Meta-analysis

A meta-analysis groups results of several trials to increase statistical power and provide an overall pooled effect estimate.

When different categories were evaluated separately but presented in the same analysis, a test for heterogeneity is required to show that there is little difference between them.

Heterogeneity

A commonly used heterogeneity test is the Q statistic, which results in a corresponding P value.  (Cohran's Q)

In general, the null hypothesis (H0) denotes that there is no difference between the groups studied. A small significant P value (<0.05) suggests that there is a difference and that H0 should be rejected.

However, large nonsignificant P value (>0.05) suggests that there is no difference between the groups studied so H0 cannot be rejected.

Another commonly used heterogeneity test is the I2 index (derived from the Q statistic; I² = 100% x (Q-df)/Q. I²).

An I2 index = 0 represents no heterogeneity.

I2 index = <25% = low heterogeneity

I2 index = 50% = moderate heterogeneity

I2 index = 75% = high heterogeneity

Simple or basic regression

Meta-regression

Meta-synthesis


Funnel plot