A comparison of heterogeneity variance estimators in simulated random‐effects meta‐analyses
Open accessAbstract
Studies combined in a meta‐analysis often have differences in their design and conduct that can lead to heterogeneous results. A random‐effects model accounts for these differences in the underlying study effects, which includes a heterogeneity variance parameter. The DerSimonian‐Laird method is often used to estimate the heterogeneity variance, but simulation studies have found the method can be biased and other methods are available. This paper compares the properties of nine different heterogeneity variance estimators using simulated meta‐analysis data. Simulated scenarios include studies of equal size and of moderate and large differences in size. Results confirm that the DerSimonian‐Laird estimator is negatively biased in scenarios with small studies and in scenarios with a rare binary outcome. Results also show the Paule‐Mandel method has considerable positive bias in meta‐analyses with large differences in study size. We recommend the method of restricted maximum likelihood (REML) to estimate the heterogeneity variance over other methods. However, considering that meta‐analyses of health studies typically contain few studies, the heterogeneity variance estimate should not be used as a reliable gauge for the extent of heterogeneity in a meta‐analysis. The estimated summary effect of the meta‐analysis and its confidence interval derived from the Hartung‐Knapp‐Sidik‐Jonkman method are more robust to changes in the heterogeneity variance estimate and show minimal deviation from the nominal coverage of 95% under most of our simulated scenarios.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The random-effect model with restricted maximum likelihood provides less biased estimates than other methods.
“Meta-analysis was conducted using a random-effect model with restricted maximum likelihood, as the estimator of true heterogeneity, which seems to provide us with less biased estimates than other methods.33”
From Psychological interventions for depression and anxiety: a systematic review and meta-analysis of Iranian chronic pain trials. (2020) · cites this paper as [33]
The REML results (p. 13) report relatively low bias in heterogeneity-variance estimates and less negative bias than DerSimonian–Laird in some scenarios. The Discussion (p. 16) describes REML as having properties similar to another well-performing estimator, so the source does not establish that it is less biased than other methods generally. It also reports similar bias across estimators for summary-effect estimates with rare events (p. 13). (LLM, conf=0.86)
Experimental — accuracy not yet measuredFor random-effects models, many methods are available, and their performance has been shown to differ depending on the characteristics of the meta-analysis, such as the number and size of the included studies.
“For random-effects models, many methods are available, and their performance has been shown to differ depending on the characteristics of the meta-analysis (such as the number and size of the included studies113 114).”
From PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews (2021) · cites this paper as [114]
A random-effects model typically cannot adequately estimate heterogeneity with only two effects.
“a random-effects model typically cannot adequately estimate heterogeneity with only two effects (Langan et al., 2019)”
From Investigating the replicability of preclinical cancer biology (2021) · cites this paper as Langan et al., 2019
The Knapp-Hartung method assumes a t-distribution of the pooled effect rather than a normal distribution, which reduces the chance of obtaining false-positive results.
“This method assumes a t-distribution of the pooled effect rather than a normal distribution, which reduces the chance of obtaining false-positive results (Langan et al., 2019).”
From The state of hiring discrimination: A meta-analysis of (almost) all recent correspondence experiments (2023) · cites this paper as Langan et al., 2019
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Meta-analysis in clinical trials
DerSimonian, R., & Laird, N. (1986) · Controlled Clinical Trials · doi:10.1016/0197-2456(86)90046-2 · Cited by 39,552 · see citing works
Quantifying heterogeneity in a meta‐analysis
Higgins, J. P. T., & Thompson, S. G. (2002) · Statistics in Medicine · doi:10.1002/sim.1186 · Cited by 36,763 · see citing works
Self-citationConducting Meta-Analyses in <i>R</i> with the <b>metafor</b> Package
Viechtbauer, W. (2010) · Journal of Statistical Software · doi:10.18637/jss.v036.i03 · Cited by 20,464 · see citing works
Self-citationBorenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009) · doi:10.1002/9780470743386 · Cited by 14,225 · see citing works
Self-citationBorenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2021) · doi:10.1002/9781119558378 · Cited by 9,799 · see citing works
Self-citationHunter, J., & Schmidt, F. (2004) · doi:10.4135/9781412985031 · Cited by 3,023 · see citing works
Maximum Likelihood Approaches to Variance Component Estimation and to Related Problems
Harville, D. A. (1977) · Journal of the American Statistical Association · doi:10.1080/01621459.1977.10480998 · Cited by 2,667 · see citing works
IntHout, J., Ioannidis, J. P., & Borm, G. F. (2014) · BMC Medical Research Methodology · doi:10.1186/1471-2288-14-25 · Cited by 2,419 · see citing works
Random-effects model for meta-analysis of clinical trials: An update
DerSimonian, R., & Kacker, R. (2007) · Contemporary Clinical Trials · doi:10.1016/j.cct.2006.04.004 · Cited by 2,374 · see citing works
Improved tests for a random effects meta‐regression with a single covariate
Knapp, G., & Hartung, J. (2003) · Statistics in Medicine · doi:10.1002/sim.1482 · Cited by 2,075 · see citing works
What to add to nothing? Use and avoidance of continuity corrections in meta‐analysis of sparse data
J. Sweeting, M., J. Sutton, A., & C. Lambert, P. (2004) · Statistics in Medicine · doi:10.1002/sim.1761 · Cited by 1,734 · see citing works
Bias and Efficiency of Meta-Analytic Variance Estimators in the Random-Effects Model
Viechtbauer, W. (2005) · Journal of Educational and Behavioral Statistics · doi:10.3102/10769986030003261 · Cited by 1,699 · cited 3× · see citing works
“The package metafor 226 (Viechtbauer, 2010) was used to run simulated meta-analyses and calculate heterogeneity 227 variance estimates from methods coded in this package, bespoke code was used for those that 228 are not.”
