De praktijk van systematische reviews. V. Heterogeniteit tussen onderzoeken en subgroepanalysen

Translated title of the contribution: The practice of systematic reviews. V. Heterogeneity between studies and subgroup analysis

R J Scholten, W J Assendelft, P J Kostense, L M Bouter

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Meta-analysis comprises the analysis of the data of similar studies gathered in a systematic review. If the results of the studies differ (strongly), this is called heterogeneity. Possible causes of heterogeneity are: a wrong choice of type of measure of treatment effect, differences of methodological quality between studies, or real differences between studies. Heterogeneity between studies can be assessed by thorough examination of the differences between study characteristics in combination with a visual inspection of the degree of overlap of the confidence intervals of the estimates of effect of the different studies. By applying the random effects model for pooling, (non-systematic) heterogeneity between studies can be addressed. In case of heterogeneity between studies, sources of heterogeneity should be explored by means of subgroup analysis according to strict, present criteria. Subgroup analysis should address subgroups of patients within studies.

Translated title of the contributionThe practice of systematic reviews. V. Heterogeneity between studies and subgroup analysis
Original languageDutch
Pages (from-to)843-8
Number of pages6
JournalNederlands Tijdschrift voor Geneeskunde
Volume143
Issue number16
Publication statusPublished - 17 Apr 1999

Keywords

  • Confidence Intervals
  • Data Interpretation, Statistical
  • Humans
  • Meta-Analysis as Topic
  • Models, Statistical
  • Random Allocation
  • Review Literature as Topic
  • Statistics, Nonparametric
  • English Abstract
  • Journal Article

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