Quality of meta-analyses in terms of actual statistical
analysis (an empirical investigation)
A paper by Jadad et al suggests that the quality of Cochrane Collaboration
(CC) reviews is
generally better than those done by others. However, as has
been pointed out, the quality tool that
has been used to assess such reviews places little
premium on correct analysis. An informal
investigation suggests that CC analyses are often deficient in some
respects. In particular, there is
a tendency to count control arms twice, to handle
cross-over and cluster randomised trials
inappropriately, to ignore covariate information and to impute
missing values when it would
probably be better not to include the trials.
This project will consist of
establishing a suitable quality instrument, devising an appropriate
sampling plan, selecting some studies from the CC database http://www3.interscience.wiley.com/cgi-bin
,
summarising the
results and drawing suitable inferences.
References
Jadad AR, Moher M, Browman GP, Booker L, Sigouin C,
Fuentes M, et al. Systematic reviews
and meta-analyses on treatment of asthma: critical
evaluation. British Medical Journal
2000;320(7234):537-40.
Senn SJ. Review is biased. British Medical Journal 2000;321:p297.
Senn SJ. An unreasonable prejudice
against modelling? Pharmaceutical Statistics
2005;4:87-89.
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