MethodInfluentialSelf-citationMethods to estimate the between‐study variance and its uncertainty in meta‐analysis
Veroniki, A. A., Jackson, D., Viechtbauer, W., Bender, R., Bowden, J., Knapp, G., Kuss, O., Higgins, J. P., Langan, D., & Salanti, G. (2016) · Research Synthesis Methods · doi:10.1002/jrsm.1164 · Cited by 1,685 · see citing works
Self-citationParametric empirical Bayes inference: theory and applications
Morris, C. N. (1983) · Journal of the American Statistical Association · doi:10.1080/01621459.1983.10477920 · Cited by 1,448 · see citing works
Much ado about nothing: a comparison of the performance of meta-analytical methods with rare events
Bradburn, M. J., Deeks, J. J., Berlin, J. A., & Russell Localio, A. (2007) · Statistics in Medicine · doi:10.1002/sim.2528 · Cited by 938 · see citing works
A refined method for the meta-analysis of controlled clinical trials with binary outcome
Hartung, J., & Knapp, G. (2001) · Statistics in Medicine · doi:10.1002/sim.1009 · Cited by 775 · see citing works
Stijnen, T., Hamza, T. H., & Özdemir, P. (2010) · Statistics in Medicine · doi:10.1002/sim.4040 · Cited by 757 · see citing works
Maximum Likelihood Approaches to Variance Component Estimation and to Related Problems
Harville, D. A. (1977) · Journal of the American Statistical Association · doi:10.2307/2286796 · Cited by 595 · see citing works
Consensus Values and Weighting Factors
Paule, R. C., & Mandel, J. (1982) · Journal of Research of the National Bureau of Standards · doi:10.6028/jres.087.022 · Cited by 580 · see citing works
Bayesian approaches to random-effects meta-analysis: a comparative study
Smith, T. C., Spiegelhalter, D. J., & Thomas, A. (1995) · Statistics in Medicine · doi:10.1002/sim.4780142408 · Cited by 568 · see citing works
Bowden, J., Tierney, J. F., Copas, A. J., & Burdett, S. (2011) · BMC Medical Research Methodology · doi:10.1186/1471-2288-11-41 · Cited by 551 · see citing works
Self-citationRöver, C., Knapp, G., & Friede, T. (2015) · BMC Medical Research Methodology · doi:10.1186/s12874-015-0091-1 · Cited by 527 · see citing works
A LIKELIHOOD APPROACH TO META-ANALYSIS WITH RANDOM EFFECTS
Hardy, R., & Thompson, S. G. (1996) · Statistics in Medicine · doi:10.1002/(sici)1097-0258(19960330)15:6 · Cited by 517 · see citing works
A Re-Analysis of the Cochrane Library Data: The Dangers of Unobserved Heterogeneity in Meta-Analyses
Kontopantelis, E., Springate, D. A., & Reeves, D. (2013) · PLoS ONE · doi:10.1371/journal.pone.0069930 · Cited by 508 · see citing works
Self-citationRandom-Effects Meta-analysis of Inconsistent Effects: A Time for Change
Cornell, J. E., Mulrow, C. D., Localio, R., Stack, C. B., Meibohm, A. R., Guallar, E., & Goodman, S. N. (2014) · Annals of Internal Medicine · doi:10.7326/m13-2886 · Cited by 453 · see citing works
A simple confidence interval for meta-analysis
Sidik, K., & Jonkman, J. N. (2002) · Statistics in Medicine · doi:10.1002/sim.1262 · Cited by 431 · cited 1× · see citing works
“This method is equivalent to the t-distribution method above, but its variance is multiplied by 217 a scaling factor ∑ ai k i=1 (θi − θ) 2 (k − 1) ⁄ (Sidik and Jonkman, 2002; Wiksten et al., 2016).”
MethodDavey, J., Turner, R. M., Clarke, M. J., & Higgins, J. P. (2011) · BMC Medical Research Methodology · doi:10.1186/1471-2288-11-160 · Cited by 404 · see citing works
Self-citationA comparison of heterogeneity variance estimators in combining results of studies
Sidik, K., & Jonkman, J. N. (2007) · Statistics in Medicine · doi:10.1002/sim.2688 · Cited by 380 · see citing works
Kontopantelis, E., & Reeves, D. (2010) · Statistical Methods in Medical Research · doi:10.1177/0962280210392008 · Cited by 264 · see citing works
Self-citationSimple Heterogeneity Variance Estimation for Meta-Analysis
Sidik, K., & Jonkman, J. N. (2005) · Journal of the Royal Statistical Society Series C (Applied Statistics) · doi:10.1111/j.1467-9876.2005.00489.x · Cited by 254 · see citing works
Confidence intervals for the overall effect size in random-effects meta-analysis.
