (SE = 0.0034)
## tau (square root of estimated tau^2 value):             0.0713
## I^2 (residual heterogeneity / unaccounted variability): 66.84%
## H^2 (unaccounted variability / sampling variability):   3.02
## R^2 (amount of heterogeneity accounted for):            0.00%
## 
## Test for Residual Heterogeneity:
## QE(df = 14) = 42.2142, p-val = 0.0001
## 
## Test of Moderators (coefficient 2):
## QM(df = 1) = 0.0891, p-val = 0.7653
## 
## Model Results:
## 
##                 estimate      se     zval    pval    ci.lb   ci.ub 
## intrcpt           0.3739  0.0315  11.8840  <.0001   0.3122  0.4355  *** 
## Follow_up_time    0.0001  0.0002   0.2985  0.7653  -0.0004  0.0006      
## 
## ---
## Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1
bubble(meta_reg, studlab = T, cex.studlab = .5, 
       xlab = "Follow-up time (days)", xlim = c(0, 400),col = c("#E7B800"),bg = c("#fada96"),pos.studlab = 4,col.line = c("#b57e09"),
       ylab = "Freeman-Tukey transformation proportion")

data_prevalence3<-data%>% select(n_recurrency,n_total,Study, TGA_definition, `Recurrence as a main outcome`,Year)

data_prevalence3<-na.omit(data_prevalence3)
meta_prevalence3<- metaprop(data_prevalence3$n_recurrency, data_prevalence3$n_total, studlab=data_prevalence3$Study, sm="PFT", data=data_prevalence3, method="Inverse", method.tau="DL")

meta_reg2<-metareg(meta_prevalence3, ~Year)

meta_reg2
## 
## Mixed-Effects Model (k = 35; tau^2 estimator: DL)
## 
## tau^2 (estimated amount of residual heterogeneity):     0.0105 (SE = 0.0044)
## tau (square root of estimated tau^2 value):             0.1025
## I^2 (residual heterogeneity / unaccounted variability): 83.28%
## H^2 (unaccounted variability / sampling variability):   5.98
## R^2 (amount of heterogeneity accounted for):            0.00%
## 
## Test for Residual Heterogeneity:
## QE(df = 33) = 197.3978, p-val < .0001
## 
## Test of Moderators (coefficient 2):
## QM(df = 1) = 0.9801, p-val = 0.3222
## 
## Model Results:
## 
##          estimate      se     zval    pval    ci.lb    ci.ub 
## intrcpt    4.0248  3.6918   1.0902  0.2756  -3.2110  11.2607    
## Year      -0.0018  0.0018  -0.9900  0.3222  -0.0054   0.0018    
## 
## ---
## Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1
bubble(meta_reg2, studlab = T, cex.studlab = .8)

data_prevalence4<-data%>% select(n_recurrency,n_total,Study, TGA_definition, `Recurrence as a main outcome`, TGA_definition)

data_prevalence4<-na.omit(data_prevalence4)
meta_prevalence4<- metaprop(data_prevalence4$n_recurrency, data_prevalence4$n_total, studlab=data_prevalence4$Study, sm="PFT", data=data_prevalence4, method="Inverse", method.tau="DL")

meta_reg3<-metareg(meta_prevalence4, ~TGA_definition)

meta_reg3
## 
## Mixed-Effects Model (k = 35; tau^2 estimator: DL)
## 
## tau^2 (estimated amount of residual heterogeneity):     0.0108 (SE = 0.0046)
## tau (square root of estimated tau^2 value):             0.1041
## I^2 (residual heterogeneity / unaccounted variability): 83.70%
## H^2 (unaccounted variability / sampling variability):   6.13
## R^2 (amount of heterogeneity accounted for):            0.00%
## 
## Test for Residual Heterogeneity:
## QE(df = 33) = 202.4243, p-val < .0001
## 
## Test of Moderators (coefficient 2):
## QM(df = 1) = 0.3075, p-val = 0.5792
## 
## Model Results:
## 
##                                       estimate      se     zval    pval 
## intrcpt                                 0.3544  0.0348  10.1830  <.0001 
## TGA_definitionHodges y Warlow (1991)    0.0239  0.0431   0.5545  0.5792 
##                                         ci.lb   ci.ub 
## intrcpt                                0.2862  0.4226  *** 
## TGA_definitionHodges y Warlow (1991)  -0.0605  0.1083      
## 
## ---
## Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1

Risk factors

Female sex

m.sex <- metabin(data$`sex_fem_eventos en exp`,
                 data$`sex_fem_numero de expuestos`,
                 data$`sex_fem_eventos en no exp`,
                 data$sex_fem_n_no_exp,
                 data = data,
                 studlab = data$Study,
                 comb.fixed = FALSE,
                 comb.random = TRUE,
                 method.tau = "SJ",
                 hakn = TRUE,
                 prediction = TRUE,
                 incr = 0.1,
                 sm = "OR")
m.sex
##                              OR            95%-CI %W(random)
## Lee DA, 2021             0.3931 [0.1077;  1.4352]        8.7
## Oliveira, 2020           5.0469 [1.0486; 24.2897]        6.7
## Morris, 2020             1.0252 [0.7193;  1.4612]       21.9
## Waliszewska-Prosol, 2020     NA                          0.0
## Tynas, 2020              1.3333 [0.4404;  4.0368]       10.5
## Romoli, 2020                 NA                          0.0
## Eisele, 2019                 NA                          0.0
## Han, 2019                    NA                          0.0
## Alessandro, 2019         0.9278 [0.3342;  2.5759]       11.5
## Himeno, 2017             1.4400 [0.3668;  5.6531]        8.1
## Arena, 2017              0.7896 [0.3684;  1.6924]       15.1
## Keret, 2016                  NA                          0.0
## Moon, 2015               1.0000 [0.0748; 13.3670]        2.9
## Kwon, 2014                   NA                          0.0
## Buhr, 2012                   NA                          0.0
## Uttner, 2012                 NA                          0.0
## Auyeung, 2010                NA                          0.0
## Lee SY, 2009                 NA                          0.0
## Agosti,2008                  NA                          0.0
## Chung, 2007              0.3750 [0.0272;  5.1688]        2.9
## Quinette,2006                NA                          0.0
## Agosti, 2006             0.4359 [0.1206;  1.5761]        8.8
## Akkawi, 2005                 NA                          0.0
## Toledo, 2005                 NA                          0.0
## Pantoni, 2005                NA                          0.0
## Lampl, 2004              1.2500 [0.0885; 17.6531]        2.8
## Chen, 1999                   NA                          0.0
## Pai, 1999                    NA                          0.0
## Klotzsch, 1996               NA                          0.0
## Zorzon, 1995                 NA                          0.0
## Fredericks, 1993             NA                          0.0
## Gallassi, 1993               NA                          0.0
## Melo,1992                    NA                          0.0
## Gandolfo,1992                NA                          0.0
## Hodges, 1990                 NA                          0.0
## Hinge, 1986                  NA                          0.0
## 
## Number of studies combined: k = 11
## 
##                          OR           95%-CI     t p-value
## Random effects model 0.9536 [0.6224; 1.4609] -0.25  0.8089
## Prediction interval         [0.2936; 3.0966]              
## 
## Quantifying heterogeneity:
##  tau^2 = 0.2344 [0.0000; 0.9965]; tau = 0.4842 [0.0000; 0.9982]
##  I^2 = 0.0% [0.0%; 56.5%]; H = 1.00 [1.00; 1.52]
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  9.15   10  0.5183
## 
## Details on meta-analytical method:
## - Mantel-Haenszel method
## - Sidik-Jonkman estimator for tau^2
## - Q-profile method for confidence interval of tau^2 and tau
## - Hartung-Knapp adjustment for random effects model
forest(m.sex,
       xlab="OR", 
       lab.e = "Female",
       lab.c = "Male")

CV risk factors

Prevalence of risk factors in the cohort

HBP

prevalencia<-read_sheet("https://docs.google.com/spreadsheets/d/1XRxMJi8JoNFNbDQuJeO9bnHdXum4w8IwtwT-dPmZxTU/edit?usp=sharing")
## Reading from "prevalencias"
## Range "Hoja 1"
prev_hta<-prevalencia %>% select(HTA, HTA_total, Study)

prev_hta<-na.omit(prev_hta)

metaprop(prev_hta$HTA, prev_hta$HTA_total, studlab=prev_hta$Study, sm="PFT", data=prev_hta, method="Inverse", method.tau="DL")
##                  proportion           95%-CI %W(fixed) %W(random)
## Tynas, 2020          0.5161 [0.4101; 0.6211]      10.6       10.9
## Oliveira, 2020       0.5000 [0.3780; 0.6220]       8.0        8.3
## Alessandro, 2019     0.5074 [0.4365; 0.5781]      23.2       22.8
## Himeno, 2017         0.4970 [0.4183; 0.5757]      18.8       18.8
## Arena, 2017          0.4163 [0.3506; 0.4843]      25.2       24.7
## Moon, 2016           0.4762 [0.2571; 0.7022]       2.4        2.6
## Lampl, 2004          0.5000 [0.2465; 0.7535]       1.9        2.0
## Agosti, 2006         0.5647 [0.4528; 0.6720]       9.7       10.0
## 
## Number of studies combined: k = 8
## 
##                      proportion           95%-CI
## Fixed effect model       0.4872 [0.4535; 0.5209]
## Random effects model     0.4877 [0.4532; 0.5224]
## 
## Quantifying heterogeneity:
##  tau^2 < 0.0001 [0.0000; 0.0056]; tau = 0.0093 [0.0000; 0.0748]
##  I^2 = 3.4% [0.0%; 68.7%]; H = 1.02 [1.00; 1.79]
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  7.25    7  0.4033
## 
## Details on meta-analytical method:
## - Inverse variance method
## - DerSimonian-Laird estimator for tau^2
## - Jackson method for confidence interval of tau^2 and tau
## - Freeman-Tukey double arcsine transformation
## - Clopper-Pearson confidence interval for individual studies

