Table 3.
Fixed effect model versus random effect model
| Fixed effects model | Random effects model | |
|---|---|---|
| Treatment effect | Assumed that the treatment effect of one agent compared with another is the same across all trials containing those treatments | Assumed that the treatment effect size varies between studies |
| Study weights | Based upon within-study variance only | Based upon within-study and between-study variances |
| Use |
If there are a small number of studies with large sample sizes (i.e., sparse evidence base) If there are too few studies to accurately estimate between-study variance |
If substantial heterogeneity in study or patient characteristics between the combined studies is suspected |
Source [64]