Sánchez‐Meca, J., & Marín‐Martínez, F. (2008) · Psychological Methods · doi:10.1037/1082-989x.13.1.31 · Cited by 242 · see citing works
A comparison of seven random‐effects models for meta‐analyses that estimate the summary odds ratio
Jackson, D., Law, M. W.-M., Stijnen, T., Viechtbauer, W., & White, I. R. (2018) · Statistics in Medicine · doi:10.1002/sim.7588 · Cited by 203 · see citing works
Self-citationConfidence intervals for random effects meta-analysis and robustness to publication bias
Henmi, M., & Copas, J. B. (2010) · Statistics in Medicine · doi:10.1002/sim.4029 · Cited by 163 · see citing works
Metaan: Random-effects Meta-analysis
Kontopantelis, E., & Reeves, D. (2010) · The Stata Journal Promoting communications on statistics and Stata · doi:10.1177/1536867x1001000307 · Cited by 149 · see citing works
Self-citationLangan, D., Higgins, J. P. T., & Simmonds, M. (2017) · Research Synthesis Methods · doi:10.1002/jrsm.1198 · Cited by 149 · see citing works
Self-citationMeta-Analysis of Rare Binary Adverse Event Data
Bhaumik, D. K., Amatya, A. K., Normand, S. T., Greenhouse, J. B., Kaizar, E. E., Neelon, B., & Gibbons, R. D. (2012) · Journal of the American Statistical Association · doi:10.1080/01621459.2012.664484 · Cited by 136 · see citing works
A decade of individual participant data meta-analyses: A review of current practice
Simmonds, M. C., Stewart, G. B., & Stewart, L. A. (2015) · Contemporary Clinical Trials · doi:10.1016/j.cct.2015.06.012 · Cited by 131 · see citing works
Self-citationValid Inference in Random Effects Meta‐Analysis
Follmann, D. A., & Proschan, M. A. (1999) · Biometrics · doi:10.1111/j.0006-341x.1999.00732.x · Cited by 127 · see citing works
Some general points in estimating heterogeneity variance with the DerSimonian-Laird estimator
Böhning, D. (2002) · Biostatistics · doi:10.1093/biostatistics/3.4.445 · Cited by 122 · see citing works
Higgins, J. P. T., & Spiegelhalter, D. J. (2002) · International Journal of Epidemiology · doi:10.1093/ije/31.1.96 · Cited by 122 · see citing works
Self-citationKontopantelis, E., & Reeves, D. J. (2012) · Statistical Methods in Medical Research · doi:10.1177/0962280211413451 · Cited by 117 · see citing works
Self-citationAvoiding zero between‐study variance estimates in random‐effects meta‐analysis
Chung, Y., Rabe‐Hesketh, S., & Choi, I. (2013) · Statistics in Medicine · doi:10.1002/sim.5821 · Cited by 110 · see citing works
A general framework for the use of logistic regression models in meta-analysis
Simmonds, M. C., & Higgins, J. P. T. (2014) · Statistical Methods in Medical Research · doi:10.1177/0962280214534409 · Cited by 107 · see citing works
Self-citationMalzahn, U. (2000) · Biometrika · doi:10.1093/biomet/87.3.619 · Cited by 84 · see citing works
Hartung–Knapp method is not always conservative compared with fixed‐effect meta‐analysis
Wiksten, A. S., Rücker, G., & Schwarzer, G. (2016) · Statistics in Medicine · doi:10.1002/sim.6879 · Cited by 80 · see citing works
Estimation of between-trial variance in sequential meta-analyses: A simulation study
Novianti, P. W., Roes, K. C. B., & van der Tweel, I. (2013) · Contemporary Clinical Trials · doi:10.1016/j.cct.2013.11.012 · Cited by 71 · see citing works
Estimating Heterogeneity Variance in Meta-Analysis
Rukhin, A. L. (2012) · Journal of the Royal Statistical Society Series B (Statistical Methodology) · doi:10.1111/j.1467-9868.2012.01047.x · Cited by 70 · see citing works
Restricted maximum likelihood estimation of a common mean and the Mandel–Paule algorithm
Rukhin, A. L., Biggerstaff, B. J., & Vangel, M. G. (2000) · Journal of Statistical Planning and Inference · doi:10.1016/s0378-3758(99)00098-1 · Cited by 66 · see citing works
An empirical comparison of heterogeneity variance estimators in 12 894 meta-analyses
Langan, D., Higgins, J. P. T., & Simmonds, M. C. (2015) · Research Synthesis Methods · doi:10.1002/jrsm.1140 · Cited by 51 · see citing works
Self-citationJackson, D., Turner, R., Rhodes, K. M., & Viechtbauer, W. (2014) · BMC Medical Research Methodology · doi:10.1186/1471-2288-14-103 · Cited by 50 · see citing works
Self-citationOn Estimating Residual Heterogeneity in Random-Effects Meta-Regression: A Comparative Study
Panityakul, T., Bumrungsup, C., & Knapp, G. (2013) · Journal of Statistical Theory and Applications · doi:10.2991/jsta.2013.12.3.4 · Cited by 40 · see citing works
Reducing the Number of Unjustified Significant Results in Meta-analysis
Hartung, J. G., & Makambi, K. H. (2003) · Communications in Statistics - Simulation and Computation · doi:10.1081/sac-120023884 · Cited by 39 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [27]27. Viechtbauer W. Conducting meta-analyses in R with the metaphor package. J Stat Softw. 2010; 36(3): 1-48.
