{"title":"A brief note on the random-effects meta-analysis model and its relationship to other models","authors":"Joanne E. McKenzie , Areti Angeliki Veroniki","doi":"10.1016/j.jclinepi.2024.111492","DOIUrl":"10.1016/j.jclinepi.2024.111492","url":null,"abstract":"<div><p>Meta-analysis is a statistical method for combining quantitative results across studies. A fundamental decision in undertaking a meta-analysis is choosing an appropriate model for analysis. This is the second of two companion articles which have the joint aim of describing the different meta-analysis models. In the first article, we focused on the common-effect (also known as fixed-effect [singular]) model, and in this article, we focus on the random-effects model. We describe the key assumptions underlying the random-effects model, how it is related to the common-effect and fixed-effects [plural] models, and present some of the arguments for selecting one model over another. We outline some of the methods for fitting a random-effects model. Finally, we present an illustrative example to demonstrate how the results can differ depending on the chosen model and method. Understanding the assumptions of the different meta-analysis models, and the questions they address, is critical for meta-analysis model selection and interpretation.</p></div>","PeriodicalId":51079,"journal":{"name":"Journal of Clinical Epidemiology","volume":"174 ","pages":"Article 111492"},"PeriodicalIF":7.3,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0895435624002488/pdfft?md5=db7f30882c8d852787704596a142ef55&pid=1-s2.0-S0895435624002488-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Indirect effects in mediation analyses should still include measures of uncertainty and, when appropriate, test for statistical significance","authors":"","doi":"10.1016/j.jclinepi.2024.111395","DOIUrl":"10.1016/j.jclinepi.2024.111395","url":null,"abstract":"","PeriodicalId":51079,"journal":{"name":"Journal of Clinical Epidemiology","volume":"172 ","pages":"Article 111395"},"PeriodicalIF":7.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Indirect effects in mediation analyses should still include measures of uncertainty and when appropriate, test for statistical significance: author reply","authors":"","doi":"10.1016/j.jclinepi.2024.111409","DOIUrl":"10.1016/j.jclinepi.2024.111409","url":null,"abstract":"","PeriodicalId":51079,"journal":{"name":"Journal of Clinical Epidemiology","volume":"172 ","pages":"Article 111409"},"PeriodicalIF":7.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141275215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Including the social vulnerability index into a predictive model of vaginal birth after cesarean","authors":"","doi":"10.1016/j.jclinepi.2024.111421","DOIUrl":"10.1016/j.jclinepi.2024.111421","url":null,"abstract":"","PeriodicalId":51079,"journal":{"name":"Journal of Clinical Epidemiology","volume":"172 ","pages":"Article 111421"},"PeriodicalIF":7.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141293923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improved reporting of selection processes in clinical database research. Response to de Kok et al.","authors":"","doi":"10.1016/j.jclinepi.2024.111373","DOIUrl":"10.1016/j.jclinepi.2024.111373","url":null,"abstract":"","PeriodicalId":51079,"journal":{"name":"Journal of Clinical Epidemiology","volume":"172 ","pages":"Article 111373"},"PeriodicalIF":7.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Editors’ Choice – August 2024","authors":"Andrea C. Tricco, David Tovey","doi":"10.1016/j.jclinepi.2024.111496","DOIUrl":"10.1016/j.jclinepi.2024.111496","url":null,"abstract":"","PeriodicalId":51079,"journal":{"name":"Journal of Clinical Epidemiology","volume":"172 ","pages":"Article 111496"},"PeriodicalIF":7.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142011826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Corrigendum to Table 0; documenting the steps to go from clinical database to research dataset Journal of Clinical Epidemiology Volume 170 (2024) 111342","authors":"","doi":"10.1016/j.jclinepi.2024.111436","DOIUrl":"10.1016/j.jclinepi.2024.111436","url":null,"abstract":"","PeriodicalId":51079,"journal":{"name":"Journal of Clinical Epidemiology","volume":"172 ","pages":"Article 111436"},"PeriodicalIF":7.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0895435624001926/pdfft?md5=a2f9819f48739cc941efc965bb5df7d5&pid=1-s2.0-S0895435624001926-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zil H. Nasir , Tamara Lotfi , Juan J. Yepes Nuñez , Yuan Zhang , Ignacio Neumann , Holger J. Schünemann
