Literature DB >> 33596922

Dynamic meta-analysis: a method of using global evidence for local decision making.

Gorm E Shackelford1,2, Philip A Martin3,4, Amelia S C Hood3, Alec P Christie3, Elena Kulinskaya5, William J Sutherland3,4.   

Abstract

BACKGROUND: Meta-analysis is often used to make generalisations across all available evidence at the global scale. But how can these global generalisations be used for evidence-based decision making at the local scale, if the global evidence is not perceived to be relevant to local decisions? We show how an interactive method of meta-analysis-dynamic meta-analysis-can be used to assess the local relevance of global evidence.
RESULTS: We developed Metadataset ( www.metadataset.com ) as a proof-of-concept for dynamic meta-analysis. Using Metadataset, we show how evidence can be filtered and weighted, and results can be recalculated, using dynamic methods of subgroup analysis, meta-regression, and recalibration. With an example from agroecology, we show how dynamic meta-analysis could lead to different conclusions for different subsets of the global evidence. Dynamic meta-analysis could also lead to a rebalancing of power and responsibility in evidence synthesis, since evidence users would be able to make decisions that are typically made by systematic reviewers-decisions about which studies to include (e.g. critical appraisal) and how to handle missing or poorly reported data (e.g. sensitivity analysis).
CONCLUSIONS: In this study, we show how dynamic meta-analysis can meet an important challenge in evidence-based decision making-the challenge of using global evidence for local decisions. We suggest that dynamic meta-analysis can be used for subject-wide evidence synthesis in several scientific disciplines, including agroecology and conservation biology. Future studies should develop standardised classification systems for the metadata that are used to filter and weight the evidence. Future studies should also develop standardised software packages, so that researchers can efficiently publish dynamic versions of their meta-analyses and keep them up-to-date as living systematic reviews. Metadataset is a proof-of-concept for this type of software, and it is open source. Future studies should improve the user experience, scale the software architecture, agree on standards for data and metadata storage and processing, and develop protocols for responsible evidence use.

Entities:  

Keywords:  Applicability; Conservation evidence; Dynamic meta-analysis; External validity; Generalisability; Knowledge transfer; Recalibration; Subject-wide evidence synthesis; Systematic reviews; Transferability

Year:  2021        PMID: 33596922      PMCID: PMC7888140          DOI: 10.1186/s12915-021-00974-w

Source DB:  PubMed          Journal:  BMC Biol        ISSN: 1741-7007            Impact factor:   7.431


  21 in total

Review 1.  Health policy-makers' perceptions of their use of evidence: a systematic review.

Authors:  Simon Innvaer; Gunn Vist; Mari Trommald; Andrew Oxman
Journal:  J Health Serv Res Policy       Date:  2002-10

Review 2.  How do we know when research from one setting can be useful in another? A review of external validity, applicability and transferability frameworks.

Authors:  Helen Burchett; Muriah Umoquit; Mark Dobrow
Journal:  J Health Serv Res Policy       Date:  2011-10

3.  Assessing the applicability of findings in systematic reviews of complex interventions can enhance the utility of reviews for decision making.

Authors:  Belinda Burford; Simon Lewin; Vivian Welch; Eva Rehfuess; Elizabeth Waters
Journal:  J Clin Epidemiol       Date:  2013-08-14       Impact factor: 6.437

4.  Community-Augmented Meta-Analyses: Toward Cumulative Data Assessment.

Authors:  Sho Tsuji; Christina Bergmann; Alejandrina Cristia
Journal:  Perspect Psychol Sci       Date:  2014-11

5.  How can additional secondary data analysis of observational data enhance the generalisability of meta-analytic evidence for local public health decision making?

Authors:  Dylan Kneale; James Thomas; Alison O'Mara-Eves; Richard Wiggins
Journal:  Res Synth Methods       Date:  2018-10-21       Impact factor: 5.273

6.  External Validity: The Next Step for Systematic Reviews?

Authors:  Sarah A Avellar; Jaime Thomas; Rebecca Kleinman; Emily Sama-Miller; Sara E Woodruff; Rebecca Coughlin; T'Pring R Westbrook
Journal:  Eval Rev       Date:  2016-08-31

Review 7.  Contribution of systematic reviews to management decisions.

Authors:  Carly N Cook; Hugh P Possingham; Richard A Fuller
Journal:  Conserv Biol       Date:  2013-08-23       Impact factor: 6.560

8.  Trading quality for relevance: non-health decision-makers' use of evidence on the social determinants of health.

Authors:  Elizabeth McGill; Matt Egan; Mark Petticrew; Lesley Mountford; Sarah Milton; Margaret Whitehead; Karen Lock
Journal:  BMJ Open       Date:  2015-04-02       Impact factor: 2.692

9.  Living systematic reviews: an emerging opportunity to narrow the evidence-practice gap.

Authors:  Julian H Elliott; Tari Turner; Ornella Clavisi; James Thomas; Julian P T Higgins; Chris Mavergames; Russell L Gruen
Journal:  PLoS Med       Date:  2014-02-18       Impact factor: 11.069

10.  A Tutorial on Hunting Statistical Significance by Chasing N.

Authors:  Denes Szucs
Journal:  Front Psychol       Date:  2016-09-22
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