Cited by
Sorted by citations
Page, M. J., Moher, D., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., et al. (2021) · BMJ · doi:10.1136/bmj.n160 · Cited by 11,883 · see citing works
Analysing data and undertaking meta‐analyses
Deeks, J. J., Higgins, J. P., Altman, D. G., & on behalf of the Cochrane Statistical Methods Group (2019) · Cochrane Handbook for Systematic Reviews of Interventions · doi:10.1002/9781119536604.ch10 · Cited by 2,672 · see citing works
Self-citationAnalysing Data and Undertaking Meta‐Analyses
Deeks, J. J., Higgins, J. P., & Altman, D. G. (2008) · Cochrane Handbook for Systematic Reviews of Interventions · doi:10.1002/9780470712184.ch9 · Cited by 1,800 · see citing works
Self-citationPage, M. J., Moher, D., Bossuyt, P., Boutron, I., Hoffmann, T., mulrow, C., Shamseer, L., Tetzlaff, J., Akl, E., Brennan, S. E., et al. (2020) · doi:10.31222/osf.io/gwdhk · Cited by 916 · see citing works
Estimating the sample mean and standard deviation from commonly reported quantiles in meta-analysis
McGrath, S., Zhao, X., Steele, R. J., Thombs, B. D., Benedetti, A., Levis, B., Riehm, K. E., Saadat, N., Levis, A. W., Azar, M., et al. (2020) · Statistical Methods in Medical Research · doi:10.1177/0962280219889080 · Cited by 869 · see citing works
The WHO Rapid Evidence Appraisal for COVID-19 Therapies (REACT) Working Group, Domingo, P., Mur, I., Mateo, G. M., Gutierrez, M. D. M., Pomar, V., de Benito, N., Corbacho, N., Herrera, S., Millan, L., et al. (2021) · JAMA · doi:10.1001/jama.2021.11330 · Cited by 678 · see citing works
Self-citationLiu, W., Zhang, J., Liu, H., Guo, X., Zhang, X., Yao, X., Cao, Z., & Zhang, T. (2021) · Environment International · doi:10.1016/j.envint.2020.106277 · Cited by 631 · see citing works
Unger, J. M., Vaidya, R., Hershman, D. L., Minasian, L. M., & Fleury, M. E. (2018) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djy221 · Cited by 578 · see citing works
Yao, H., Zhang, A., Li, D., Wu, Y., Wang, C.-Z., Wan, J.-Y., & Yuan, C.-S. (2024) · BMJ · doi:10.1136/bmj-2023-076410 · Cited by 558 · see citing works
Neuenschwander, M., Ballon, A., Weber, K. S., Norat, T., Aune, D., Schwingshackl, L., & Schlesinger, S. (2019) · BMJ · doi:10.1136/bmj.l2368 · Cited by 513 · see citing works
Su, W., Han, X., Yu, H., Wu, Y., & Potenza, M. N. (2020) · Computers in Human Behavior · doi:10.1016/j.chb.2020.106480 · Cited by 476 · see citing works
Ludyga, S., Gerber, M., Pühse, U., Looser, V. N., & Kamijo, K. (2020) · Nature Human Behaviour · doi:10.1038/s41562-020-0851-8 · Cited by 481 · see citing works
Prevention of Type 2 Diabetes by Lifestyle Changes: A Systematic Review and Meta-Analysis
Uusitupa, M. I. J., Khan, T. A., Viguiliouk, E., Kahleová, H., Rivellese, A. A., Hermansen, K., Pfeiffer, A. F. H., Thanopoulou, A. C., Salas‐Salvadó, J., Schwab, U., et al. (2019) · Nutrients · doi:10.3390/nu11112611 · Cited by 488 · see citing works
Munshi, N. C., Avet-Loiseau, H., Anderson, K. C., Neri, P., Paiva, B., Samur, M., Dimopoulos, M., Kulakova, M., Lam, A., Hashim, M., et al. (2020) · Blood Advances · doi:10.1182/bloodadvances.2020002827 · Cited by 431 · see citing works
Investigating the replicability of preclinical cancer biology
Errington, T. M., Mathur, M., Soderberg, C. K., Denis, A., Perfito, N., Iorns, E., & Nosek, B. A. (2021) · eLife · doi:10.7554/elife.71601 · Cited by 393 · see citing works
“Also, a random- effects model typically cannot adequately estimate heterogeneity with only two effects (Langan et al., 2019).”
BackgroundMeta-analysis of proportions using generalized linear mixed models.
Lin, L., & Chu, H. (2020) · Epidemiology · doi:10.1097/ede.0000000000001232 · Cited by 345 · see citing works
Morze, J., Wittenbecher, C., Schwingshackl, L., Danielewicz, A., Rynkiewicz, A., Hu, F. B., & Guasch‐Ferré, M. (2022) · Diabetes Care · doi:10.2337/dc21-1705 · Cited by 303 · see citing works
Evaluation of various estimators for standardized mean difference in meta‐analysis
Lin, L., & Aloe, A. M. (2021) · Statistics in Medicine · doi:10.1002/sim.8781 · Cited by 297 · see citing works
Tsang, N. N. Y., So, H. C., Ng, K. Y., Cowling, B. J., Leung, G. M., & Ip, D. (2021) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(21)00146-8 · Cited by 288 · see citing works
Hickin, N., Käll, A., Shafran, R., Sutcliffe, S., Manzotti, G., & Langan, D. (2021) · Clinical Psychology Review · doi:10.1016/j.cpr.2021.102066 · Cited by 273 · see citing works
Self-citationUnger, J. M., Hershman, D. L., Till, C., Minasian, L. M., Osarogiagbon, R. U., Fleury, M. E., & Vaidya, R. (2020) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djaa155 · Cited by 270 · see citing works
Veroniki, A. A., Jackson, D., Bender, R., Kuss, O., Langan, D., Higgins, J. P. T., Knapp, G., & Salanti, G. (2019) · Research Synthesis Methods · doi:10.1002/jrsm.1319 · Cited by 236 · see citing works
