Cluster headache is a primary headache disorder that can be highly disabling. In this thesis we look at the treatment landscape of cluster headache with a scoping review of preventive and acute therapies for cluster headache as identified in randomized controlled trials and two-arm observational studies. We subsequently compare these therapies where data are available using network meta-analysis of randomized trials, and we attempt subgroup analyses again where data are available for acute treatments of episodic and chronic cluster. We identify the ranking of treatments for acute cluster headache, and certain acute therapies that may be beneficial in episodic and chronic cluster headache. Based on our findings, we also identify future directions for cluster headache trials.

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Indiana University-Purdue University Indianapolis (IUPUI) / Purpose: The purpose was to comprehensively assess the impact of PD-L1 expression on the efficacy of immune checkpoint inhibitors on Overall Survival (OS) and Progression-Free Survival (PFS). Methods: A systematic literature search and review was conducted through June 2019. I searched all eligible randomized controlled trials comparing PD-1/PD-L1 monotherapy to an active comparator in adult patients with advanced cancer across multiple tumor types. The Cochrane risk-of-bias tool was used to assess trial quality. A random-effects model was used for the meta-analysis. Heterogeneity was assessed using Cochran Q statistic and I2 test. Publication bias was assessed by visual inspection of a funnel plot and Begg’s test. Results: I identified and included 23 trials involving 14,434 participants. When stratifying PD-L1 positive (+) and negative (-) patients using varying thresholds of expression, a significant group difference was observed at PD-L1 >1% ( p=0.04; PD-L1(+): HR, 0.72; 95% CI, 0.65-0.79; PD-L1(-): HR,0.83; 95% CI, 0.75-0.91), at PD-L1 >10% (p=0.02; PD-L1(+): HR,0.50; 95% CI, 0.38-0.62; PD-L1 (-): HR, 0.74; 95% CI, 0.57-0.90) and at PD-L1>50% (p=0.01; PD-L1(+): HR,0.59; 95% CI, 0.51-0.68; PD-L1(-): HR, 0.93; 95% CI, 0.71-1.15). Across tumor types, both PD-L1(+) and PD-L1(-) patients treated with an immunotherapy had improved OS compared with patients receiving standard care therapies. A PFS benefit was observed and favored patients treated with a PD-1/PD-L1 inhibitor versus standard of care. However, there was significant heterogeneity and the benefit on PFS was not statistically significant between PD-L1(+) and PD-L1(-) groups using varying cut-off levels of PD-L1 expression. No differences between sub-groups of interest including median follow-up time, type of inhibitor, and line of therapy for either PD-L1(+) or PD-L1(-) patients at 1% cut-off were identified. Conclusion: This study supports the use of PD-L1 as a predictive biomarker of improved response to immunotherapies. As thresholds increase and specifically above the 10% PD-L1 expression threshold, patients who were positive for PD-L1 appeared to have better OS compared to those who were negative for PD-L1. Further investigation is needed to assess the clinical usefulness of PD-L1 at various expression levels with improved technologies that have the potential to enhance assay accuracy and precision.

Important research questions are typically studied and analyzed more than once, often by different research teams in different locations. However, in many instances, the results of these multiple small studies are diverse and conflicting, which makes decision-making difficult. The need to arrive at decisions fostered the momentum towards synthesizing the results of these multiple studies. Therefore, meta-analysis, also referred to as the standard or traditional meta-analysis, is a statistical technique for combining the results or findings from multiple independent studies to address a specific research question. The applications of meta-analysis have been extended to many fields of research including medicine, psychology, ecology, education, business and many others. Prior to carrying out a meta-analysis or statistically synthesizing data, a researcher must undertake a systematic review. Systematic review attempts to collate empirical evidence that fits pre-specified eligibility criteria to answer a specific research question. That is to determine which studies will be included or excluded from the analysis. Standard meta-analysis methods are used to obtain the relative efficacy (or safety) of a particular intervention versus a competing intervention in the presence of a direct or head-to-head comparison. Thus only a pair-wise comparison can be made. The outcome of these interventions could be continuous, binary or count data. A number of methodologies related to meta-analysis, assessments of underlying assumptions and strategies for the presentation of results have been proposed by several researchers. A commonly used model for estimating effect sizes in meta-analysis is the fixed-effect model. However, various factors can determine the performance of the model which needs to be considered before using the results for decision making. This project aimed to investigate the performance of hypothesis properties and estimation properties on selecting data points from an underlying contaminated distribution under different scenarios for modeling a continuous outcome. Different levels of contamination, levels of significance, number of studies, number of individual study sample sizes, standard deviations and effect sizes were investigated in our simulation study for a continuous outcome. The results of our simulation study shows that, the fixed-effect meta-analytic model does not perform well in the presence of contamination. As the level of contamination in the treatment group increases, the properties of estimators and hypothesis are greatly influenced. The method performs well as expected in the absence of contamination but performs poorly as we observe 50% contamination in the treatment group regardless of the individual sample size, the number of studies, the standard deviation and the effect size. / Thesis / Master of Science (MSc)

