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. 2024 Dec 21;25:438. doi: 10.1186/s12931-024-03056-x

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]