DLP

prev_dlp<-prevalencia %>% select(DLP, DLP_total, Study)

prev_dlp<-na.omit(prev_dlp)

metaprop(DLP, DLP_total, studlab=Study, sm="PFT", data=prev_dlp, method="Inverse", method.tau="DL")
##                  proportion           95%-CI %W(fixed) %W(random)
## Tynas, 2020          0.4624 [0.3584; 0.5688]      11.6       15.2
## Alessandro, 2019     0.5320 [0.4609; 0.6022]      25.2       16.2
## Himeno, 2017         0.3758 [0.3017; 0.4544]      20.5       16.0
## Arena, 2017          0.2670 [0.2099; 0.3304]      27.4       16.3
## Moon, 2016           0.1429 [0.0305; 0.3634]       2.7       11.1
## Lampl, 2004          0.1250 [0.0155; 0.3835]       2.0       10.0
## Agosti, 2006         0.1765 [0.1023; 0.2743]      10.6       15.1
## 
## Number of studies combined: k = 7
## 
##                      proportion           95%-CI
## Fixed effect model       0.3562 [0.3228; 0.3903]
## Random effects model     0.3074 [0.2016; 0.4240]
## 
## Quantifying heterogeneity:
##  tau^2 = 0.0214 [0.0076; 0.1346]; tau = 0.1463 [0.0871; 0.3668]
##  I^2 = 90.1% [82.3%; 94.5%]; H = 3.19 [2.37; 4.28]
## 
## Test of heterogeneity:
##      Q d.f.  p-value
##  60.89    6 < 0.0001
## 
## Details on meta-analytical method:
## - Inverse variance method
## - DerSimonian-Laird estimator for tau^2
## - Jackson method for confidence interval of tau^2 and tau
## - Freeman-Tukey double arcsine transformation
## - Clopper-Pearson confidence interval for individual studies

DBT

prev_dbt<-prevalencia %>% select(DBT, DBT_toal, Study)

prev_dbt<-na.omit(prev_dbt)

metaprop(DBT, DBT_toal, studlab=Study, sm="PFT", data=prev_dbt, method="Inverse", method.tau="DL")
##                  proportion           95%-CI %W(fixed) %W(random)
## Tynas, 2020          0.0645 [0.0240; 0.1352]      12.1       15.7
## Oliveira, 2020       0.1714 [0.0918; 0.2803]       9.1       13.3
## Alessandro, 2019     0.0640 [0.0345; 0.1070]      26.4       22.6
## Himeno, 2017         0.0606 [0.0294; 0.1086]      21.5       20.8
## Arena, 2017          0.0452 [0.0219; 0.0816]      28.7       23.3
## Lampl, 2004          0.0625 [0.0016; 0.3023]       2.1        4.3
## 
## Number of studies combined: k = 6
## 
##                      proportion           95%-CI
## Fixed effect model       0.0611 [0.0442; 0.0802]
## Random effects model     0.0665 [0.0408; 0.0973]
## 
## Quantifying heterogeneity:
##  tau^2 = 0.0021 [0.0000; 0.0292]; tau = 0.0455 [0.0000; 0.1708]
##  I^2 = 49.9% [0.0%; 80.1%]; H = 1.41 [1.00; 2.24]
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  9.98    5  0.0758
## 
## Details on meta-analytical method:
## - Inverse variance method
## - DerSimonian-Laird estimator for tau^2
## - Jackson method for confidence interval of tau^2 and tau
## - Freeman-Tukey double arcsine transformation
## - Clopper-Pearson confidence interval for individual studies

Smoking

#smk

prev_smk<-prevalencia %>% select(TBq, TBQ_toal, Study)

prev_smk<-na.omit(prev_smk)

metaprop(TBq, TBQ_toal, studlab=Study, sm="PFT", data=prev_smk, method="Inverse", method.tau="DL")
##                  proportion           95%-CI %W(fixed) %W(random)
## Tynas, 2020          0.3548 [0.2583; 0.4609]      12.4       19.4
## Oliveira, 2020       0.1714 [0.0918; 0.2803]       9.3       18.6
## Alessandro, 2019     0.3645 [0.2983; 0.4348]      27.0       20.7
## Himeno, 2017         0.1030 [0.0612; 0.1598]      21.9       20.4
## Arena, 2017          0.1765 [0.1286; 0.2332]      29.4       20.8
## 
## Number of studies combined: k = 5
## 
##                      proportion           95%-CI
## Fixed effect model       0.2235 [0.1942; 0.2543]
## Random effects model     0.2254 [0.1271; 0.3418]
## 
## Quantifying heterogeneity:
##  tau^2 = 0.0195 [0.0055; 0.1701]; tau = 0.1396 [0.0740; 0.4124]
##  I^2 = 91.9% [84.0%; 95.9%]; H = 3.51 [2.50; 4.92]
## 
## Test of heterogeneity:
##      Q d.f.  p-value
##  49.22    4 < 0.0001
## 
## Details on meta-analytical method:
## - Inverse variance method
## - DerSimonian-Laird estimator for tau^2
## - Jackson method for confidence interval of tau^2 and tau
## - Freeman-Tukey double arcsine transformation
## - Clopper-Pearson confidence interval for individual studies

AF

#fa

prev_fa<-prevalencia %>% select(FA, FA_toal, Study)

prev_fa<-na.omit(prev_fa)

metaprop(FA, FA_toal, studlab=Study, sm="PFT", data=prev_fa, method="Inverse", method.tau="DL")
##                  proportion           95%-CI %W(fixed) %W(random)
## Tynas, 2020          0.0430 [0.0118; 0.1065]      18.0       18.0
## Alessandro, 2019     0.0394 [0.0172; 0.0762]      39.2       39.2
## Arena, 2017          0.0452 [0.0219; 0.0816]      42.7       42.7
## 
## Number of studies combined: k = 3
## 
##                      proportion           95%-CI
## Fixed effect model       0.0421 [0.0259; 0.0617]
## Random effects model     0.0421 [0.0259; 0.0617]
## 
## Quantifying heterogeneity:
##  tau^2 = 0 [0.0000; 0.0012]; tau = 0 [0.0000; 0.0346]
##  I^2 = 0.0%; H = 1.00
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  0.10    2  0.9525
## 
## Details on meta-analytical method:
## - Inverse variance method
## - DerSimonian-Laird estimator for tau^2
## - Jackson method for confidence interval of tau^2 and tau
## - Freeman-Tukey double arcsine transformation
## - Clopper-Pearson confidence interval for individual studies

Association w/recurrence

Hypertension

m.hta <- metabin(data$`HTA_eventos en exp`,
                 data$`HTA_numero de expuestos`,
                 data$`HTA_eventos en noexp`,
                 data$`HTA_n no exp`,
                 data = data,
                 studlab = data$Study,
                 comb.fixed = FALSE,
                 comb.random = TRUE,
                 method.tau = "SJ",
                 hakn = TRUE,
                 prediction = TRUE,
                 incr = 0.1,
                 sm = "OR")
m.hta
##                               OR               95%-CI %W(random)
## Lee DA, 2021                  NA                             0.0
## Oliveira, 2020            2.0870 [0.7065;     6.1645]       15.0
## Morris, 2020                  NA                             0.0
## Waliszewska-Prosol, 2020      NA                             0.0
## Tynas, 2020               0.7896 [0.2609;     2.3900]       14.8
## Romoli, 2020                  NA                             0.0
## Eisele, 2019                  NA                             0.0
## Han, 2019                     NA                             0.0
## Alessandro, 2019          1.6846 [0.5884;     4.8233]       15.2
## Himeno, 2017              0.3560 [0.0910;     1.3927]       12.9
## Arena, 2017               1.0148 [0.4701;     2.1906]       17.4
## Keret, 2016                   NA                             0.0
## Moon, 2015                1.7778 [0.2842;    11.1200]        9.8
## Kwon, 2014                    NA                             0.0
## Buhr, 2012                    NA                             0.0
## Uttner, 2012                  NA                             0.0
## Auyeung, 2010                 NA                             0.0
## Lee SY, 2009                  NA                             0.0
## Agosti,2008                   NA                             0.0
## Chung, 2007                   NA                             0.0
## Quinette,2006                 NA                             0.0
## Agosti, 2006              0.3295 [0.0908;     1.1954]       13.4
## Akkawi, 2005                  NA                             0.0
## Toledo, 2005                  NA                             0.0
## Pantoni, 2005                 NA                             0.0
## Lampl, 2004              49.2353 [0.0823; 29450.1833]        1.4
## Chen, 1999                    NA                             0.0
## Pai, 1999                     NA                             0.0
## Klotzsch, 1996                NA                             0.0
## Zorzon, 1995                  NA                             0.0
## Fredericks, 1993              NA                             0.0
## Gallassi, 1993                NA                             0.0
## Melo,1992                     NA                             0.0
## Gandolfo,1992                 NA                             0.0
## Hodges, 1990                  NA                             0.0
## Hinge, 1986                   NA                             0.0
## 
## Number of studies combined: k = 8
## 
##                          OR           95%-CI     t p-value
## Random effects model 0.9875 [0.4721; 2.0658] -0.04  0.9691
## Prediction interval         [0.1000; 9.7522]              
## 
## Quantifying heterogeneity:
##  tau^2 = 0.7785 [0.0000; 4.5219]; tau = 0.8823 [0.0000; 2.1265]
##  I^2 = 28.2% [0.0%; 67.8%]; H = 1.18 [1.00; 1.76]
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  9.75    7  0.2032
## 
## Details on meta-analytical method:
## - Mantel-Haenszel method
## - Sidik-Jonkman estimator for tau^2
## - Q-profile method for confidence interval of tau^2 and tau
## - Hartung-Knapp adjustment for random effects model
## - Continuity correction of 0.1 in studies with zero cell frequencies
forest(m.hta,
       xlab="OR", 
       lab.e = "HBP",
       lab.c = "No HBP")