Self-citationPapageorgiou, S. N., Koletsi, D., Iliadi, A., Peltomäki, T., & Eliades, T. (2019) · European Journal of Orthodontics · doi:10.1093/ejo/cjz094 · Cited by 238 · see citing works
Tan, B. K. J., Han, R., Zhao, J. J., Tan, N. K. W., Quah, E. S. H., Tan, C. J., Chan, Y. H., Teo, N. W. Y., Charn, T. C., See, A., et al. (2022) · BMJ · doi:10.1136/bmj-2021-069503 · Cited by 222 · see citing works
Lehrer, E. J., Singh, R. B., Wang, M., Chinchilli, V. M., Trifiletti, D. M., Ost, P., Siva, S., Meng, M.-B., Tchelebi, L. T., & Zaorsky, N. G. (2020) · JAMA Oncology · doi:10.1001/jamaoncol.2020.6146 · Cited by 198 · see citing works
Baccolini, V., Rosso, A., Paolo, C. D., Isonne, C., Salerno, C., Migliara, G., Prencipe, G. P., Massimi, A., Marzuillo, C., Vito, C. D., et al. (2021) · Journal of General Internal Medicine · doi:10.1007/s11606-020-06407-8 · Cited by 197 · see citing works
Comparison of four heterogeneity measures for meta‐analysis
Lin, L. (2019) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.13159 · Cited by 186 · see citing works
Koutoukidis, D. A., Koshiaris, C., Henry, J. A., Noreik, M., Morris, E., Manoharan, I., Tudor, K., Bodenham, E., Dunnigan, A., Jebb, S. A., et al. (2021) · Metabolism · doi:10.1016/j.metabol.2020.154455 · Cited by 186 · see citing works
How work engagement relates to performance and absenteeism: a meta-analysis
Neuber, L., Englitz, C., Schulte, N., Forthmann, B., & Holling, H. (2021) · European Journal of Work and Organizational Psychology · doi:10.1080/1359432x.2021.1953989 · Cited by 181 · see citing works
Ho, I., Azcoaga-Lorenzo, A., Akbari, A., Davies, J., Hodgins, P., Khunti, K. K., Kadam, U. T., Lyons, R. A., McCowan, C., Mercer, S. W., et al. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-057017 · Cited by 184 · see citing works
Li, J., Luo, J. F., Pavlov, I., Perez, Y., Tan, W., Roca, O., Tavernier, E., Kharat, A., McNicholas, B., Ibarra-Estrada, M. Á., et al. (2022) · The Lancet Respiratory Medicine · doi:10.1016/s2213-2600(22)00043-1 · Cited by 167 · see citing works
Baranyi, G., Fazel, S., Delhey, S., & Mundt, A. P. (2022) · The Lancet Public Health · doi:10.1016/s2468-2667(22)00093-7 · Cited by 174 · see citing works
Perspectives of Patients About Immediate Access to Test Results Through an Online Patient Portal
Steitz, B. D., Turer, R. W., Lin, C., MacDonald, S. T., Salmi, L., Wright, A. T., Lehmann, C. U., Langford, K., McDonald, S., Reese, T. J., et al. (2023) · JAMA Network Open · doi:10.1001/jamanetworkopen.2023.3572 · Cited by 153 · see citing works
Internalization of body shape ideals and body dissatisfaction: A systematic review and meta‐analysis
Paterna, A., Alcaraz‐Ibáñez, M., Fuller‐Tyszkiewicz, M., & Sicilia, Á. (2021) · International Journal of Eating Disorders · doi:10.1002/eat.23568 · Cited by 157 · see citing works
Interventions for the management of long covid (post-covid condition): living systematic review
Zeraatkar, D., Ling, M., Kirsh, S., Jassal, T., Shahab, M., Movahed, H., Talukdar, J. R., Walch, A., Chakraborty, S. P., Turner, T., et al. (2024) · BMJ · doi:10.1136/bmj-2024-081318 · Cited by 149 · see citing works
A meta-regression of the impact of policy on the efficacy of individual placement and support
Brinchmann, B., Widding‐Havneraas, T., Modini, M., Rinaldi, M., Moe, C. F., McDaid, D., Park, A., Killackey, E., Harvey, S. B., & Mykletun, A. (2020) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.13129 · Cited by 134 · see citing works
Current practices in meta‐regression in psychology, education, and medicine
Tipton, E., Pustejovsky, J. E., & Ahmadi, H. (2019) · Research Synthesis Methods · doi:10.1002/jrsm.1339 · Cited by 122 · see citing works
Leadership in the public sector: A meta‐analysis of styles, outcomes, contexts, and methods
Backhaus, L., & Vogel, R. (2022) · Public Administration Review · doi:10.1111/puar.13516 · Cited by 146 · see citing works
Tanriver-Ayder, E., Faes, C., de Casteele, T. V., McCann, S., & Macleod, M. R. (2021) · BMJ Open Science · doi:10.1136/bmjos-2020-100074 · Cited by 108 · see citing works
Hartman, C. A., Larsson, H., Vos, M., Bellato, A., Libutzki, B., Solberg, B. S., Chen, Q., Du Rietz, E., Mostert, J. C., Kittel-Schneider, S., et al. (2023) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2023.105209 · Cited by 104 · see citing works
de Jong, V. M. T., Moons, K. G. M., Riley, R. D., Smith, C. T., Marson, A. G., Eijkemans, M. J. C., & Debray, T. P. A. (2019) · Research Synthesis Methods · doi:10.1002/jrsm.1384 · Cited by 104 · see citing works
Zhang, L., Yao, H., Li, L., Rietz, E. D., Andell, P., Garcia‐Argibay, M., D'Onofrio, B. M., Cortese, S., Larsson, H., & Chang, Z. (2022) · JAMA Network Open · doi:10.1001/jamanetworkopen.2022.43597 · Cited by 107 · see citing works
