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Table 4.4 Common methods for quantitative synthesis

From: Guidance to best tools and practices for systematic reviews

 

Statistical method

Reported data

Presentation

Meta-analysis

Aggregate dataa

Individual

participant datac

Weighted average of effect estimates

Pairwise comparisons of effect estimates, CI

Overall effect estimate, CI, P value

Evaluation of heterogeneity

Forest plotb with summary statistic for average effect estimate

Networka

Variabled

The interventions, which are compared directly versus indirectly

Network diagram or graph, tabular presentations

Comparisons of relative effects between any pair of interventions

Effect estimates for intervention pairings

Summary relative effects for pair-wise comparisons with evaluations of inconsistency and heterogeneity

Forest plot, other methods

Treatment rankings (ie, probability that an intervention is among the best options)

Rankogram plot

Synthesis without meta-analysise

Summarizing effect estimates from separate studies (without combination that would provide an average effect estimate)

Range and distribution of observed effects such as median, interquartile range, range

Box-and-whisker plot, bubble plot

Forest plot (without summary effect estimate)

Combining P values

Combined P value, number of studies

Albatross plot (study sample size against P values per outcome)

Vote counting by direction of effect (eg, favors intervention over the comparator)

Proportion of studies with an effect in the direction of interest, CI, P value

Harvest plot, effect direction plot

  1. CI confidence interval (or credible interval, if analysis is done in Bayesian framework)
  2. aSee text for descriptions of the types of data combined in each of these approaches
  3. bSee Additional File 4 for guidance on the structure and presentation of forest plots
  4. cGeneral approach is similar to aggregate data meta-analysis but there are substantial differences relating to data collection and checking and analysis [162]. This approach to syntheses is applicable to intervention, diagnostic, and prognostic systematic reviews [163]
  5. dExamples include meta-regression, hierarchical and multivariate approaches [164]
  6. eIn-depth guidance and illustrations of these methods are provided in Chapter 12 of the Cochrane Handbook [160]