Dyslipidemia

m.dlp <- metabin(data$`DLP_eventos en exp`,
                 data$`DLP_numero de expuestos`,
                 data$`DLP_eventos en noexp`,
                 data$`DLP_n no exp`,
                 data = data,
                 studlab = data$Study,
                 comb.fixed = FALSE,
                 comb.random = TRUE,
                 method.tau = "SJ",
                 hakn = TRUE,
                 prediction = TRUE,
                 incr = 0.1,
                 sm = "OR")
m.dlp  
##                              OR             95%-CI %W(random)
## Lee DA, 2021                 NA                           0.0
## Oliveira, 2020               NA                           0.0
## Morris, 2020                 NA                           0.0
## Waliszewska-Prosol, 2020     NA                           0.0
## Tynas, 2020              1.4041 [0.4636;   4.2527]       19.2
## Romoli, 2020                 NA                           0.0
## Eisele, 2019                 NA                           0.0
## Han, 2019                    NA                           0.0
## Alessandro, 2019         1.5136 [0.5286;   4.3341]       21.0
## Himeno, 2017             0.9458 [0.2654;   3.3712]       15.0
## Arena, 2017              1.1455 [0.4945;   2.6535]       30.7
## Keret, 2016                  NA                           0.0
## Moon, 2015               1.0000 [0.0748;  13.3670]        3.9
## Kwon, 2014                   NA                           0.0
## Buhr, 2012                   NA                           0.0
## Uttner, 2012                 NA                           0.0
## Auyeung, 2010                NA                           0.0
## Lee SY, 2009                 NA                           0.0
## Agosti,2008                  NA                           0.0
## Chung, 2007                  NA                           0.0
## Quinette,2006                NA                           0.0
## Agosti, 2006             0.9231 [0.1804;   4.7221]        9.5
## Akkawi, 2005                 NA                           0.0
## Toledo, 2005                 NA                           0.0
## Pantoni, 2005                NA                           0.0
## Lampl, 2004              0.1705 [0.0003; 109.7893]        0.6
## Chen, 1999                   NA                           0.0
## Pai, 1999                    NA                           0.0
## Klotzsch, 1996               NA                           0.0
## Zorzon, 1995                 NA                           0.0
## Fredericks, 1993             NA                           0.0
## Gallassi, 1993               NA                           0.0
## Melo,1992                    NA                           0.0
## Gandolfo,1992                NA                           0.0
## Hodges, 1990                 NA                           0.0
## Hinge, 1986                  NA                           0.0
## 
## Number of studies combined: k = 7
## 
##                          OR           95%-CI    t p-value
## Random effects model 1.1815 [0.9304; 1.5004] 1.71  0.1384
## Prediction interval         [0.6510; 2.1445]             
## 
## Quantifying heterogeneity:
##  tau^2 = 0.0442; tau = 0.2103; I^2 = 0.0%; H = 1.00
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  0.88    6  0.9899
## 
## Details on meta-analytical method:
## - Mantel-Haenszel method
## - Sidik-Jonkman estimator for tau^2
## - Hartung-Knapp adjustment for random effects model
## - Continuity correction of 0.1 in studies with zero cell frequencies
forest(m.dlp,
       xlab="OR", 
       lab.e = "DLP",
       lab.c = "No DLP")

Smoking

m.tbq <- metabin(data$`TBQ_eventos en exp`,
                 data$`TBQ_numero de expuestos`,
                 data$`TBQ_eventos en noexp`,
                 data$`TBQ_n no exp`,
                 data = data,
                 studlab = data$Study,
                 comb.fixed = FALSE,
                 comb.random = TRUE,
                 method.tau = "SJ",
                 hakn = TRUE,
                 prediction = TRUE,
                 incr = 0.1,
                 sm = "OR")
m.tbq  
##                              OR           95%-CI %W(random)
## Lee DA, 2021                 NA                         0.0
## Oliveira, 2020           1.4333 [0.3767; 5.4543]       16.7
## Morris, 2020                 NA                         0.0
## Waliszewska-Prosol, 2020     NA                         0.0
## Tynas, 2020              0.8929 [0.2774; 2.8738]       21.8
## Romoli, 2020                 NA                         0.0
## Eisele, 2019                 NA                         0.0
## Han, 2019                    NA                         0.0
## Alessandro, 2019         1.0500 [0.3656; 3.0158]       26.7
## Himeno, 2017             0.8625 [0.1035; 7.1841]        6.7
## Arena, 2017              0.8824 [0.3161; 2.4628]       28.2
## Keret, 2016                  NA                         0.0
## Moon, 2015                   NA                         0.0
## Kwon, 2014                   NA                         0.0
## Buhr, 2012                   NA                         0.0
## Uttner, 2012                 NA                         0.0
## Auyeung, 2010                NA                         0.0
## Lee SY, 2009                 NA                         0.0
## Agosti,2008                  NA                         0.0
## Chung, 2007                  NA                         0.0
## Quinette,2006                NA                         0.0
## Agosti, 2006                 NA                         0.0
## Akkawi, 2005                 NA                         0.0
## Toledo, 2005                 NA                         0.0
## Pantoni, 2005                NA                         0.0
## Lampl, 2004                  NA                         0.0
## Chen, 1999                   NA                         0.0
## Pai, 1999                    NA                         0.0
## Klotzsch, 1996               NA                         0.0
## Zorzon, 1995                 NA                         0.0
## Fredericks, 1993             NA                         0.0
## Gallassi, 1993               NA                         0.0
## Melo,1992                    NA                         0.0
## Gandolfo,1992                NA                         0.0
## Hodges, 1990                 NA                         0.0
## Hinge, 1986                  NA                         0.0
## 
## Number of studies combined: k = 5
## 
##                          OR           95%-CI    t p-value
## Random effects model 1.0033 [0.7860; 1.2808] 0.04  0.9715
## Prediction interval         [0.7178; 1.4026]             
## 
## Quantifying heterogeneity:
##  tau^2 = 0.0033; tau = 0.0578; I^2 = 0.0%; H = 1.00
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  0.40    4  0.9826
## 
## Details on meta-analytical method:
## - Mantel-Haenszel method
## - Sidik-Jonkman estimator for tau^2
## - Hartung-Knapp adjustment for random effects model
forest(m.tbq,
       xlab="OR", 
       lab.e = "Smoking",
       lab.c = "No")

Diabetes

m.dbt <- metabin(data$`DBT_eventos en exp`,
                 data$`DBT_numero de expuestos`,
                 data$`DBT_eventos en noexp`,
                 data$`DBT_n no exp`,
                 data = data,
                 studlab = data$Study,
                 comb.fixed = FALSE,
                 comb.random = TRUE,
                 method.tau = "SJ",
                 hakn = TRUE,
                 prediction = TRUE,
                 incr = 0.1,
                 sm = "OR")
m.dbt 
##                              OR             95%-CI %W(random)
## Lee DA, 2021                 NA                           0.0
## Oliveira, 2020           0.4824 [0.0955;   2.4375]       29.2
## Morris, 2020                 NA                           0.0
## Waliszewska-Prosol, 2020     NA                           0.0
## Tynas, 2020              1.0429 [0.1131;   9.6200]       17.7
## Romoli, 2020                 NA                           0.0
## Eisele, 2019                 NA                           0.0
## Han, 2019                    NA                           0.0
## Alessandro, 2019         0.0825 [0.0002;  42.4399]        2.6
## Himeno, 2017             1.6111 [0.1852;  14.0133]       18.5
## Arena, 2017              1.5690 [0.3173;   7.7577]       29.7
## Keret, 2016                  NA                           0.0
## Moon, 2015                   NA                           0.0
## Kwon, 2014                   NA                           0.0
## Buhr, 2012                   NA                           0.0
## Uttner, 2012                 NA                           0.0
## Auyeung, 2010                NA                           0.0
## Lee SY, 2009                 NA                           0.0
## Agosti,2008                  NA                           0.0
## Chung, 2007                  NA                           0.0
## Quinette,2006                NA                           0.0
## Agosti, 2006                 NA                           0.0
## Akkawi, 2005                 NA                           0.0
## Toledo, 2005                 NA                           0.0
## Pantoni, 2005                NA                           0.0
## Lampl, 2004              0.3548 [0.0005; 258.9388]        2.3
## Chen, 1999                   NA                           0.0
## Pai, 1999                    NA                           0.0
## Klotzsch, 1996               NA                           0.0
## Zorzon, 1995                 NA                           0.0
## Fredericks, 1993             NA                           0.0
## Gallassi, 1993               NA                           0.0
## Melo,1992                    NA                           0.0
## Gandolfo,1992                NA                           0.0
## Hodges, 1990                 NA                           0.0
## Hinge, 1986                  NA                           0.0
## 
## Number of studies combined: k = 6
## 
##                          OR           95%-CI     t p-value
## Random effects model 0.9304 [0.4342; 1.9936] -0.24  0.8174
## Prediction interval         [0.1879; 4.6064]              
## 
## Quantifying heterogeneity:
##  tau^2 = 0.2440 [0.0000; 2.4619]; tau = 0.4940 [0.0000; 1.5690]
##  I^2 = 0.0% [0.0%; 35.3%]; H = 1.00 [1.00; 1.24]
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  1.96    5  0.8546
## 
## Details on meta-analytical method:
## - Mantel-Haenszel method
## - Sidik-Jonkman estimator for tau^2
## - Q-profile method for confidence interval of tau^2 and tau
## - Hartung-Knapp adjustment for random effects model
## - Continuity correction of 0.1 in studies with zero cell frequencies
forest(m.dbt,
       xlab="OR", 
       lab.e = "DBT",
       lab.c = "No")