Ferreira, G. E., Shaheed, C. A., Underwood, M. R., Finnerup, N. B., Day, R. O., McLachlan, A. J., Eldabe, S. S., Zadro, J. R., & Maher, C. G. (2023) · BMJ · doi:10.1136/bmj-2022-072415 · Cited by 106 · see citing works
McCrory, C., McLoughlin, S., Layte, R., Cheallaigh, C. N., O’Halloran, A. M., Barros, H., Berkman, L. F., Bochud, M., Crimmins, E. M., Farrell, M. T., et al. (2023) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2023.106117 · Cited by 108 · see citing works
Assessing Heterogeneity in Random-Effects Meta-analysis
Langan, D. (2021) · Methods in molecular biology · doi:10.1007/978-1-0716-1566-9_4 · Cited by 97 · see citing works
Self-citationPiechotta, V., Siemens, W., Thielemann, I., Toews, M., Koch, J., Vygen-Bonnet, S., Kothari, K. U., Grummich, K., Braun, C., Kapp, P., et al. (2023) · The Lancet Child & Adolescent Health · doi:10.1016/s2352-4642(23)00078-0 · Cited by 97 · see citing works
Shephard, E., Zuccolo, P. F., Idrees, I., Godoy, P. B. G., Salomone, E., Ferrante, C., Sorgato, P., Catão, L. F. C. C., Goodwin, A., Bolton, P., et al. (2021) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2021.03.016 · Cited by 96 · see citing works
Schweizer, C., Hanreich, C., Tscholl, P. M., Ristl, R., Apprich, S. R., Windhager, R. H., & Waldstein, W. (2021) · Knee Surgery Sports Traumatology Arthroscopy · doi:10.1007/s00167-021-06770-x · Cited by 96 · see citing works
Korang, S. K., von Rohden, E., Veroniki, A. A., Ong, G., Ngalamika, O., Siddiqui, F., Juul, S., Nielsen, E. E., Feinberg, J. B., Petersen, J. J., et al. (2022) · PLoS ONE · doi:10.1371/journal.pone.0260733 · Cited by 96 · see citing works
Self-citationBrikell, I., Yao, H., Li, L., Astrup, A., Gao, L., Gillies, M. B., Xie, T., Zhang‐James, Y., Dalsgaard, S., Engeland, A., et al. (2023) · The Lancet Psychiatry · doi:10.1016/s2215-0366(23)00332-2 · Cited by 93 · see citing works
Kock, L. S., Brown, J., Hiscock, R., Tattan‐Birch, H., Smith, C. A., & Shahab, L. (2019) · The Lancet Public Health · doi:10.1016/s2468-2667(19)30220-8 · Cited by 92 · see citing works
Work Experiences and Self-Esteem Development: A Meta-Analysis of Longitudinal Studies
Krauss, S., & Orth, U. (2022) · European Journal of Personality · doi:10.1177/08902070211027142 · Cited by 92 · see citing works
Neo, W. S., Foti, D., Keehn, B., & Kelleher, B. (2023) · Translational Psychiatry · doi:10.1038/s41398-023-02681-2 · Cited by 99 · see citing works
Moghaddam, L. F., Vettore, M. V., Bayani, A., Bayat, A.-H., Ahounbar, E., Hemmat, M., Armoon, B., & Fakhri, Y. (2020) · BMC Pediatrics · doi:10.1186/s12887-020-02371-8 · Cited by 98 · see citing works
Gaebe, K., Li, A. Y., Park, A., Parmar, A., Lok, B. H., Sahgal, A., Chan, K., Erickson, A. W., & Das, S. (2022) · The Lancet Oncology · doi:10.1016/s1470-2045(22)00271-6 · Cited by 91 · see citing works
Magnon, V., Vallet, G. T., Benson, A. C., Mermillod, M., Chaussé, P., Lacroix, A., Bouillon‐Minois, J., & Dutheil, F. (2022) · Cortex · doi:10.1016/j.cortex.2022.07.008 · Cited by 97 · see citing works
Heterogeneity in meta-analysis: a comprehensive overview
Stogiannis, D., Siannis, F., & Androulakis, E. (2023) · The International Journal of Biostatistics · doi:10.1515/ijb-2022-0070 · Cited by 91 · see citing works
Positive soil priming effects are the rule at a global scale
Xu, S., Delgado‐Baquerizo, M., Kuzyakov, Y. V., Wu, Y., Liu, L., Yang, Y., Li, Y., Yu, Y., Zhu, B., & Yao, H. (2024) · Global Change Biology · doi:10.1111/gcb.17502 · Cited by 90 · see citing works
Westwood, S. J., Parlatini, V., Rubia, K., Cortese, S., Sonuga-Barke, E. J. S., European ADHD Guidelines Group (EAGG), Banaschewski, T., Baeyens, D., Bölte, S., Brandeis, D., et al. (2023) · Molecular Psychiatry · doi:10.1038/s41380-023-02000-7 · Cited by 90 · see citing works
A synthesis of local adaptation to climate through reciprocal common gardens
Lortie, C. J., & Hierro, J. L. (2021) · Journal of Ecology · doi:10.1111/1365-2745.13664 · Cited by 84 · see citing works
Pangestu, S., & Rencz, F. (2022) · Value in Health · doi:10.1016/j.jval.2022.07.017 · Cited by 86 · see citing works
Seide, S., Jensen, K., & Kieser, M. (2020) · Research Synthesis Methods · doi:10.1002/jrsm.1397 · Cited by 86 · see citing works
Krüsi, M., Eliades, T., & Papageorgiou, S. N. (2019) · Progress in Orthodontics · doi:10.1186/s40510-019-0261-5 · Cited by 83 · see citing works
Sensitivity analysis with iterative outlier detection for systematic reviews and meta‐analyses
Meng, Z., Wang, J., Lin, L., & Wu, C. (2024) · Statistics in Medicine · doi:10.1002/sim.10008 · Cited by 83 · see citing works
Problematic smartphone use and academic achievement: A systematic review and meta-analysis
Paterna, A., Alcaraz-Ibáñez, M., Aguilar-Parra, J. M., Salavera, C., Demetrovics, Z., & Griffiths, M. D. (2024) · Journal of Behavioral Addictions · doi:10.1556/2006.2024.00014 · Cited by 83 · see citing works
