对内部偏差和出版偏差在元分析中的互动影响的敏感性分析
1Quantitative Sciences Unit, Department of Medicine, Stanford University, Palo Alto, California, USA.
Research synthesis methods
|September 25, 2023
概括
敏感性分析可以评估内部和出版偏见如何影响元分析结果. 这些方法量化了潜在的结果变化和达到零结果所需的偏差严重程度.
科学领域:
- 生物统计学 生物统计学
- 流行病学 流行病学
- 研究方法研究方法研究方法学
背景情况:
- 分析容易受到内部研究偏见 (例如,混) 和出版偏见的影响.
- 这些偏差可以以非添加方式相互作用,出版偏差可能会选择具有更大的内部偏差的研究.
研究的目的:
- 开发敏感性分析,以量化内部和出版偏差对元分析结果的影响.
- 针对特定偏差严重程度的结果可能会有多少变化,以及偏差必须有多严重才能使发现减弱到零.
主要方法:
- 提出敏感性分析,考虑研究中的平均内部偏差,不需要单个研究偏差规范.
- 允许对影响所有研究或特定子集 (例如,非随机研究) 的偏差进行假设.
- 结合对非正常效应的可靠估计,小型元分析和集群估计,并提供可用的R包 (多元偏差).
主要成果:
- 方法可以量化由于组合偏差而导致的元分析结果的潜在变化.
- 它们可以确定在特定的出版偏差水平下取消或减少观察到的效应所需的假设内部偏差严重程度.
结论:
- 提出的灵敏度分析提供了对元分析稳定性的更深入的见解,而不是单独考虑偏见.
- 这些方法通过考虑潜在的偏见来增强对元分析结果的解释.
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