Stroke

m.acv <- metabin(data$`ACV_eventos en exp`,
                 data$`ACV_numero de expuestos`,
                 data$`ACV_eventos en noexp`,
                 data$`ACV_n no exp`,
                 data = data,
                 studlab = data$Study,
                 comb.fixed = FALSE,
                 comb.random = TRUE,
                 method.tau = "SJ",
                 hakn = TRUE,
                 prediction = TRUE,
                 incr = 0.1,
                 sm = "OR")
m.acv 
##                              OR             95%-CI %W(random)
## Lee DA, 2021                 NA                           0.0
## Oliveira, 2020           1.3824 [0.2318;   8.2442]       29.8
## Morris, 2020                 NA                           0.0
## Waliszewska-Prosol, 2020     NA                           0.0
## Tynas, 2020              1.3750 [0.3368;   5.6136]       38.0
## Romoli, 2020                 NA                           0.0
## Eisele, 2019                 NA                           0.0
## Han, 2019                    NA                           0.0
## Alessandro, 2019         0.8923 [0.1091;   7.2956]       24.5
## Himeno, 2017                 NA                           0.0
## Arena, 2017              0.0348 [0.0001;  17.6350]        4.1
## Keret, 2016                  NA                           0.0
## Moon, 2015               0.1677 [0.0002; 115.8494]        3.7
## Kwon, 2014                   NA                           0.0
## Buhr, 2012                   NA                           0.0
## Uttner, 2012                 NA                           0.0
## Auyeung, 2010                NA                           0.0
## Lee SY, 2009                 NA                           0.0
## Agosti,2008                  NA                           0.0
## Chung, 2007                  NA                           0.0
## Quinette,2006                NA                           0.0
## Agosti, 2006                 NA                           0.0
## Akkawi, 2005                 NA                           0.0
## Toledo, 2005                 NA                           0.0
## Pantoni, 2005                NA                           0.0
## Lampl, 2004                  NA                           0.0
## Chen, 1999                   NA                           0.0
## Pai, 1999                    NA                           0.0
## Klotzsch, 1996               NA                           0.0
## Zorzon, 1995                 NA                           0.0
## Fredericks, 1993             NA                           0.0
## Gallassi, 1993               NA                           0.0
## Melo,1992                    NA                           0.0
## Gandolfo,1992                NA                           0.0
## Hodges, 1990                 NA                           0.0
## Hinge, 1986                  NA                           0.0
## 
## Number of studies combined: k = 5
## 
##                          OR            95%-CI     t p-value
## Random effects model 0.9874 [0.3229;  3.0194] -0.03  0.9764
## Prediction interval         [0.0581; 16.7715]              
## 
## Quantifying heterogeneity:
##  tau^2 = 0.6300 [0.0000; 14.7908]; tau = 0.7937 [0.0000; 3.8459]
##  I^2 = 0.0% [0.0%; 51.0%]; H = 1.00 [1.00; 1.43]
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  1.70    4  0.7913
## 
## Details on meta-analytical method:
## - Mantel-Haenszel method
## - Sidik-Jonkman estimator for tau^2
## - Q-profile method for confidence interval of tau^2 and tau
## - Hartung-Knapp adjustment for random effects model
## - Continuity correction of 0.1 in studies with zero cell frequencies
forest(m.acv,
       xlab="OR", 
       lab.e = "Stroke",
       lab.c = "No")

Coronary artery disease

m.coro <- metabin(data$`coro_eventos en exp`,
                 data$`coro_numero de expuestos`,
                 data$`coro_eventos en noexp`,
                 data$`coro_n no exp`,
                 data = data,
                 studlab = data$Study,
                 comb.fixed = FALSE,
                 comb.random = TRUE,
                 method.tau = "SJ",
                 hakn = TRUE,
                 prediction = TRUE,
                 incr = 0.1,
                 sm = "OR")
m.coro 
##                              OR             95%-CI %W(random)
## Lee DA, 2021                 NA                           0.0
## Oliveira, 2020               NA                           0.0
## Morris, 2020                 NA                           0.0
## Waliszewska-Prosol, 2020     NA                           0.0
## Tynas, 2020              1.3462 [0.2563;   7.0706]       28.6
## Romoli, 2020                 NA                           0.0
## Eisele, 2019                 NA                           0.0
## Han, 2019                    NA                           0.0
## Alessandro, 2019         0.7644 [0.0944;   6.1921]       20.8
## Himeno, 2017                 NA                           0.0
## Arena, 2017              0.6000 [0.0741;   4.8590]       20.9
## Keret, 2016                  NA                           0.0
## Moon, 2015               0.1677 [0.0002; 115.8494]        2.8
## Kwon, 2014                   NA                           0.0
## Buhr, 2012                   NA                           0.0
## Uttner, 2012                 NA                           0.0
## Auyeung, 2010                NA                           0.0
## Lee SY, 2009                 NA                           0.0
## Agosti,2008                  NA                           0.0
## Chung, 2007                  NA                           0.0
## Quinette,2006                NA                           0.0
## Agosti, 2006             3.2273 [0.2694;  38.6553]       16.1
## Akkawi, 2005                 NA                           0.0
## Toledo, 2005                 NA                           0.0
## Pantoni, 2005                NA                           0.0
## Lampl, 2004              6.0000 [0.2571; 140.0446]       10.8
## Chen, 1999                   NA                           0.0
## Pai, 1999                    NA                           0.0
## Klotzsch, 1996               NA                           0.0
## Zorzon, 1995                 NA                           0.0
## Fredericks, 1993             NA                           0.0
## Gallassi, 1993               NA                           0.0
## Melo,1992                    NA                           0.0
## Gandolfo,1992                NA                           0.0
## Hodges, 1990                 NA                           0.0
## Hinge, 1986                  NA                           0.0
## 
## Number of studies combined: k = 6
## 
##                          OR            95%-CI    t p-value
## Random effects model 1.2896 [0.4970;  3.3467] 0.69  0.5234
## Prediction interval         [0.1614; 10.3060]             
## 
## Quantifying heterogeneity:
##  tau^2 = 0.4227 [0.0000; 5.0601]; tau = 0.6502 [0.0000; 2.2495]
##  I^2 = 0.0% [0.0%; 50.6%]; H = 1.00 [1.00; 1.42]
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  2.57    5  0.7662
## 
## Details on meta-analytical method:
## - Mantel-Haenszel method
## - Sidik-Jonkman estimator for tau^2
## - Q-profile method for confidence interval of tau^2 and tau
## - Hartung-Knapp adjustment for random effects model
## - Continuity correction of 0.1 in studies with zero cell frequencies
forest(m.coro,
       xlab="OR", 
       lab.e = "CAD",
       lab.c = "No")

Atrial fibrillation

m.fa <- metabin(data$`FA_eventos en exp`,
                 data$`FA_numero de expuestos`,
                 data$`FA_eventos en noexp`,
                 data$`FA_n no exp`,
                 data = data,
                 studlab = data$Study,
                 comb.fixed = FALSE,
                 comb.random = TRUE,
                 method.tau = "SJ",
                 hakn = TRUE,
                 prediction = TRUE,
                 incr = 0.1,
                 sm = "OR")
m.fa 
##                              OR            95%-CI %W(random)
## Lee DA, 2021                 NA                          0.0
## Oliveira, 2020               NA                          0.0
## Morris, 2020                 NA                          0.0
## Waliszewska-Prosol, 2020     NA                          0.0
## Tynas, 2020              5.8462 [0.7554; 45.2464]       61.9
## Romoli, 2020                 NA                          0.0
## Eisele, 2019                 NA                          0.0
## Han, 2019                    NA                          0.0
## Alessandro, 2019         0.1373 [0.0003; 71.6350]       19.0
## Himeno, 2017                 NA                          0.0
## Arena, 2017              0.0573 [0.0001; 29.4107]       19.1
## Keret, 2016                  NA                          0.0
## Moon, 2015                   NA                          0.0
## Kwon, 2014                   NA                          0.0
## Buhr, 2012                   NA                          0.0
## Uttner, 2012                 NA                          0.0
## Auyeung, 2010                NA                          0.0
## Lee SY, 2009                 NA                          0.0
## Agosti,2008                  NA                          0.0
## Chung, 2007                  NA                          0.0
## Quinette,2006                NA                          0.0
## Agosti, 2006                 NA                          0.0
## Akkawi, 2005                 NA                          0.0
## Toledo, 2005                 NA                          0.0
## Pantoni, 2005                NA                          0.0
## Lampl, 2004                  NA                          0.0
## Chen, 1999                   NA                          0.0
## Pai, 1999                    NA                          0.0
## Klotzsch, 1996               NA                          0.0
## Zorzon, 1995                 NA                          0.0
## Fredericks, 1993             NA                          0.0
## Gallassi, 1993               NA                          0.0
## Melo,1992                    NA                          0.0
## Gandolfo,1992                NA                          0.0
## Hodges, 1990                 NA                          0.0
## Hinge, 1986                  NA                          0.0
## 
## Number of studies combined: k = 3
## 
##                          OR                       95%-CI    t p-value
## Random effects model 1.1847 [0.0023;           609.6083] 0.12  0.9177
## Prediction interval         [0.0000; 2992499958917.7930]             
## 
## Quantifying heterogeneity:
##  tau^2 = 2.9459 [0.0000; >100.0000]; tau = 1.7164 [0.0000; >10.0000]
##  I^2 = 30.6% [0.0%; 92.8%]; H = 1.20 [1.00; 3.72]
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  2.88    2  0.2368
## 
## Details on meta-analytical method:
## - Mantel-Haenszel method
## - Sidik-Jonkman estimator for tau^2
## - Q-profile method for confidence interval of tau^2 and tau
## - Hartung-Knapp adjustment for random effects model
## - Continuity correction of 0.1 in studies with zero cell frequencies
forest(m.fa,
       xlab="OR", 
       lab.e = "AF",
       lab.c = "No AF")

