LivingGLP1

Glossary

The terms used on this site, in plain language.

Adjudication
Settling every disagreement between two independent data extractions by going back to the source. Each ruling is logged so that the choice can be checked.
Arm
One group of a randomized trial, for example the group given semaglutide 1 mg once weekly.
Baseline characteristic
A feature of the participants when the trial started, such as age, HbA1c or body mass index, reported as an average or a percent per group.
Bayesian analysis
A way of estimating effects that combines the trial data with prior assumptions and describes uncertainty as probabilities. The primary analysis here is Bayesian (multinma, Stan).
Comparator
The treatment a medicine is compared with: placebo, standard care or another medicine.
Confidence interval (CI)
In the frequentist analysis, a range built so that 95% of such ranges would contain the true effect if the study were repeated many times.
Consistency
The assumption that direct evidence (trials of A versus B) and indirect evidence (A versus C and B versus C trials) agree. Its violation is called inconsistency or incoherence.
Credible interval (CrI)
The range in which the true average effect lies with 95% probability, given the data and the model. The Bayesian counterpart of a confidence interval.
Direct evidence
Evidence from trials that randomized participants between the two treatments being compared.
Effect modifier
A characteristic that changes how well a treatment works relative to another, for example baseline HbA1c for glucose lowering. Uneven effect modifiers across comparisons threaten transitivity.
Estimand
The precise question a trial result answers, including how events after randomization (such as stopping the drug or starting rescue medication) are handled. Treatment policy and hypothetical estimands are analyzed separately.
Frequentist analysis
The classical statistical approach based on confidence intervals and P values. Here netmeta provides a frequentist check of every Bayesian result.
GLP-1 receptor agonist
A medicine that acts like the gut hormone glucagon-like peptide 1: it raises insulin when glucose is high, slows stomach emptying and reduces appetite. Semaglutide, liraglutide and dulaglutide are examples; tirzepatide also acts on the GIP receptor.
Hazard ratio (HR)
How fast an event happens with one treatment relative to another over time. 0.80 means a 20% lower rate.
HbA1c
Glycated hemoglobin: the average blood glucose over about three months, in percent or mmol/mol. A fall of 1 percentage point is clinically large.
Heterogeneity (tau)
Differences in the true effect between trials of the same comparison, beyond chance. Tau is its standard deviation on the analysis scale.
I squared
The share of the variation between trial results that is due to heterogeneity rather than chance (frequentist).
Indirect evidence
Evidence about A versus B obtained through a common comparator C, from A versus C and B versus C trials.
League table
A grid comparing every treatment with every other treatment in one network.
Living systematic review
A systematic review that is continually updated as new evidence appears.
Mean difference (MD)
The difference in average outcome between two treatments, in the outcome’s own units (for example kilograms or percentage points).
Network
All trials that compare any of a set of treatments for one outcome, joined through shared comparators.
Network meta-analysis (NMA)
A statistical method that combines direct and indirect evidence from a network of trials to compare all treatments at once.
Node
One treatment in a network. Here a node is a medicine at one dose, route and frequency; drug level analyses pool the doses of each medicine.
Node splitting
A check of inconsistency that estimates each comparison separately from its direct and its indirect evidence and compares the two.
Odds ratio (OR)
The odds of an event with one treatment divided by the odds with another. Values below 1 mean fewer events.
P-score
The frequentist counterpart of SUCRA: the mean certainty that a treatment is better than the others, from 0 to 1.
Placebo
A dummy treatment that looks like the real one but has no active ingredient, used so that participants and staff do not know who gets what.
Prediction interval
The range in which the effect of a new trial or setting would be expected to fall, taking heterogeneity into account. It is wider than the credible interval.
Prognostic factor
A characteristic that predicts the outcome whatever the treatment, such as age for cardiovascular events.
R-hat
A convergence check of Bayesian sampling: values close to 1 (below 1.01) mean the chains agree.
Randomized controlled trial
A study that assigns participants to treatments by chance, so that the groups differ only by the treatment received.
Reference treatment
The treatment all others are compared with in the main plot, usually placebo.
SUCRA
Surface under the cumulative ranking curve: a 0 to 1 summary of how likely a treatment is to rank near the top. It ignores how large the differences are.
Transitivity
The assumption that the trials for different comparisons are similar enough in effect modifiers that their results can be combined indirectly.