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This thesis consists of two related studies presented as three separate manuscripts (all three have been published in peer-reviewed journals) and a study protocol that has been submitted for peer-reviewed funding. The over-arching theme of this thesis was to better characterize the efficacy of different intravenous fluids used for the resuscitation of intensive care unit (ICU) patients with severe sepsis or septic shock. We performed an extensive search including multiple databases which found 20 randomized controlled trials (RCTs) that examined the effects of different intravenous fluids used in septic patients and met our a priori inclusion and exclusion criteria. In the first manuscript, we described in detail the composition of the 19 unique fluid products that were used in the various studies. This description included the fluid type, trade name, osmolality, tonicity, electrolyte content, molecular composition, pH, and manufacturer. We reviewed manufacturer’s websites, product monographs, and emailed industry representatives or study authors for more information regarding the fluids as required. The results of this study and systematic review led us to the second and third manuscripts which reported on a Bayesian network meta-analysis (NMA) of all fluid type comparisons. Despite multiple well-done RCTs, comparative data regarding the clinical effect of different resuscitative fluids when used for sepsis was incomplete. Most RCTs used 0.9% saline (normal saline) as control fluid and very few studies compared colloids directly. The advantage of using an NMA model in this setting was the ability to include indirect data into the overall point estimates. Data was abstracted from the 14 studies which focused on adult ICU patients and analyzed examining the outcomes of mortality (manuscript #2) and the use of renal replacement therapy (RRT) (manuscript #3). Certainty of evidence was evaluated for both outcomes using the GRADE approach. Results of the analysis clearly document the harm of starch-based fluids when used in septic patients. Albumin containing fluids and crystalloids (such as normal saline and Ringer’s Lactate) are better options. Lower chloride solutions, such as Ringer’s Lactate, showed a signal towards decreased mortality and a decreased use of renal replacement therapy when compared to higher chloride fluids, such as normal saline, however this was based on indirect data, not statistically significant, and warrants direct comparison trials. The final component of this thesis is a pilot study protocol for a study assessing the feasibility of a larger RCT examining the effect of low chloride versus high chloride fluids for resuscitation in patients with sepsis and septic shock. This protocol has been submitted as part of a peer-reviewed grant with the hopes of addressing this clinically important and timely question. / Thesis / Master of Science (MSc) / This thesis examines the ideal intravenous fluid to be given to patients with severe infection causing low blood pressure. A review of the current literature is presented with a protocol for future work.

Yes / We conduct a meta-analysis of the literature of financial development and economic growth. We cover a large number of empirical studies and estimations that have been published in journal articles. We measure the degree of heterogeneity and identify the causes of the observed differentiation. Among the most significant factors behind this heterogeneity is the choice of financial-variable proxies, the kind of data used as well as whether a study takes into account the issue of endogeneity. Our results suggest that the empirical literature on the finance–growth nexus is not free from publication bias. Also, a genuine positive effect exists between financial development and economic growth.

Publication bias (PB) makes the resources for meta-analysis (M-A) unreliable in the sense of completion and accuracy, so to investigate, identify and correct PB is a very important issue in M-A. The current study proposed an empirical comparison in both detection and correcting PB, using a Monte Carlo study. Conditions to be manipulated include the number of primary studies, number of missing studies and true effect size. RANNOR in SAS will be used to generate normally distributed random variables and, for each condition, 10,000 M-As will be simulated. Type I error rates are to be calculated for the conditions with no PB and powers were estimated for the conditions with PB and adequate type I error control. Finally, a demonstration of how M-A can and should be used as a part of program evaluations was given. / text

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