m.mig <- metabin(data$`Mig_eventos en exp`,
                 data$`Mig_numero de expuestos`,
                 data$`Mig_eventos en noexp`,
                 data$`Mig_n no exp`,
                 data = data,
                 studlab = data$Study,
                 comb.fixed = FALSE,
                 comb.random = TRUE,
                 method.tau = "SJ",
                 hakn = TRUE,
                 prediction = TRUE,
                 incr = 0.1,
                 sm = "OR")
m.mig
##                              OR             95%-CI %W(random)
## Lee DA, 2021                 NA                           0.0
## Oliveira, 2020           2.6786 [0.7086;  10.1255]       10.1
## Morris, 2020             2.2889 [1.5687;   3.3398]       32.4
## Waliszewska-Prosol, 2020     NA                           0.0
## Tynas, 2020              1.1264 [0.3637;   3.4887]       12.7
## Romoli, 2020                 NA                           0.0
## Eisele, 2019                 NA                           0.0
## Han, 2019                    NA                           0.0
## Alessandro, 2019         3.8880 [1.2991;  11.6365]       13.2
## Himeno, 2017                 NA                           0.0
## Arena, 2017              1.2917 [0.5156;   3.2358]       16.6
## Keret, 2016                  NA                           0.0
## Moon, 2015               1.0000 [0.0748;  13.3670]        3.2
## Kwon, 2014                   NA                           0.0
## Buhr, 2012                   NA                           0.0
## Uttner, 2012                 NA                           0.0
## Auyeung, 2010                NA                           0.0
## Lee SY, 2009                 NA                           0.0
## Agosti,2008                  NA                           0.0
## Chung, 2007                  NA                           0.0
## Quinette,2006                NA                           0.0
## Agosti, 2006                 NA                           0.0
## Akkawi, 2005                 NA                           0.0
## Toledo, 2005                 NA                           0.0
## Pantoni, 2005                NA                           0.0
## Lampl, 2004              0.3548 [0.0005; 258.9388]        0.5
## Chen, 1999                   NA                           0.0
## Pai, 1999                    NA                           0.0
## Klotzsch, 1996               NA                           0.0
## Zorzon, 1995                 NA                           0.0
## Fredericks, 1993             NA                           0.0
## Gallassi, 1993               NA                           0.0
## Melo,1992                    NA                           0.0
## Gandolfo,1992                NA                           0.0
## Hodges, 1990                 NA                           0.0
## Hinge, 1986              3.2667 [0.9484;  11.2520]       11.2
## 
## Number of studies combined: k = 8
## 
##                          OR           95%-CI    t p-value
## Random effects model 2.0795 [1.3892; 3.1128] 4.29  0.0036
## Prediction interval         [0.7314; 5.9126]             
## 
## Quantifying heterogeneity:
##  tau^2 = 0.1533 [0.0000; 0.7264]; tau = 0.3915 [0.0000; 0.8523]
##  I^2 = 0.0% [0.0%; 53.0%]; H = 1.00 [1.00; 1.46]
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  4.83    7  0.6806
## 
## Details on meta-analytical method:
## - Mantel-Haenszel method
## - Sidik-Jonkman estimator for tau^2
## - Q-profile method for confidence interval of tau^2 and tau
## - Hartung-Knapp adjustment for random effects model
## - Continuity correction of 0.1 in studies with zero cell frequencies
forest(m.mig,
       xlab="OR", 
       lab.e = "Migraine",
       lab.c = "No migraine")

Prevalence of migraine

#prevalence of migraine


prevalencia<-read_sheet("https://docs.google.com/spreadsheets/d/1XRxMJi8JoNFNbDQuJeO9bnHdXum4w8IwtwT-dPmZxTU/edit?usp=sharing")
## Reading from "prevalencias"
## Range "Hoja 1"
prev_mig<-prevalencia %>% select(Migraine, MIgraine_toal, Study)

prev_mig<-na.omit(prev_mig)

metaprop(prev_mig$Migraine, prev_mig$MIgraine_toal, studlab=prev_mig$Study, sm="PFT", data=prev_mig, method="Inverse", method.tau="DL")
##                  proportion           95%-CI %W(fixed) %W(random)
## Tynas, 2020          0.3763 [0.2779; 0.4828]       5.4       12.8
## Morris, 2020         0.2222 [0.1973; 0.2487]      59.8       21.0
## Oliveira, 2020       0.1571 [0.0811; 0.2638]       4.0       11.3
## Alessandro, 2019     0.1527 [0.1062; 0.2097]      11.7       16.7
## Arena, 2017          0.1900 [0.1405; 0.2481]      12.7       17.1
## Moon, 2016           0.1429 [0.0305; 0.3634]       1.2        5.3
## Lampl, 2004          0.0625 [0.0016; 0.3023]       0.9        4.3
## Hinge, 1986          0.2027 [0.1181; 0.3122]       4.3       11.6
## 
## Number of studies combined: k = 8
## 
##                      proportion           95%-CI
## Fixed effect model       0.2064 [0.1872; 0.2262]
## Random effects model     0.1981 [0.1544; 0.2454]
## 
## Quantifying heterogeneity:
##  tau^2 = 0.0036 [0.0003; 0.0318]; tau = 0.0598 [0.0174; 0.1783]
##  I^2 = 68.3% [33.6%; 84.9%]; H = 1.78 [1.23; 2.57]
## 
## Test of heterogeneity:
##      Q d.f. p-value
##  22.12    7  0.0024
## 
## Details on meta-analytical method:
## - Inverse variance method
## - DerSimonian-Laird estimator for tau^2
## - Jackson method for confidence interval of tau^2 and tau
## - Freeman-Tukey double arcsine transformation
## - Clopper-Pearson confidence interval for individual studies
m.dep <- metabin(data$`Depresion_eventos en exp`,
                 data$`Depresion_numero de expuestos`,
                 data$`Depresion_eventos en noexp`,
                 data$`Depresion_n no exp`,
                 data = data,
                 studlab = data$Study,
                 comb.fixed = FALSE,
                 comb.random = TRUE,
                 method.tau = "SJ",
                 hakn = TRUE,
                 prediction = TRUE,
                 incr = 0.1,
                 sm = "OR")
m.dep 
##                              OR            95%-CI %W(random)
## Lee DA, 2021                 NA                          0.0
## Oliveira, 2020           4.2000 [1.3260; 13.3034]       51.4
## Morris, 2020                 NA                          0.0
## Waliszewska-Prosol, 2020     NA                          0.0
## Tynas, 2020              4.8125 [1.4695; 15.7605]       48.6
## Romoli, 2020                 NA                          0.0
## Eisele, 2019                 NA                          0.0
## Han, 2019                    NA                          0.0
## Alessandro, 2019             NA                          0.0
## Himeno, 2017                 NA                          0.0
## Arena, 2017                  NA                          0.0
## Keret, 2016                  NA                          0.0
## Moon, 2015                   NA                          0.0
## Kwon, 2014                   NA                          0.0
## Buhr, 2012                   NA                          0.0
## Uttner, 2012                 NA                          0.0
## Auyeung, 2010                NA                          0.0
## Lee SY, 2009                 NA                          0.0
## Agosti,2008                  NA                          0.0
## Chung, 2007                  NA                          0.0
## Quinette,2006                NA                          0.0
## Agosti, 2006                 NA                          0.0
## Akkawi, 2005                 NA                          0.0
## Toledo, 2005                 NA                          0.0
## Pantoni, 2005                NA                          0.0
## Lampl, 2004                  NA                          0.0
## Chen, 1999                   NA                          0.0
## Pai, 1999                    NA                          0.0
## Klotzsch, 1996               NA                          0.0
## Zorzon, 1995                 NA                          0.0
## Fredericks, 1993             NA                          0.0
## Gallassi, 1993               NA                          0.0
## Melo,1992                    NA                          0.0
## Gandolfo,1992                NA                          0.0
## Hodges, 1990                 NA                          0.0
## Hinge, 1986                  NA                          0.0
## 
## Number of studies combined: k = 2
## 
##                          OR            95%-CI     t p-value
## Random effects model 4.4871 [1.8902; 10.6517] 22.06  0.0288
## 
## Quantifying heterogeneity:
##  tau^2 = 0.0001; tau = 0.0109; I^2 = 0.0%; H = 1.00
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  0.03    1  0.8719
## 
## Details on meta-analytical method:
## - Mantel-Haenszel method
## - Sidik-Jonkman estimator for tau^2
## - Hartung-Knapp adjustment for random effects model
forest(m.dep,
       xlab="OR", 
       lab.e = "Depression",
       lab.c = "No")

Prevalence of drepression

prev_dep<-prevalencia %>% select(Depresion, Depresion_total, Study)

prev_dep<-na.omit(prev_dep)

