Table 4.4.
Common methods for quantitative syntheses
| 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-analysis e | 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 | |
CI, confidence interval (or credible interval, if analysis is done in Bayesian framework).
See text for descriptions of the types of data combined in each of these approaches.
See Supplementary File 4 (http://links.lww.com/JBJSREV/A980) for guidance on the structure and presentation of forest plots.
General approach is similar to aggregate data meta-analysis but there are substantial differences relating to data collection and checking and analysis162.
This approach to syntheses is applicable to intervention, diagnostic, and prognostic systematic reviews163.
Examples include meta-regression, hierarchical and multivariate approaches164.
In-depth guidance and illustrations of these methods are provided in Chapter 12 of the Cochrane Handbook160.