The power of meta-analysis: a challenge for evidence-based medicine

被引:5
|
作者
Berchialla, Paola [1 ]
Chiffi, Daniele [2 ]
Valente, Giovanni [2 ]
Voutilainen, Ari [3 ]
机构
[1] Univ Torino, Turin, Italy
[2] Politecn Milan, Milan, Italy
[3] Univ Eastern Finland, Kuopio, Finland
关键词
Meta-analysis; Heterogeneity; Power; Evidence-based medicine; HETEROGENEITY;
D O I
10.1007/s13194-020-00321-w
中图分类号
N09 [自然科学史]; B [哲学、宗教];
学科分类号
01 ; 0101 ; 010108 ; 060207 ; 060305 ; 0712 ;
摘要
This paper discusses the outstanding problem of replicability of empirical data in the context of recent work on meta-analysis, especially within the field of evidence-based medicine. Specifically, it deals with the methodological issue of how to determine the degrees of heterogeneity between different collected studies. After critically reviewing the standard measures used to quantify meta-analytical heterogeneity, we argue that they should be revised in such a way to take into account the statistical power of the individual studies. We thus propose some new measures of heterogeneity. Subsequently, we apply them to re-assess concrete case-studies from clinical research, thereby showing explicitly how the relevant values of heterogeneity diverge from those obtained with the original measures.
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收藏
页数:18
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