Applied Comparison of Meta-analysis Techniques

**Background:** Meta-analysis is an approach that combines findings from similar studies. The aggregation of study level data can provide precise estimates for outcomes of interest, allow for unique treatment comparisons, and explain the differences arising from conflicting study results. Proper met...

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Main Authors: Li Wang, Colin Lewis-Beck, Elyse Fritschel, Erdem Baser, Onur Baser
Format: Article
Language:English
Published: Columbia Data Analytics, LLC 2013-02-01
Series:Journal of Health Economics and Outcomes Research
Online Access:https://doi.org/10.36469/9848
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author Li Wang
Colin Lewis-Beck
Elyse Fritschel
Erdem Baser
Onur Baser
author_facet Li Wang
Colin Lewis-Beck
Elyse Fritschel
Erdem Baser
Onur Baser
author_sort Li Wang
collection DOAJ
description **Background:** Meta-analysis is an approach that combines findings from similar studies. The aggregation of study level data can provide precise estimates for outcomes of interest, allow for unique treatment comparisons, and explain the differences arising from conflicting study results. Proper meta-analysis includes five basic steps: identify relevant studies; extract summary data from each paper; compute study effect sizes, perform statistical analysis; and interpret and report the results. **Objectives:** This study aims to review meta-analysis methods and their assumptions, apply various meta-techniques to empirical data, and compare the results from each method. **Methods:** Three different meta-analysis techniques were applied to a dataset looking at the effects of the bacille Calmette-Guerin (BCG) vaccine on tuberculosis (TB). First, a fixed-effects model was applied; then a random-effects model; and third meta-regression with study-level covariates were added to the model. Overall and stratified results, by geographic latitude were reported. **Results:** All three techniques showed a statistically significant effects from the vaccination. However, once covariates were added, efficacy diminished. Independent variables, such as the latitude of the location in which the study was performed, appeared to be partially driving the results. **Conclusions:** Meta-analysis is useful for drawing general conclusions from a variety of studies. However, proper study and model selection are important to ensure the correct interpretation of results. Basic meta-analysis models are fixed-effects, random-effects, and meta-regression.
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spelling doaj-art-a31af060246745fca8d7479ca5ece0842025-02-10T16:12:42ZengColumbia Data Analytics, LLCJournal of Health Economics and Outcomes Research2327-22362013-02-0111Applied Comparison of Meta-analysis TechniquesLi WangColin Lewis-BeckElyse FritschelErdem BaserOnur Baser**Background:** Meta-analysis is an approach that combines findings from similar studies. The aggregation of study level data can provide precise estimates for outcomes of interest, allow for unique treatment comparisons, and explain the differences arising from conflicting study results. Proper meta-analysis includes five basic steps: identify relevant studies; extract summary data from each paper; compute study effect sizes, perform statistical analysis; and interpret and report the results. **Objectives:** This study aims to review meta-analysis methods and their assumptions, apply various meta-techniques to empirical data, and compare the results from each method. **Methods:** Three different meta-analysis techniques were applied to a dataset looking at the effects of the bacille Calmette-Guerin (BCG) vaccine on tuberculosis (TB). First, a fixed-effects model was applied; then a random-effects model; and third meta-regression with study-level covariates were added to the model. Overall and stratified results, by geographic latitude were reported. **Results:** All three techniques showed a statistically significant effects from the vaccination. However, once covariates were added, efficacy diminished. Independent variables, such as the latitude of the location in which the study was performed, appeared to be partially driving the results. **Conclusions:** Meta-analysis is useful for drawing general conclusions from a variety of studies. However, proper study and model selection are important to ensure the correct interpretation of results. Basic meta-analysis models are fixed-effects, random-effects, and meta-regression.https://doi.org/10.36469/9848
spellingShingle Li Wang
Colin Lewis-Beck
Elyse Fritschel
Erdem Baser
Onur Baser
Applied Comparison of Meta-analysis Techniques
Journal of Health Economics and Outcomes Research
title Applied Comparison of Meta-analysis Techniques
title_full Applied Comparison of Meta-analysis Techniques
title_fullStr Applied Comparison of Meta-analysis Techniques
title_full_unstemmed Applied Comparison of Meta-analysis Techniques
title_short Applied Comparison of Meta-analysis Techniques
title_sort applied comparison of meta analysis techniques
url https://doi.org/10.36469/9848
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AT onurbaser appliedcomparisonofmetaanalysistechniques