A contrast of meta and metafor packages for meta‐analyses in R
Lortie, C. J., & Filazzola, A. (2020) · Ecology and Evolution · doi:10.1002/ece3.6747 · Cited by 82 · see citing works
Effectiveness of Electronic Cigarettes in Smoking Cessation: A Systematic Review and Meta-analysis
Grabovac, I., Oberndorfer, M., Fischer, J., Wiesinger, W., Haider, S., & Dorner, T. E. (2020) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntaa181 · Cited by 81 · see citing works
Hardman, C. A., Jones, A., Burton, S. P., Duckworth, J. J., McGale, L. S., Mead, B. R., Roberts, C. A., Field, M., & Werthmann, J. (2020) · Appetite · doi:10.1016/j.appet.2020.104986 · Cited by 80 · see citing works
Meta‐analyzing partial correlation coefficients using Fisher's z transformation
van Aert, R. C. M. (2023) · Research Synthesis Methods · doi:10.1002/jrsm.1654 · Cited by 78 · see citing works
Sex, Racial, and Ethnic Representation in COVID-19 Clinical Trials
Xiao, H., Vaidya, R., Liu, F., Chang, X., Xia, X., & Unger, J. M. (2022) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2022.5600 · Cited by 78 · see citing works
Ludwig, D. S., Dickinson, S. L., Henschel, B., Ebbeling, C. B., & Allison, D. B. (2021) · The Journal of Nutrition · doi:10.1093/jn/nxaa350 · Cited by 71 · see citing works
Belloni, S., Arrigoni, C., & Caruso, R. (2021) · Acta Oncologica · doi:10.1080/0284186x.2021.1962543 · Cited by 74 · see citing works
Association between ADHD and vision problems. A systematic review and meta-analysis
Bellato, A., Perna, J., Ganapathy, P. S., Solmi, M., Zampieri, A., Cortese, S., & Faraone, S. V. (2022) · Molecular Psychiatry · doi:10.1038/s41380-022-01699-0 · Cited by 76 · see citing works
Ponsford, M., Ward, T., Stoneham, S. M., Dallimore, C. M., Sham, D., Osman, K., Barry, S. M., Jolles, S. R. A., Humphreys, I. R., & Farewell, D. M. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.744696 · Cited by 68 · see citing works
Prevention of orthodontic enamel demineralization: A systematic review with meta‐analyses
Tasios, T., Papageorgiou, S. N., Papadopoulos, M. A. A. P., Τσάπας, Α., & Haidich, A. (2019) · Orthodontics and Craniofacial Research · doi:10.1111/ocr.12322 · Cited by 70 · see citing works
Abbing, A., Koretsi, V., Eliades, T., & Papageorgiou, S. N. (2020) · Progress in Orthodontics · doi:10.1186/s40510-020-00334-4 · Cited by 76 · see citing works
Santaniello, A., Sansone, M., Fioretti, A., & Menna, L. F. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17093278 · Cited by 69 · see citing works
Juul, S., Nielsen, N., Bentzer, P., Veroniki, A. A., Thabane, L., Linder, A., Klingenberg, S. L., Gluud, C. N., & Jakobsen, J. C. (2020) · Systematic Reviews · doi:10.1186/s13643-020-01371-0 · Cited by 69 · see citing works
Self-citationPabst, A., Proksch, S., Médé, B., Comstock, D. C., Ross, J. M., & Balasubramaniam, R. (2022) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2022.104587 · Cited by 68 · see citing works
The Link Between Low Self-Esteem and Eating Disorders: A Meta-Analysis of Longitudinal Studies
Krauss, S., Dapp, L. C., & Orth, U. (2023) · Clinical Psychological Science · doi:10.1177/21677026221144255 · Cited by 68 · see citing works
Kindred, R., Bates, G. W., & McBride, N. L. (2022) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2022.102640 · Cited by 71 · see citing works
Eze, P., Lawani, L. O., & Acharya, Y. (2021) · BMJ Global Health · doi:10.1136/bmjgh-2021-005035 · Cited by 66 · see citing works
Genetic heterogeneity: Challenges, impacts, and methods through an associative lens
Woodward, A., Urbanowicz, R. J., Naj, A. C., & Moore, J. H. (2022) · Genetic Epidemiology · doi:10.1002/gepi.22497 · Cited by 69 · see citing works
Selecting the best meta-analytic estimator for evidence-based practice: a simulation study
Doi, S. A. R., & Furuya‐Kanamori, L. (2019) · International Journal of Evidence-Based Healthcare · doi:10.1097/xeb.0000000000000207 · Cited by 66 · see citing works
Estimation in meta‐analyses of mean difference and standardized mean difference
Bakbergenuly, I., Hoaglin, D. C., & Kulinskaya, E. (2019) · Statistics in Medicine · doi:10.1002/sim.8422 · Cited by 65 · see citing works
Weatherald, J. C., Parhar, K. K. S., Duhailib, Z. A., Chu, D. K., Granholm, A., Solverson, K., Lewis, K. A., Møller, M. H., Alshahrani, M. S. S., Belley‐Côté, E. P., et al. (2022) · BMJ · doi:10.1136/bmj-2022-071966 · Cited by 65 · see citing works
Papageorgiou, S. N., Antonoglou, G. N., Michelogiannakis, D., Kakali, L., Eliades, T., & Madianos, P. (2022) · Journal of Clinical Periodontology · doi:10.1111/jcpe.13529 · Cited by 75 · see citing works
Meta-analysis in vocational behavior: A systematic review and recommendations for best practices
