Network synthesis specification

Specify direct and indirect comparisons

The comparison identity explains direction on an additive scale. The analysis still needs model, heterogeneity, multi-arm covariance, uncertainty and diagnostic specifications. Rankings are optional outputs.

Flow diagram

Network synthesis specificationF1.S1Define comparison estimandsF1.S2Choose model and inferenceframeworkF1.S3Specify dependence handlingF1.S4Plan estimation and diagnosticsF1.S5Specify interpretable outputsF1.N1Network model planOutcomeEffect scaleModelHeterogeneityDependenceSoftwarePrimarycomparisonSecondarycomparisonSensitivitymodelF1.N2Assumptions and rationaleF1.N3Method and protocol evidenceF1.N4Indirect comparison notationd_XY denotes Y relative to X on an additiveanalysis scale. This consistency identityrequires justified transitivity; it is not anautomatic calculation.F1.S0 Start flowNetwork synthesis specificationF1.S999 End flowEnd flow

Steps

Define comparison estimands

Specify outcome, time point, effect scale and target population.

Choose model and inference framework

Justify model structure, heterogeneity assumptions and any Bayesian priors.

Specify dependence handling

Model multi-arm correlations and avoid duplicate controls or repeated outcomes.

Plan estimation and diagnostics

Record software, convergence or fit checks, sparse data handling and uncertainty.

Specify interpretable outputs

Plan relative and absolute effects; any ranking includes uncertainty and clinical context.

Network synthesis specification

End flow

Tables and supporting information

Network model plan

Network model planOutcomeEffect scaleModelHeterogeneityDependenceSoftwarePrimarycomparisonSecondarycomparisonSensitivitymodel

Prespecify models; no estimates are calculated here.

Assumptions and rationale

Do not infer a clinically best treatment solely from rank probabilities. Check model fit and direct versus indirect agreement.

Method and protocol evidence

Attach the protocol, methodological sources and versioned software specification supporting these decisions. Record citations and provenance; do not enter participant identifiers.

Indirect comparison notation

d_XY denotes Y relative to X on an additive analysis scale. This consistency identity requires justified transitivity; it is not an automatic calculation.

Sources