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Heuristic Mining of Hierarchical Genotypes and Accessory Genome Loci in Bacterial Populations
Published on: December 7, 2021
Frequent inappropriate use of unweighted summary statistics in systematic reviews of pathogen genotypes or genogroups
Linh Tran1, Mai Nhu Y2, Thai Le Ba Nghia2
1Institute of Research and Development, Duy Tan University, Danang 550000, Vietnam.
Objectives:
Our study aimed to systematically assess and report the methodological quality used in epidemiological systematic reviews (SRs) and meta-analysis (MA) of pathogen genotypes/genogroups.
Study Design And Setting:
Nine electronic databases and manual search of reference lists were used to identify relevant studies. The method types were divided into three groups: 1) with weighted pooling analysis (which we call MA), (2) unweighted analysis of the study-level measures (which we call summary statistics), and (3) without any data pooling (which we call SR only). Characteristics were evaluated using Assessment of Multiple Systematic Reviews (AMSTAR), Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), and Risk Of Bias In Systematic reviews (ROBIS) tools. The protocol was registered in PROSPERO with CRD42017078146.
Results:
Among 36 included articles, 5 (14%) studies conducted SR only, 16 (44%) performed MA, and 15 (42%) used summary statistics. The univariable and multivariable linear regression of AMSTAR and PRISMA scores showed that MA had higher quality compared with those with summary statistics. The SR only and summary statistics groups had approximately equal scores among three scales of AMSTAR, PRISMA, and ROBIS. The methodological quality of epidemiological studies has improved from 1999 to 2017.
Conclusion:
Despite the frequent use of unweighted summary statistics, MA remains the most suitable method for reaching rational conclusions in epidemiological studies of pathogen genotypes/genogroups.
Insights
This study evaluated the quality of epidemiological systematic reviews (SRs) and meta-analyses (MAs) on pathogen genotypes. Meta-analysis showed higher quality than summary statistics, remaining the most suitable method for robust conclusions.
Area of Science:
- Epidemiology
- Microbiology
- Biostatistics
Background:
- Methodological quality of systematic reviews (SRs) and meta-analyses (MAs) in pathogen genotype studies is crucial for reliable conclusions.
- Assessing the quality of different synthesis methods is essential for advancing epidemiological research.
Purpose of the Study:
- To systematically assess and report the methodological quality of epidemiological SRs and MAs focusing on pathogen genotypes/genogroups.
- To compare the quality of meta-analysis (MA), summary statistics, and SR-only approaches.
Main Methods:
- A systematic search of nine electronic databases and reference lists identified 36 relevant studies.
- Studies were categorized into MA (weighted pooling), summary statistics (unweighted analysis), and SR only (no pooling).
- Methodological quality was assessed using AMSTAR, PRISMA, and ROBIS tools.
Main Results:
- Meta-analysis (MA) studies demonstrated higher methodological quality compared to those using summary statistics, based on AMSTAR and PRISMA scores.
- SR-only and summary statistics groups showed similar quality scores across AMSTAR, PRISMA, and ROBIS.
- The overall methodological quality of epidemiological studies has improved between 1999 and 2017.
Conclusions:
- Meta-analysis (MA) is the most suitable method for drawing rational conclusions in epidemiological studies of pathogen genotypes/genogroups, despite the common use of unweighted summary statistics.
- Improving the quality of systematic reviews and meta-analyses is vital for public health.
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