Research Synthesis Methods · 2017 · 614 citations · 29 references
Public HealthBiostatisticsEpidemiologic MethodsEpidemiologyMeta-analysisFixed-effect ModelsSystematic ReviewBetween-study Variance EstimationWithin-study Variance
Meta‑analysis is often assumed to increase power, which holds under fixed‑effect models, but incorporating between‑study variance in random‑effects models and estimating it can diminish that advantage. The authors aim to develop methods for evaluating the power of random‑effects meta‑analyses and the average power of the constituent studies so the two can be compared. They derive new analytical results and apply these methods to 1,991 Cochrane meta‑analyses to retrospectively compute their powers. Their analysis shows that at least five studies are required for random‑effects meta‑analyses to achieve power comparable to or exceeding that of individual studies, and that with very few studies the model’s inference is both difficult and less valuable, thereby refuting the common belief that meta‑analysis always boosts power.
One of the reasons for the popularity of meta-analysis is the notion that these analyses will possess more power to detect effects than individual studies. This is inevitably the case under a fixed-effect model. However, the inclusion of the between-study variance in the random-effects model, and the need to estimate this parameter, can have unfortunate implications for this power. We develop methods for assessing the power of random-effects meta-analyses, and the average power of the individual studies that contribute to meta-analyses, so that these powers can be compared. In addition to deriving new analytical results and methods, we apply our methods to 1991 meta-analyses taken from the Cochrane Database of Systematic Reviews to retrospectively calculate their powers. We find that, in practice, 5 or more studies are needed to reasonably consistently achieve powers from random-effects meta-analyses that are greater than the studies that contribute to them. Not only is statistical inference under the random-effects model challenging when there are very few studies but also less worthwhile in such cases. The assumption that meta-analysis will result in an increase in power is challenged by our findings.
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Meta-analysis in clinical trials
Rebecca DerSimonian, Nan M. Laird · Controlled Clinical Trials · 1986 · 39.3K citations
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Interpretation of random effects meta-analyses
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