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[A meta-analysis of clinical studies in otorhinolaryngology]
A A Korneenkov1, Yu K Yanov1, S V Ryazantsev1
1Saint Petersburg Research Institute of Ear, Throat, Nose and Speech of the Ministry of Health of Russia, Saint Petersburg, Russia.
The Objective:
Of the work was to describe the basics of a meta-analysis with features for evaluating models with fixed and random effects, to present principles for interpreting the graphical results of a meta-analysis (forest plot or blobogram) of comparative reviews of randomized clinical trials (RCTs).
Material And Methods:
To illustrate the possibility of efficient use of the R software environment for meta-analysis, we used the results of RCTs of various tonsillectomy methods already published in the Cochrane Database review.
Results:
The article provides explanations for the calculation of effect size, heterogeneity statistic, and other meta-analysis statistics and their interpretation for evaluating RCTs and recommendations for choosing a model depending on the on the general research concept.
Conclusion:
The described method allows meta-analysis and gives an idea of the principles for preparing the results of clinical trials with the expectation of their subsequent use in systematic reviews and meta-analysis.
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