metaprop(prev_dep$Depresion, prev_dep$Depresion_total, studlab=prev_dep$Study, sm="PFT", data=prev_dep, method="Inverse", method.tau="DL")
##                proportion           95%-CI %W(fixed) %W(random)
## Tynas, 2020        0.2043 [0.1277; 0.3005]      57.0       57.0
## Oliveira, 2020     0.2571 [0.1601; 0.3756]      43.0       43.0
## 
## Number of studies combined: k = 2
## 
##                      proportion           95%-CI
## Fixed effect model       0.2264 [0.1647; 0.2945]
## Random effects model     0.2264 [0.1647; 0.2945]
## 
## Quantifying heterogeneity:
##  tau^2 = 0; tau = 0; I^2 = 0.0%; H = 1.00
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  0.63    1  0.4257
## 
## Details on meta-analytical method:
## - Inverse variance method
## - DerSimonian-Laird estimator for tau^2
## - Freeman-Tukey double arcsine transformation
## - Clopper-Pearson confidence interval for individual studies
m.tig <- metabin(data$`gatillante_eventos en exp`,
                 data$`gatillante_numero de expuestos`,
                 data$`gatillante_eventos en noexp`,
                 data$`gatillante_n no exp`,
                 data = data,
                 studlab = data$Study,
                 comb.fixed = FALSE,
                 comb.random = TRUE,
                 method.tau = "SJ",
                 hakn = TRUE,
                 prediction = TRUE,
                 incr = 0.1,
                 sm = "OR")
m.tig 
##                               OR               95%-CI %W(random)
## Lee DA, 2021              1.6111 [0.3954;     6.5641]       14.3
## Oliveira, 2020            1.0390 [0.3571;     3.0226]       16.9
## Morris, 2020              1.3327 [0.9180;     1.9347]       21.7
## Waliszewska-Prosol, 2020      NA                             0.0
## Tynas, 2020                   NA                             0.0
## Romoli, 2020                  NA                             0.0
## Eisele, 2019                  NA                             0.0
## Han, 2019                     NA                             0.0
## Alessandro, 2019          1.2864 [0.4290;     3.8572]       16.7
## Himeno, 2017                  NA                             0.0
## Arena, 2017               0.8760 [0.3692;     2.0785]       18.5
## Keret, 2016                   NA                             0.0
## Moon, 2015                0.3000 [0.0277;     3.2499]        8.5
## Kwon, 2014                    NA                             0.0
## Buhr, 2012                    NA                             0.0
## Uttner, 2012                  NA                             0.0
## Auyeung, 2010                 NA                             0.0
## Lee SY, 2009                  NA                             0.0
## Agosti,2008                   NA                             0.0
## Chung, 2007              31.3279 [0.0507; 19354.5775]        1.7
## Quinette,2006                 NA                             0.0
## Agosti, 2006             41.8606 [0.0813; 21557.6477]        1.8
## Akkawi, 2005                  NA                             0.0
## Toledo, 2005                  NA                             0.0
## Pantoni, 2005                 NA                             0.0
## Lampl, 2004                   NA                             0.0
## Chen, 1999                    NA                             0.0
## Pai, 1999                     NA                             0.0
## Klotzsch, 1996                NA                             0.0
## Zorzon, 1995                  NA                             0.0
## Fredericks, 1993              NA                             0.0
## Gallassi, 1993                NA                             0.0
## Melo,1992                     NA                             0.0
## Gandolfo,1992                 NA                             0.0
## Hodges, 1990                  NA                             0.0
## Hinge, 1986                   NA                             0.0
## 
## Number of studies combined: k = 8
## 
##                          OR            95%-CI    t p-value
## Random effects model 1.1964 [0.5948;  2.4064] 0.61  0.5632
## Prediction interval         [0.1070; 13.3825]             
## 
## Quantifying heterogeneity:
##  tau^2 = 0.8865 [0.0000; 5.7724]; tau = 0.9415 [0.0000; 2.4026]
##  I^2 = 0.0% [0.0%; 50.2%]; H = 1.00 [1.00; 1.42]
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  4.56    7  0.7134
## 
## Details on meta-analytical method:
## - Mantel-Haenszel method
## - Sidik-Jonkman estimator for tau^2
## - Q-profile method for confidence interval of tau^2 and tau
## - Hartung-Knapp adjustment for random effects model
## - Continuity correction of 0.1 in studies with zero cell frequencies
forest(m.tig,
       xlab="OR", 
       lab.e = "Triggers",
       lab.c = "No")

Triggers prevalence

prev_tig<-prevalencia %>% select(Trigger, Trigger_total, Study)

prev_tig<-na.omit(prev_tig)

metaprop(prev_tig$Trigger, prev_tig$Trigger_total, studlab=prev_tig$Study, sm="PFT", data=prev_tig, method="Inverse", method.tau="DL")
##                  proportion           95%-CI %W(fixed) %W(random)
## Lee, 2021            0.6364 [0.5269; 0.7363]       5.1       14.4
## Morris, 2020         0.2960 [0.2684; 0.3247]      60.0       15.2
## Oliveira, 2020       0.4143 [0.2977; 0.5383]       4.1       14.1
## Alessandro, 2019     0.6355 [0.5652; 0.7017]      11.7       14.9
## Arena, 2017          0.2805 [0.2224; 0.3447]      12.7       14.9
## Moon, 2016           0.2857 [0.1128; 0.5218]       1.2       12.0
## Agosti, 2006         0.7778 [0.6779; 0.8587]       5.2       14.4
## 
## Number of studies combined: k = 7
## 
##                      proportion           95%-CI
## Fixed effect model       0.3768 [0.3539; 0.4000]
## Random effects model     0.4784 [0.3226; 0.6363]
## 
## Quantifying heterogeneity:
##  tau^2 = 0.0421 [0.0152; 0.2367]; tau = 0.2052 [0.1234; 0.4865]
##  I^2 = 96.7% [95.0%; 97.9%]; H = 5.52 [4.47; 6.82]
## 
## Test of heterogeneity:
##       Q d.f.  p-value
##  182.74    6 < 0.0001
## 
## Details on meta-analytical method:
## - Inverse variance method
## - DerSimonian-Laird estimator for tau^2
## - Jackson method for confidence interval of tau^2 and tau
## - Freeman-Tukey double arcsine transformation
## - Clopper-Pearson confidence interval for individual studies
m.estres <- metabin(data$`estres_eventos en exp`,
                 data$`estres_numero de expuestos`,
                 data$`estres_eventos en noexp`,
                 data$`estres_n no exp`,
                 data = data,
                 studlab = data$Study,
                 comb.fixed = FALSE,
                 comb.random = TRUE,
                 method.tau = "SJ",
                 hakn = TRUE,
                 prediction = TRUE,
                 incr = 0.1,
                 sm = "OR")
m.estres 
##                              OR             95%-CI %W(random)
## Lee DA, 2021             1.0000 [0.2689;   3.7184]       17.4
## Oliveira, 2020               NA                           0.0
## Morris, 2020             0.9046 [0.4683;   1.7475]       39.8
## Waliszewska-Prosol, 2020     NA                           0.0
## Tynas, 2020                  NA                           0.0
## Romoli, 2020                 NA                           0.0
## Eisele, 2019                 NA                           0.0
## Han, 2019                    NA                           0.0
## Alessandro, 2019         2.1366 [0.7330;   6.2275]       23.2
## Himeno, 2017                 NA                           0.0
## Arena, 2017              0.1941 [0.0004; 106.5910]        1.0
## Keret, 2016                  NA                           0.0
## Moon, 2015                   NA                           0.0
## Kwon, 2014                   NA                           0.0
## Buhr, 2012                   NA                           0.0
## Uttner, 2012                 NA                           0.0
## Auyeung, 2010                NA                           0.0
## Lee SY, 2009                 NA                           0.0
## Agosti,2008                  NA                           0.0
## Chung, 2007                  NA                           0.0
## Quinette,2006                NA                           0.0
## Agosti, 2006             1.6558 [0.4736;   5.7899]       18.6
## Akkawi, 2005                 NA                           0.0
## Toledo, 2005                 NA                           0.0
## Pantoni, 2005                NA                           0.0
## Lampl, 2004                  NA                           0.0
## Chen, 1999                   NA                           0.0
## Pai, 1999                    NA                           0.0
## Klotzsch, 1996               NA                           0.0
## Zorzon, 1995                 NA                           0.0
## Fredericks, 1993             NA                           0.0
## Gallassi, 1993               NA                           0.0
## Melo,1992                    NA                           0.0
## Gandolfo,1992                NA                           0.0
## Hodges, 1990                 NA                           0.0
## Hinge, 1986                  NA                           0.0
## 
## Number of studies combined: k = 5
## 
##                          OR           95%-CI    t p-value
## Random effects model 1.2392 [0.7040; 2.1812] 1.05  0.3517
## Prediction interval         [0.3107; 4.9423]             
## 
## Quantifying heterogeneity:
##  tau^2 = 0.1475 [0.0000; 2.1973]; tau = 0.3840 [0.0000; 1.4823]
##  I^2 = 0.0% [0.0%; 66.3%]; H = 1.00 [1.00; 1.72]
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  2.47    4  0.6508
## 
## Details on meta-analytical method:
## - Mantel-Haenszel method
## - Sidik-Jonkman estimator for tau^2
## - Q-profile method for confidence interval of tau^2 and tau
## - Hartung-Knapp adjustment for random effects model
## - Continuity correction of 0.1 in studies with zero cell frequencies
forest(m.estres,
       xlab="OR", 
       lab.e = "Stress",
       lab.c = "No stress")

m.exe <- metabin(data$`exerc_eventos en exp`,
                 data$`exerc_numero de expuestos`,
                 data$`exerc_eventos en noexp`,
                 data$`exerc_n no exp`,
                 data = data,
                 studlab = data$Study,
                 comb.fixed = FALSE,
                 comb.random = TRUE,
                 method.tau = "SJ",
                 hakn = TRUE,
                 prediction = TRUE,
                 incr = 0.1,
                 sm = "OR")
m.exe 
##                              OR             95%-CI %W(random)
## Lee DA, 2021             1.4889 [0.2803;   7.9096]       23.8
## Oliveira, 2020               NA                           0.0
## Morris, 2020             1.3138 [0.7653;   2.2554]       37.2
## Waliszewska-Prosol, 2020     NA                           0.0
## Tynas, 2020                  NA                           0.0
## Romoli, 2020                 NA                           0.0
## Eisele, 2019                 NA                           0.0
## Han, 2019                    NA                           0.0
## Alessandro, 2019         0.0708 [0.0001;  36.2834]        3.8
## Himeno, 2017                 NA                           0.0
## Arena, 2017              0.3625 [0.0463;   2.8359]       19.7
## Keret, 2016                  NA                           0.0
## Moon, 2015               0.0812 [0.0001;  49.3877]        3.6
## Kwon, 2014                   NA                           0.0
## Buhr, 2012                   NA                           0.0
## Uttner, 2012                 NA                           0.0
## Auyeung, 2010                NA                           0.0
## Lee SY, 2009                 NA                           0.0
## Agosti,2008                  NA                           0.0
## Chung, 2007              6.5000 [0.2796; 151.1228]       11.8
## Quinette,2006                NA                           0.0
## Agosti, 2006                 NA                           0.0
## Akkawi, 2005                 NA                           0.0
## Toledo, 2005                 NA                           0.0
## Pantoni, 2005                NA                           0.0
## Lampl, 2004                  NA                           0.0
## Chen, 1999                   NA                           0.0
## Pai, 1999                    NA                           0.0
## Klotzsch, 1996               NA                           0.0
## Zorzon, 1995                 NA                           0.0
## Fredericks, 1993             NA                           0.0
## Gallassi, 1993               NA                           0.0
## Melo,1992                    NA                           0.0
## Gandolfo,1992                NA                           0.0
## Hodges, 1990                 NA                           0.0
## Hinge, 1986                  NA                           0.0
## 
## Number of studies combined: k = 6
## 
##                          OR            95%-CI    t p-value
## Random effects model 1.0237 [0.2939;  3.5655] 0.05  0.9635
## Prediction interval         [0.0425; 24.6511]             
## 
## Quantifying heterogeneity:
##  tau^2 = 1.0773 [0.0000; 13.2823]; tau = 1.0380 [0.0000; 3.6445]
##  I^2 = 0.0% [0.0%; 68.5%]; H = 1.00 [1.00; 1.78]
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  4.03    5  0.5448
## 
## Details on meta-analytical method:
## - Mantel-Haenszel method
## - Sidik-Jonkman estimator for tau^2
## - Q-profile method for confidence interval of tau^2 and tau
## - Hartung-Knapp adjustment for random effects model
## - Continuity correction of 0.1 in studies with zero cell frequencies
forest(m.exe,
       xlab="Trigger: physical exercise")

