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editorial
. 2023 Jun 7;11(6):e23.00077. doi: 10.2106/JBJS.RVW.23.00077

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).

a

See text for descriptions of the types of data combined in each of these approaches.

b

See Supplementary File 4 (http://links.lww.com/JBJSREV/A980) for guidance on the structure and presentation of forest plots.

c

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.

d

Examples include meta-regression, hierarchical and multivariate approaches164.

e

In-depth guidance and illustrations of these methods are provided in Chapter 12 of the Cochrane Handbook160.