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Published on: January 8, 2020
Empirical vs natural weighting in random effects meta-analysis
1Department of Epidemiology and Health Policy Research, College of Medicine, University of Florida, PO Box 100177, Gainesville, FL 32610-0177, USA. jshuster@biostat.ufl.edu
Empirically weighted random effects meta-analysis may be biased because sample sizes are treated as fixed. New methods are proposed to address this bias, suggesting a reevaluation of past studies using this approach.
Area of Science:
- Biostatistics
- Medical Research Methodology
Background:
- Random effects meta-analysis is widely used to synthesize evidence.
- Empirically based weighting methods, like DerSimonian-Laird, are popular but rely on potentially flawed assumptions regarding sample sizes.
Purpose of the Study:
- To critically evaluate the validity of empirically based weighting in random effects meta-analysis.
- To propose and demonstrate alternative methods for random effects meta-analysis that address bias related to sample size treatment.
Main Methods:
- Demonstration of bias in empirical weighting by treating sample sizes as non-random.
- Proposal of two alternative methods: 1) estimating the arithmetic mean of population effect sizes using an unweighted approach, and 2) estimating patient-level effect sizes weighted by total sample size.
- Application of methods to a meta-analysis of a nasal decongestant.
Main Results:
- Empirical weighting, including the DerSimonian-Laird method, risks substantial bias.
- An unweighted mean of study effect sizes is recommended for estimating the arithmetic mean of population effect sizes.
- Weighting study effect sizes by total sample size is necessary for consistent estimation of patient-level effect sizes.
- The proposed methods yield counter-intuitive results compared to the DerSimonian-Laird approach.
Conclusions:
- Past publications using empirically weighted random effects meta-analysis should be revisited.
- Empirically based weighted random effects meta-analysis should be used with extreme caution or avoided in favor of proposed methods.
- Future analyses should include secondary analyses based on the principles presented to supplement primary findings.
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