m.show <- metabin(data$`shower_eventos en exp`,
                 data$`shower_numero de expuestos`,
                 data$`shower_eventos en noexp`,
                 data$`shower_n no exp`,
                 data = data,
                 studlab = data$Study,
                 comb.fixed = FALSE,
                 comb.random = TRUE,
                 method.tau = "SJ",
                 hakn = TRUE,
                 prediction = TRUE,
                 incr = 0.1,
                 sm = "OR")
m.show 
##                              OR             95%-CI %W(random)
## Lee DA, 2021                 NA                           0.0
## Oliveira, 2020               NA                           0.0
## Morris, 2020             1.7666 [0.8269;   3.7744]       69.5
## Waliszewska-Prosol, 2020     NA                           0.0
## Tynas, 2020                  NA                           0.0
## Romoli, 2020                 NA                           0.0
## Eisele, 2019                 NA                           0.0
## Han, 2019                    NA                           0.0
## Alessandro, 2019         0.5475 [0.0009; 317.9098]        3.2
## Himeno, 2017                 NA                           0.0
## Arena, 2017              0.0970 [0.0002;  50.7792]        3.3
## Keret, 2016                  NA                           0.0
## Moon, 2015               0.6111 [0.0516;   7.2402]       17.8
## Kwon, 2014                   NA                           0.0
## Buhr, 2012                   NA                           0.0
## Uttner, 2012                 NA                           0.0
## Auyeung, 2010                NA                           0.0
## Lee SY, 2009                 NA                           0.0
## Agosti,2008                  NA                           0.0
## Chung, 2007              0.2971 [0.0004; 199.3570]        3.0
## Quinette,2006                NA                           0.0
## Agosti, 2006             0.0769 [0.0001;  40.7210]        3.3
## Akkawi, 2005                 NA                           0.0
## Toledo, 2005                 NA                           0.0
## Pantoni, 2005                NA                           0.0
## Lampl, 2004                  NA                           0.0
## Chen, 1999                   NA                           0.0
## Pai, 1999                    NA                           0.0
## Klotzsch, 1996               NA                           0.0
## Zorzon, 1995                 NA                           0.0
## Fredericks, 1993             NA                           0.0
## Gallassi, 1993               NA                           0.0
## Melo,1992                    NA                           0.0
## Gandolfo,1992                NA                           0.0
## Hodges, 1990                 NA                           0.0
## Hinge, 1986                  NA                           0.0
## 
## Number of studies combined: k = 6
## 
##                          OR           95%-CI    t p-value
## Random effects model 1.0972 [0.4173; 2.8850] 0.25  0.8149
## Prediction interval         [0.1582; 7.6079]             
## 
## Quantifying heterogeneity:
##  tau^2 = 0.3450 [0.0000; 4.0678]; tau = 0.5874 [0.0000; 2.0169]
##  I^2 = 0.0% [0.0%; 51.3%]; H = 1.00 [1.00; 1.43]
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  2.61    5  0.7605
## 
## Details on meta-analytical method:
## - Mantel-Haenszel method
## - Sidik-Jonkman estimator for tau^2
## - Q-profile method for confidence interval of tau^2 and tau
## - Hartung-Knapp adjustment for random effects model
## - Continuity correction of 0.1 in studies with zero cell frequencies
forest(m.show,
       xlab="Trigger: shower")

m.sexual <- metabin(data$`intercourse_eventos en exp`,
                 data$`intercourse_numero de expuestos`,
                 data$`intercourse_eventos en noexp`,
                 data$`intercourse_n no exp`,
                 data = data,
                 studlab = data$Study,
                 comb.fixed = FALSE,
                 comb.random = TRUE,
                 method.tau = "SJ",
                 hakn = TRUE,
                 prediction = TRUE,
                 incr = 0.1,
                 sm = "OR")
m.sexual 
##                              OR            95%-CI %W(random)
## Lee DA, 2021                 NA                          0.0
## Oliveira, 2020               NA                          0.0
## Morris, 2020             1.3838 [0.6309;  3.0351]       61.9
## Waliszewska-Prosol, 2020     NA                          0.0
## Tynas, 2020                  NA                          0.0
## Romoli, 2020                 NA                          0.0
## Eisele, 2019                 NA                          0.0
## Han, 2019                    NA                          0.0
## Alessandro, 2019         1.1929 [0.2526;  5.6341]       16.4
## Himeno, 2017                 NA                          0.0
## Arena, 2017              2.1149 [0.4072; 10.9852]       14.6
## Keret, 2016                  NA                          0.0
## Moon, 2015                   NA                          0.0
## Kwon, 2014                   NA                          0.0
## Buhr, 2012                   NA                          0.0
## Uttner, 2012                 NA                          0.0
## Auyeung, 2010                NA                          0.0
## Lee SY, 2009                 NA                          0.0
## Agosti,2008                  NA                          0.0
## Chung, 2007                  NA                          0.0
## Quinette,2006                NA                          0.0
## Agosti, 2006             2.1212 [0.2021; 22.2589]        7.2
## Akkawi, 2005                 NA                          0.0
## Toledo, 2005                 NA                          0.0
## Pantoni, 2005                NA                          0.0
## Lampl, 2004                  NA                          0.0
## Chen, 1999                   NA                          0.0
## Pai, 1999                    NA                          0.0
## Klotzsch, 1996               NA                          0.0
## Zorzon, 1995                 NA                          0.0
## Fredericks, 1993             NA                          0.0
## Gallassi, 1993               NA                          0.0
## Melo,1992                    NA                          0.0
## Gandolfo,1992                NA                          0.0
## Hodges, 1990                 NA                          0.0
## Hinge, 1986                  NA                          0.0
## 
## Number of studies combined: k = 4
## 
##                          OR           95%-CI    t p-value
## Random effects model 1.4814 [1.0341; 2.1222] 3.48  0.0401
## Prediction interval         [0.8050; 2.7261]             
## 
## Quantifying heterogeneity:
##  tau^2 = 0.0073 [0.0000; 0.4740]; tau = 0.0856 [0.0000; 0.6885]
##  I^2 = 0.0%; H = 1.00
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  0.37    3  0.9458
## 
## Details on meta-analytical method:
## - Mantel-Haenszel method
## - Sidik-Jonkman estimator for tau^2
## - Q-profile method for confidence interval of tau^2 and tau
## - Hartung-Knapp adjustment for random effects model
forest(m.sexual,
       xlab="Trigger: sexual intercourse")

m.vom <- metabin(data$`vomiting_eventos en exp`,
                 data$`vomiting_numero de expuestos`,
                 data$`vomiting_eventos en noexp`,
                 data$`vomiting_n no exp`,
                 data = data,
                 studlab = data$Study,
                 comb.fixed = FALSE,
                 comb.random = TRUE,
                 method.tau = "SJ",
                 hakn = TRUE,
                 prediction = TRUE,
                 incr = 0.1,
                 sm = "OR")
m.vom 
##                              OR             95%-CI %W(random)
## Lee DA, 2021                 NA                           0.0
## Oliveira, 2020               NA                           0.0
## Morris, 2020                 NA                           0.0
## Waliszewska-Prosol, 2020     NA                           0.0
## Tynas, 2020                  NA                           0.0
## Romoli, 2020                 NA                           0.0
## Eisele, 2019                 NA                           0.0
## Han, 2019                    NA                           0.0
## Alessandro, 2019         0.2774 [0.0005; 150.1113]       10.9
## Himeno, 2017                 NA                           0.0
## Arena, 2017              1.0222 [0.1188;   8.7922]       89.1
## Keret, 2016                  NA                           0.0
## Moon, 2015                   NA                           0.0
## Kwon, 2014                   NA                           0.0
## Buhr, 2012                   NA                           0.0
## Uttner, 2012                 NA                           0.0
## Auyeung, 2010                NA                           0.0
## Lee SY, 2009                 NA                           0.0
## Agosti,2008                  NA                           0.0
## Chung, 2007                  NA                           0.0
## Quinette,2006                NA                           0.0
## Agosti, 2006                 NA                           0.0
## Akkawi, 2005                 NA                           0.0
## Toledo, 2005                 NA                           0.0
## Pantoni, 2005                NA                           0.0
## Lampl, 2004                  NA                           0.0
## Chen, 1999                   NA                           0.0
## Pai, 1999                    NA                           0.0
## Klotzsch, 1996               NA                           0.0
## Zorzon, 1995                 NA                           0.0
## Fredericks, 1993             NA                           0.0
## Gallassi, 1993               NA                           0.0
## Melo,1992                    NA                           0.0
## Gandolfo,1992                NA                           0.0
## Hodges, 1990                 NA                           0.0
## Hinge, 1986                  NA                           0.0
## 
## Number of studies combined: k = 2
## 
##                          OR             95%-CI     t p-value
## Random effects model 0.8872 [0.0051; 154.1137] -0.29  0.8174
## 
## Quantifying heterogeneity:
##  tau^2 = 0.0585; tau = 0.2419; I^2 = 0.0%; H = 1.00
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  0.15    1  0.7007
## 
## Details on meta-analytical method:
## - Mantel-Haenszel method
## - Sidik-Jonkman estimator for tau^2
## - Hartung-Knapp adjustment for random effects model
## - Continuity correction of 0.1 in studies with zero cell frequencies
forest(m.vom,
       xlab="Trigger: vomits")

