Related Experiment Video
Updated: Jun 12, 2026

The Adjuvant Efficacy of Angong Niuhuang Pill in the Treatment of Viral Encephalitis: A Meta-Analysis of Randomized Controlled Trials
Published on: April 19, 2024
Reporting bias and other biases affecting systematic reviews and meta-analyses: a methodological commentary
Mukesh K Sinha1, Victor M Montori
1Mayo Clinic College of Medicine, Department of Internal Medicine, Rochester, MN, USA. sinha.mukesh@mayo.edu.
Abstract:
Systematic reviews and meta-analyses often occupy the top of the hierarchy of evidence in support of evidence-based clinical practice. These studies commonly inform the formulation of clinical guidelines. Bias can intrude at several levels during the conduct of systematic reviews. The effect these various biases, in particular reporting bias, have on pooled estimates and review inferences are potentially significant. In this review, we describe several forms of selection and reporting biases that may occur during the conduct of a systematic review, how these biases might affect a review and what steps could help minimize their influence on review inferences. Specifically, we support calls for prospective international trial registration and open access to trial protocols as two potential solutions that may improve the methodological quality of systematic reviews and the validity of their results.
Related Concept Videos
Bias
In statistics, a sampling bias is created when a sample is collected from a population, and some members of the population are not as likely to be chosen as others (remember, each member...
Bias in Epidemiological Studies
Systematic Error: Methodological and Sampling Errors
Sampling errors originate from improper sampling methods or the wrong sample population. These errors can be minimized by refining the sampling strategy. Defective instruments or faulty calibrations are the sources of instrumental...
Random and Systematic Errors
Random and Systematic Errors
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled...