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Methods used to meta-analyse results from interrupted time series studies: A methodological systematic review
Elizabeth Korevaar1, Amalia Karahalios1, Andrew B Forbes1
1School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, 3004, Australia.
This study describes current meta-analysis methods for interrupted time series (ITS) studies in systematic reviews. Findings will guide future research on optimal methods for synthesizing ITS evidence in healthcare decision-making.
Area of Science:
- Health Services Research
- Biostatistics
- Public Health Interventions
Background:
- Systematic reviews synthesize evidence for healthcare decisions.
- Interrupted time series (ITS) studies are crucial for evaluating interventions and exposures.
- Meta-analysis is a key component of systematic reviews, but guidance for ITS studies is lacking.
Purpose of the Study:
- To describe current meta-analysis methods used in systematic reviews of interrupted time series (ITS) studies.
- To identify practices in synthesizing evidence from ITS data across various disciplines.
- To inform the development of future guidance for meta-analyzing ITS studies.
Main Methods:
- A systematic search of eight databases identified 100 recent reviews (2000-2019) including meta-analyses of ITS studies.
- Data extraction covered review-level details (discipline, bias assessment) and meta-analytic methods (outcomes, effect measures).
- Descriptive statistics were used to summarize extracted data.
Main Results:
- The study will detail the meta-analytic techniques currently employed for ITS data.
- It will categorize the types of outcomes and effect measures used in these syntheses.
- It will report on the use of bias assessment tools for ITS studies within reviews.
Conclusions:
- This review provides a comprehensive overview of meta-analysis practices for ITS studies.
- Results will highlight gaps in current methodology and inform future research directions.
- The findings will contribute to the development of evidence-based guidance for meta-analysis of ITS data.
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