DWI lesions

m.difu <- metabin(data$`DWI_eventos en exp`,
                 data$`DWI_numero de expuestos`,
                 data$`DWI_eventos en noexp`,
                 data$`DWI_n no exp`,
                 data = data,
                 studlab = data$Study,
                 comb.fixed = FALSE,
                 comb.random = TRUE,
                 method.tau = "SJ",
                 hakn = TRUE,
                 prediction = TRUE,
                 incr = 0.1,
                 sm = "OR")
## Warning in metabin(data$`DWI_eventos en exp`, data$`DWI_numero de expuestos`, :
## Studies with non-positive values for n.e and / or n.c get no weight in meta-
## analysis.
m.difu 
##                                OR                95%-CI %W(random)
## Lee DA, 2021               0.7250 [0.2030;      2.5899]       24.8
## Oliveira, 2020           241.0000 [0.4291; 135362.0532]        6.2
## Morris, 2020               0.8342 [0.1808;      3.8499]       23.5
## Waliszewska-Prosol, 2020       NA                              0.0
## Tynas, 2020                    NA                              0.0
## Romoli, 2020                   NA                              0.0
## Eisele, 2019                   NA                              0.0
## Han, 2019                      NA                              0.0
## Alessandro, 2019               NA                              0.0
## Himeno, 2017                   NA                              0.0
## Arena, 2017                0.2818 [0.0005;    169.8720]        6.1
## Keret, 2016                    NA                              0.0
## Moon, 2015                 0.6818 [0.0853;      5.4475]       20.5
## Kwon, 2014                     NA                              0.0
## Buhr, 2012                     NA                              0.0
## Uttner, 2012                   NA                              0.0
## Auyeung, 2010             13.6000 [1.2245;    151.0446]       18.8
## Lee SY, 2009                   NA                              0.0
## Agosti,2008                    NA                              0.0
## Chung, 2007                    NA                              0.0
## Quinette,2006                  NA                              0.0
## Agosti, 2006                   NA                              0.0
## Akkawi, 2005                   NA                              0.0
## Toledo, 2005                   NA                              0.0
## Pantoni, 2005                  NA                              0.0
## Lampl, 2004                    NA                              0.0
## Chen, 1999                     NA                              0.0
## Pai, 1999                      NA                              0.0
## Klotzsch, 1996                 NA                              0.0
## Zorzon, 1995                   NA                              0.0
## Fredericks, 1993               NA                              0.0
## Gallassi, 1993                 NA                              0.0
## Melo,1992                      NA                              0.0
## Gandolfo,1992                  NA                              0.0
## Hodges, 1990                   NA                              0.0
## Hinge, 1986                    NA                              0.0
## 
## Number of studies combined: k = 6
## 
##                          OR             95%-CI    t p-value
## Random effects model 1.7385 [0.2365;  12.7784] 0.71  0.5079
## Prediction interval         [0.0094; 323.0415]             
## 
## Quantifying heterogeneity:
##  tau^2 = 2.9391 [0.0000; 31.6675]; tau = 1.7144 [0.0000; 5.6274]
##  I^2 = 36.6% [0.0%; 74.7%]; H = 1.26 [1.00; 1.99]
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  7.88    5  0.1627
## 
## Details on meta-analytical method:
## - Mantel-Haenszel method
## - Sidik-Jonkman estimator for tau^2
## - Q-profile method for confidence interval of tau^2 and tau
## - Hartung-Knapp adjustment for random effects model
## - Continuity correction of 0.1 in studies with zero cell frequencies
forest(m.difu,
       xlab="DWI lesions")

reflux

m.reflux <- metabin(data$`reflux_eventos en exp`,
                 data$`reflux_numero de expuestos`,
                 data$`reflux_eventos en noexp`,
                 data$`reflux_n no exp`,
                 data = data,
                 studlab = data$Study,
                 comb.fixed = FALSE,
                 comb.random = TRUE,
                 method.tau = "SJ",
                 hakn = TRUE,
                 prediction = TRUE,
                 incr = 0.1,
                 sm = "OR")
m.reflux 
##                               OR              95%-CI %W(random)
## Lee DA, 2021                  NA                            0.0
## Oliveira, 2020                NA                            0.0
## Morris, 2020                  NA                            0.0
## Waliszewska-Prosol, 2020      NA                            0.0
## Tynas, 2020                   NA                            0.0
## Romoli, 2020                  NA                            0.0
## Eisele, 2019                  NA                            0.0
## Han, 2019                     NA                            0.0
## Alessandro, 2019              NA                            0.0
## Himeno, 2017                  NA                            0.0
## Arena, 2017                   NA                            0.0
## Keret, 2016                   NA                            0.0
## Moon, 2015                    NA                            0.0
## Kwon, 2014                    NA                            0.0
## Buhr, 2012                    NA                            0.0
## Uttner, 2012                  NA                            0.0
## Auyeung, 2010                 NA                            0.0
## Lee SY, 2009                  NA                            0.0
## Agosti,2008                   NA                            0.0
## Chung, 2007              14.0769 [0.0228; 8696.8220]        6.4
## Quinette,2006                 NA                            0.0
## Agosti, 2006              1.9333 [0.5125;    7.2935]       93.6
## Akkawi, 2005                  NA                            0.0
## Toledo, 2005                  NA                            0.0
## Pantoni, 2005                 NA                            0.0
## Lampl, 2004                   NA                            0.0
## Chen, 1999                    NA                            0.0
## Pai, 1999                     NA                            0.0
## Klotzsch, 1996                NA                            0.0
## Zorzon, 1995                  NA                            0.0
## Fredericks, 1993              NA                            0.0
## Gallassi, 1993                NA                            0.0
## Melo,1992                     NA                            0.0
## Gandolfo,1992                 NA                            0.0
## Hodges, 1990                  NA                            0.0
## Hinge, 1986                   NA                            0.0
## 
## Number of studies combined: k = 2
## 
##                          OR              95%-CI    t p-value
## Random effects model 2.1947 [0.0046; 1047.6526] 1.62  0.3522
## 
## Quantifying heterogeneity:
##  tau^2 = 0.2947; tau = 0.5428; I^2 = 0.0%; H = 1.00
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  0.35    1  0.5532
## 
## Details on meta-analytical method:
## - Mantel-Haenszel method
## - Sidik-Jonkman estimator for tau^2
## - Hartung-Knapp adjustment for random effects model
## - Continuity correction of 0.1 in studies with zero cell frequencies
forest(m.reflux,
       xlab="Yugular reflux")

EEG

m.eeg <- metabin(data$`EEG_eventos en exp`,
                 data$`EEG_numero de expuestos`,
                 data$`EEG_eventos en noexp`,
                 data$`EEG_n no exp`,
                 data = data,
                 studlab = data$Study,
                 comb.fixed = FALSE,
                 comb.random = TRUE,
                 method.tau = "SJ",
                 hakn = TRUE,
                 prediction = TRUE,
                 incr = 0.1,
                 sm = "OR")
## Warning in metabin(data$`EEG_eventos en exp`, data$`EEG_numero de expuestos`, :
## Studies with non-positive values for n.e and / or n.c get no weight in meta-
## analysis.
m.eeg 
##                              OR           95%-CI %W(random)
## Lee DA, 2021                 NA                         0.0
## Oliveira, 2020           0.5263 [0.0739; 3.7460]       10.1
## Morris, 2020             1.1053 [0.4783; 2.5541]       42.8
## Waliszewska-Prosol, 2020     NA                         0.0
## Tynas, 2020                  NA                         0.0
## Romoli, 2020                 NA                         0.0
## Eisele, 2019                 NA                         0.0
## Han, 2019                    NA                         0.0
## Alessandro, 2019             NA                         0.0
## Himeno, 2017                 NA                         0.0
## Arena, 2017              1.4848 [0.3444; 6.4010]       17.3
## Keret, 2016                  NA                         0.0
## Moon, 2015                   NA                         0.0
## Kwon, 2014               1.8276 [0.6315; 5.2887]       29.8
## Buhr, 2012                   NA                         0.0
## Uttner, 2012                 NA                         0.0
## Auyeung, 2010                NA                         0.0
## Lee SY, 2009                 NA                         0.0
## Agosti,2008                  NA                         0.0
## Chung, 2007                  NA                         0.0
## Quinette,2006                NA                         0.0
## Agosti, 2006                 NA                         0.0
## Akkawi, 2005                 NA                         0.0
## Toledo, 2005                 NA                         0.0
## Pantoni, 2005                NA                         0.0
## Lampl, 2004                  NA                         0.0
## Chen, 1999                   NA                         0.0
## Pai, 1999                    NA                         0.0
## Klotzsch, 1996               NA                         0.0
## Zorzon, 1995                 NA                         0.0
## Fredericks, 1993             NA                         0.0
## Gallassi, 1993               NA                         0.0
## Melo,1992                    NA                         0.0
## Gandolfo,1992                NA                         0.0
## Hodges, 1990                 NA                         0.0
## Hinge, 1986                  NA                         0.0
## 
## Number of studies combined: k = 4
## 
##                          OR           95%-CI    t p-value
## Random effects model 1.2534 [0.6457; 2.4328] 1.08  0.3579
## Prediction interval         [0.2913; 5.3919]             
## 
## Quantifying heterogeneity:
##  tau^2 = 0.0716 [0.0000; 3.3616]; tau = 0.2675 [0.0000; 1.8335]
##  I^2 = 0.0% [0.0%; 66.5%]; H = 1.00 [1.00; 1.73]
## 
## Test of heterogeneity:
##     Q d.f. p-value
##  1.37    3  0.7119
## 
## Details on meta-analytical method:
## - Mantel-Haenszel method
## - Sidik-Jonkman estimator for tau^2
## - Q-profile method for confidence interval of tau^2 and tau
## - Hartung-Knapp adjustment for random effects model
forest(m.eeg,
       xlab="Abnormal EEG")