Literature DB >> 21375365

Meta-analysis: fact or fiction? How to interpret meta-analyses.

Wolfgang Huf1, Klaudius Kalcher, Gerald Pail, Michaela-Elena Friedrich, Peter Filzmoser, Siegfried Kasper.   

Abstract

OBJECTIVES: Widespread use of increasingly complex statistical methods makes it ever more challenging to adequately assess the results reported and conclusions drawn in meta-analytic research. This paper aims to identify potential fallacies by in-depth examination of recent publications on mood disorders.
METHODS: Three meta-analyses were selected based on availability of data and representativeness of methods employed. By means of detailed re-analysis, several widespread methodological problems were identified, and the example data were used to illustrate and discuss them.
RESULTS: General points addressed include clear formulation of the research question, choice of effect size measures, and general choice of model. Data quality problems like missing data and publication bias are discussed along with methods to deal with them. Furthermore, aspects of meta-analytic modelling like the use of fixed or random effects, data aggregation, as well as the use of subgroups are explained, and issues of excessive complexity and data dredging pointed out. Finally, the benefit of diagnostic tools like confidence bands and the importance of transparency regarding data and methodology for the interpretation of meta-analytic results are highlighted.
CONCLUSIONS: Practically relevant quality criteria for readers to bear in mind when dealing with meta-analytic publications are summarized in a ten point checklist.

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Year:  2011        PMID: 21375365     DOI: 10.3109/15622975.2010.551544

Source DB:  PubMed          Journal:  World J Biol Psychiatry        ISSN: 1562-2975            Impact factor:   4.132


  16 in total

1.  A highly parallelized framework for computationally intensive MR data analysis.

Authors:  Roland N Boubela; Wolfgang Huf; Klaudius Kalcher; Ronald Sladky; Peter Filzmoser; Lukas Pezawas; Siegfried Kasper; Christian Windischberger; Ewald Moser
Journal:  MAGMA       Date:  2011-11-16       Impact factor: 2.310

2.  How close is evidence to truth in evidence-based treatment of mental disorders?

Authors:  Hans-Jürgen Möller
Journal:  Eur Arch Psychiatry Clin Neurosci       Date:  2011-11-22       Impact factor: 5.270

3.  Factors contributing to the increasing placebo response in antidepressant trials.

Authors:  Siegfried Kasper; Markus Dold
Journal:  World Psychiatry       Date:  2015-10       Impact factor: 49.548

4.  Repetitive transcranial magnetic stimulation (rTMS) augmentation of selective serotonin reuptake inhibitors (SSRIs) for SSRI-resistant obsessive-compulsive disorder (OCD): a meta-analysis of randomized controlled trials.

Authors:  Zhong-Rui Ma; Li-Jun Shi
Journal:  Int J Clin Exp Med       Date:  2014-12-15

5.  Improving study design for antidepressant effectiveness assessment.

Authors:  Florian Naudet; Bruno Millet; Jean Michel Reymann; Bruno Falissard
Journal:  Int J Methods Psychiatr Res       Date:  2013-08-30       Impact factor: 4.035

Review 6.  Clinically meaningful efficacy and acceptability of low-frequency repetitive transcranial magnetic stimulation (rTMS) for treating primary major depression: a meta-analysis of randomized, double-blind and sham-controlled trials.

Authors:  Marcelo T Berlim; Frederique Van den Eynde; Z Jeff Daskalakis
Journal:  Neuropsychopharmacology       Date:  2012-11-19       Impact factor: 7.853

Review 7.  Efficacy of pharmacotherapy in bipolar disorder: a report by the WPA section on pharmacopsychiatry.

Authors:  Konstantinos N Fountoulakis; Siegfried Kasper; Ole Andreassen; Pierre Blier; Ahmed Okasha; Emanuel Severus; Marcio Versiani; Rajiv Tandon; Hans-Jürgen Möller; Eduard Vieta
Journal:  Eur Arch Psychiatry Clin Neurosci       Date:  2012-06       Impact factor: 5.270

8.  A multivariate approach linking reported side effects of clinical antidepressant and antipsychotic trials to in vitro binding affinities.

Authors:  Johanna Michl; Christian Scharinger; Miriam Zauner; Siegfried Kasper; Michael Freissmuth; Harald H Sitte; Gerhard F Ecker; Lukas Pezawas
Journal:  Eur Neuropsychopharmacol       Date:  2014-07-03       Impact factor: 4.600

9.  Beyond Noise: Using Temporal ICA to Extract Meaningful Information from High-Frequency fMRI Signal Fluctuations during Rest.

Authors:  Roland N Boubela; Klaudius Kalcher; Wolfgang Huf; Claudia Kronnerwetter; Peter Filzmoser; Ewald Moser
Journal:  Front Hum Neurosci       Date:  2013-05-01       Impact factor: 3.169

10.  The media and intellectuals' response to medical publications: the antidepressants' case.

Authors:  Konstantinos N Fountoulakis; Cyril Hoschl; Siegfried Kasper; Juan Lopez-Ibor; Hans-Jürgen Möller
Journal:  Ann Gen Psychiatry       Date:  2013-04-12       Impact factor: 3.455

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