{"title":"Latin American panelists find GRADE-ADOLOPMENT useful and important to contextualize recommendations in their region","authors":"Zil H. Nasir , Tamara Lotfi , Juan J. Yepes Nuñez , Yuan Zhang , Ignacio Neumann , Holger J. Schünemann","doi":"10.1016/j.jclinepi.2024.111483","DOIUrl":"10.1016/j.jclinepi.2024.111483","url":null,"abstract":"<div><h3>Background and Objective</h3><p>Grading of Recommendations, Assessment, Development, and Evaluation (GRADE)-ADOLOPMENT is widely applied to efficiently use existing credible guidelines and contextualize them to a target setting. To highlight the experiences of a Latin American Guideline Development Group (GDG) applying GRADE-ADOLOPMENT to adapt the American Society of Hematology's clinical practice guideline on managing venous thromboembolisms (VTEs) in Latin America.</p></div><div><h3>Study Design and Setting</h3><p>We employed a mixed-method postevaluation using self-administered surveys and semistructured interviews. We assessed the Latin American GDG (1) general satisfaction and confidence using the approach, (2) their ratings on the usefulness, appropriateness, and importance of GRADE-ADOLOPMENT and its tools to inform their judgements, and (3) any additional facilitators and barriers to refine the process.</p></div><div><h3>Results</h3><p>Eleven of the 14 GDG members, including nine panelists and two methodologists, provided survey responses and eight participated in the interview. Respondents felt “mostly” or “completely” satisfied with the adapted guideline. Eight panelists who were surveyed agree that GRADE-ADOLOPMENT is useful in countries with limited resources. Although panelists expressed initial apprehensions in their understanding of the process, they demonstrated enhanced confidence in their capacity to apply GRADE after completing workshop training and by acquiring experience. Panelists reiterated the importance of considering evidence-to-decision (EtD) criteria (ie, resources, feasibility, and cost-effectiveness) when adapting recommendations. The GDG encountered challenges with collecting local and regional data, prioritizing recommendations while considering intraregional diversity, and the lengthy publication period, although the latter stemmed from procedures not related to GRADE-ADOLOPMENT.</p></div><div><h3>Conclusions</h3><p>GRADE-ADOLOPMENT is an important tool to facilitate the adaptation and uptake of clinical practice guidelines in novel settings. The GDG felt satisfied with their overall experience using the GRADE-ADOLOPMENT approach. However, their experience could have been optimized if they had access to robust regional evidence, more recommendations to adapt from, and worked with more efficient guideline production timelines.</p></div>","PeriodicalId":51079,"journal":{"name":"Journal of Clinical Epidemiology","volume":"175 ","pages":"Article 111483"},"PeriodicalIF":7.3,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Diana Buitrago-Garcia , William Gildardo Robles-Rodriguez , Javier Eslava-Schmalbach , Georgia Salanti , Nicola Low
{"title":"Characteristics and completeness of reporting of systematic reviews of prevalence studies in adult populations: a metaresearch study","authors":"Diana Buitrago-Garcia , William Gildardo Robles-Rodriguez , Javier Eslava-Schmalbach , Georgia Salanti , Nicola Low","doi":"10.1016/j.jclinepi.2024.111489","DOIUrl":"10.1016/j.jclinepi.2024.111489","url":null,"abstract":"<div><h3>Objectives</h3><p>The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement, first published in 2009, has been widely endorsed and compliance is high in systematic reviews (SRs) of intervention studies. SRs of prevalence studies are increasing in frequency, but their characteristics and reporting quality have not been examined in large studies. Our objectives were to describe the characteristics of SRs of prevalence studies in adults, evaluate the completeness of reporting, and explore study-level characteristics associated with the completeness of reporting.</p></div><div><h3>Study Design and Setting</h3><p>We did a metaresearch study. We searched 5 databases from January 2010 to December 2020 to identify SRs of prevalence studies in adult populations. We used the PRISMA 2009 checklist to assess completeness of reporting and recorded additional characteristics. We conducted a descriptive analysis of review characteristics and linear regression to assess the relationship between compliance with PRISMA and publication characteristics.</p></div><div><h3>Results</h3><p>We included 1172 SRs of prevalence studies. The number of reviews increased from 25 in 2010 to 273 in 2020. The median PRISMA score for SRs without meta-analysis was 17.5 of a maximum of 23, and for SRs with meta-analysis, 22 of a maximum of 25. Completeness of reporting, particularly for key items in the methods section, was suboptimal. SRs that included a meta-analysis or reported using a reporting or conduct guideline were the factors most strongly associated with increased compliance with PRISMA 2009.</p></div><div><h3>Conclusion</h3><p>Reporting of SRs of prevalence was adequate for many PRISMA items. Nonetheless, this study highlights aspects for which special attention is needed. Development of a specific tool to assess the risk of bias in prevalence studies and an extension to the PRISMA statement could improve the conduct and reporting of SRs of prevalence studies.</p></div>","PeriodicalId":51079,"journal":{"name":"Journal of Clinical Epidemiology","volume":"174 ","pages":"Article 111489"},"PeriodicalIF":7.3,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0895435624002452/pdfft?md5=deb05794fbc4ae3add883f1c4274c4df&pid=1-s2.0-S0895435624002452-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}