Rudolph, C. W., Chang, C. K., Rauvola, R. S., & Zacher, H. (2020) · Journal of Vocational Behavior · doi:10.1016/j.jvb.2020.103397 · Cited by 66 · see citing works
Karl, V., Thorn, S., Mathes, T., Heß, S., & Maegele, M. (2022) · JAMA Network Open · doi:10.1001/jamanetworkopen.2022.0625 · Cited by 64 · see citing works
Methods for estimating between‐study variance and overall effect in meta‐analysis of odds ratios
Bakbergenuly, I., Hoaglin, D. C., & Kulinskaya, E. (2020) · Research Synthesis Methods · doi:10.1002/jrsm.1404 · Cited by 63 · see citing works
Impellizzeri, F. M., McCall, A., & van Smeden, M. (2021) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2021.09.007 · Cited by 68 · see citing works
Tenets for the Proper Conduct and Use of Meta-Analyses: A Practical Guide for Neurosurgeons
Lee, K. S., Zhang, J. J. Y., Nga, V. D. W., Ng, C. H., Tai, B. C., Higgins, J. P. T., & Syn, N. L. X. (2022) · World Neurosurgery · doi:10.1016/j.wneu.2021.09.034 · Cited by 63 · see citing works
Self-citationScientific-Consensus Communication About Contested Science: A Preregistered Meta-Analysis
van Stekelenburg, A., Schaap, G., Veling, H., Riet, J. V. ‘., & Buijzen, M. (2022) · Psychological Science · doi:10.1177/09567976221083219 · Cited by 63 · see citing works
Berendsen, S., Berendse, S., van der Torren, J., Vermeulen, J. M., & de Haan, L. (2024) · EClinicalMedicine · doi:10.1016/j.eclinm.2023.102392 · Cited by 63 · see citing works
metamedian : An R package for meta‐analyzing studies reporting medians
McGrath, S., Zhao, X., Öztürk, Ö., Katzenschlager, S., Steele, R., & Benedetti, A. (2023) · Research Synthesis Methods · doi:10.1002/jrsm.1686 · Cited by 61 · see citing works
Kabera, F., Roy, J., Afifi, M., Godden, S., Stryhn, H., Sánchez, J., & Dufour, S. (2021) · Frontiers in Veterinary Science · doi:10.3389/fvets.2021.688450 · Cited by 61 · see citing works
Castrillon, J., Rele, S., Sumithran, P., Hii, M., Thuraisingam, S., Spelman, T., Phan, T., Choong, P., Dowsey, M., & Shadbolt, C. (2025) · Anaesthesia · doi:10.1111/anae.16601 · Cited by 65 · see citing works
What aspects of online peer feedback robustly predict growth in students' task performance?
Zong, Z., Schunn, C. D., & Wang, Y. (2021) · Computers in Human Behavior · doi:10.1016/j.chb.2021.106924 · Cited by 61 · see citing works
Risk Stratification in Nonischemic Dilated Cardiomyopathy Using CMR Imaging
Eichhorn, C., Koeckerling, D., Reddy, R. K., Ardissino, M., Rogowski, M., Coles, B., Hunziker, L., Greulich, S., Shiri, I., Frey, N., et al. (2024) · JAMA · doi:10.1001/jama.2024.13946 · Cited by 59 · see citing works
Anomalous information reception by mediums: A meta-analysis of the scientific evidence
Sarraf, M. A., Menie, M. A. W. O., & Tressoldi, P. E. (2020) · EXPLORE · doi:10.1016/j.explore.2020.04.002 · Cited by 58 · see citing works
- Authors
- Langan, D., Higgins, J. P. T., Jackson, D., Bowden, J., Veroniki, A. A., Kontopantelis, E., Viechtbauer, W., & Simmonds, M.
- Affiliations
- University of Manchester (GB)
- University of Bristol (GB)
- AstraZeneca (United Kingdom) (GB)
- St. Michael's Hospital (CA)
- Maastricht University (NL)
- University of York (GB)
- Corresponding author
- Langan, Dean
- ORCID
- Venue
- Research Synthesis Methods
- Publisher
- Wiley
- Published
- 2018-09-06
- Volume
- 10
- Issue
- 1
- Pages
- 83-98
- ISSN
- 1759-2879 (ISSN-L)
- 1759-2887
- OpenAlex
- W2885675882
- Semantic Scholar
- 264ababb39dc4b8737425a30c9fb75c5d8eb2bf4
- Cited by
- 1,074
- References
- 51
- Citations by year
- 2026: 214 · 2025: 173 · 2024: 198 · 2023: 144 · 2022: 140 · 2021: 113 · 2020: 60 · 2019: 28 · 2018: 2
- FWCI
- 38.65
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Research Synthesis Methods (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion, other-oa)
- Research Explorer (The University of Manchester) (publishedVersion, other-oa)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (submittedVersion)
- Bristol Research (University of Bristol) (submittedVersion, other-oa)
- UCL Discovery (University College London) (submittedVersion)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Funders
- National Institute for Health and Care Research (NF-SI-0617-10145)
- Medical Research Council (MC_UU_00011/2, MR/K006665/1)
- Topics
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Epidemiology
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods and Bayesian Inference
- Keywords
- random-effects meta-analysis, estimation bias, binary outcomes, confidence interval coverage
- MeSH terms
- Systematic Reviews as Topic, Algorithms, Analysis of Variance, Computer Simulation, Data Interpretation, Statistical, Humans, Probability, Research Design, Software, Meta-Analysis as Topic, Reproducibility of Results, Models, Statistical, Selection Bias, Likelihood Functions, Odds Ratio
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review