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Guidelines for reporting meta-epidemiological methodology research
Open accessAbstract
Published research should be reported to evidence users with clarity and transparency that facilitate optimal appraisal and use of evidence and allow replication by other researchers. Guidelines for such reporting are available for several types of studies but not for meta-epidemiological methodology studies. Meta-epidemiological studies adopt a systematic review or meta-analysis approach to examine the impact of certain characteristics of clinical studies on the observed effect and provide empirical evidence for hypothesised associations. The unit of analysis in meta-epidemiological studies is a study, not a patient. The outcomes of meta-epidemiological studies are usually not clinical outcomes. In this guideline, we adapt items from the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) to fit the context of meta-epidemiological studies.
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“Results are reported according to the said guidelines [22], which include an adapted PRISMA statement [26].”
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“However, a risk-of-bias assessment was not completed because bias was not pertinent to this review’s research question, as per the meta-epidemiologic study guidelines by Murad and Wang [22].”
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“6–8 In this guide, we adapt the items used in the PRISMA statement 9 for reporting systematic reviews and meta-analysis to fit the setting of meta-epidemiological studies.”
MethodPanic, N., Leoncini, E., de Belvis, G., Ricciardi, W., & Boccia, S. (2013) · PLoS ONE · doi:10.1371/journal.pone.0083138 · Cited by 883 · cited 1×
“Evaluation of the instructions given to authors shows that PRISMA guidance was referenced only in 13% of gastroenterology and hepatology journals.(20) Here, we have proposed a reporting guideline to be used when publishing meta-epidemiological research.”
MethodEnhancing the quality and transparency of health research
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Rating the certainty in evidence in the absence of a single estimate of effect
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“Investigators should, however, inform readers of their certainty in the results, even if this was determined narratively 16 because formal approaches 15 are intended to rate the certainty of evidence about interventions.”
BackgroundSavović, J., Jones, H., Altman, D., Harris, R., Jűni, P., Pildal, J., Als-Nielsen, B., Balk, E., Gluud, C., Gluud, L., et al. (2012) · Health Technology Assessment · doi:10.3310/hta16350 · Cited by 668
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“41) compared with blinded trials.(11) A third example is a study that explored the effect of trials stopped early for benefit on future research.”
BackgroundMurad, M. H., Montori, V. M., Ioannidis, J. P. A., Jaeschke, R., Devereaux, P. J., Prasad, K., Neumann, I., Carrasco-Labra, A., Agoritsas, T., Hatala, R., et al. (2014) · JAMA · doi:10.1001/jama.2014.5559 · Cited by 454 · cited 2×
“The quality of evidence is a highly important step in a systematic review reporting on a treatment effect 15 and is critical for decision making but also may not be relevant to a meta-epidemiological study.”
BackgroundRandomisation to protect against selection bias in healthcare trials
Odgaard-Jensen, J., Vist, G. E., Timmer, A., Kunz, R., Akl, E. A., Schünemann, H., Briel, M., Nordmann, A. J., Pregno, S., & Oxman, A. D. (2011) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.mr000012.pub3 · Cited by 439 · cited 2×
“For example, the meta-epidemiological study showing that trials with inadequate allocation concealment yielded larger estimates of effects (relative to trials with adequate allocation concealment) does not necessarily have to describe patients’ characteristics or comorbidities in each individual trial.(10) Publication…”
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“Although no checklist of reporting items was designed specifically for SRs of CPGs, we recommend authors make use of existing checklists, such as the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist [69] or guidelines for reporting meta-epidemiological research [70], which will be…”
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Khan, M. S., Lateef, N., Siddiqi, T. J., Rehman, K. A., Alnaimat, S., Khan, S. U., Riaz, H., Murad, M. H., Mandrola, J. M., Doukky, R., et al. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.2622 · Cited by 99
“(%) [95% CI] Abstract (n = 93) Main Text (n = 93) Title NA 10 (11) [5.”
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“17”
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“Reporting of this manuscript was informed by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) [23, 24].”
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“An adaptation of the PRISMA guidelines for meta-epidemiological studies have been published in 2017 [22] but did not provided criteria for assessing methodological quality of this type of study.”
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“The primary objective of this research was to conduct a meta-epidemiologic study [22] (with guidelines as the unit of analysis) to compare dietary recommendations from CPGs developed by governments, major medical professional societies, and large health stakeholder associations promoting general…”
Schwab, S., Giuachin, K., & Held, L. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-045942 · Cited by 44
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“8”
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(2023) · doi:10.1002/cesm.12015 · Cited by 35
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Bröckelmann, N., Balduzzi, S., Harms, L., Beyerbach, J., Πετροπούλου, Μ., Kubiak, C., Wolkewitz, M., Meerpohl, J. J., & Schwingshackl, L. (2022) · BMC Medicine · doi:10.1186/s12916-022-02369-2 · Cited by 29
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MethodAn evaluation of the practice of transparency and reproducibility in addiction medicine literature
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“Murad and Wang have proposed a checklist which is an adaptation of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), a widely endorsed guideline developed to help report systematic reviews [14, 15].”
MethodRuano, J., Gómez-García, F. J., Gay-Mimbrera, J., Aguilar-Luque, M., Fernández-Rueda, J. L., Fernández-Chaichio, J., Alcalde‐Mellado, P., Carmona-Fernández, P. J., Sanz-Cabanillas, J. L., Viguera-Guerra, I., et al. (2018) · Systematic Reviews · doi:10.1186/s13643-018-0709-6 · Cited by 22
“Third, we will report the study according to a previously adapted recommendation of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement for meta-epidemiological studies, proposed in 2017 by Murad and Wang [12].”
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“Meta-epidemiological studies are used to determine which trial characteristics are associated with treatment effect estimates.(13) In this study, the characteristic of interest is the design (cluster vs individual randomization).”
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Paquette, M., Alotaibi, A., Nieuwlaat, R., Santesso, N. A., & Mbuagbaw, L. C. E. (2019) · Systematic Reviews · doi:10.1186/s13643-019-1152-z · Cited by 17
Guidance on conducting methodological studies – an overview
Khalil, H., & Munn, Z. (2023) · Current Opinion in Epidemiology and Public Health · doi:10.1097/pxh.0000000000000013 · Cited by 18
Khan, M. S., Shaikh, A., Ochani, R. K., Akhtar, T., Fatima, K., Khan, S. U., Mookadam, F., Murad, M. H., Figueredo, V. M., Doukky, R., et al. (2019) · Circulation: Cardiovascular Quality and Outcomes · doi:10.1161/circoutcomes.118.005260 · Cited by 21
Yao, M., Mei, F., Ma, Y., Qin, X., Huan, J., Zou, K., Li, L., & Sun, X. (2025) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2025.111815 · Cited by 17
O’Sullivan, J. W., Albasri, A., Koshiaris, C., Aronson, J. K., Heneghan, C. J., & Perera, R. (2018) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2018.06.013 · Cited by 19
Anderson, J. M., Howard, C., Staggs, J., Steele, R. J., Strasser, T., Small, T. J., Vassar, M. B., & Checketts, J. X. (2022) · The Journal of Arthroplasty · doi:10.1016/j.arth.2022.06.004 · Cited by 16
Stadelmaier, J., Roux, I., Πετροπούλου, Μ., & Schwingshackl, L. (2022) · BMC Medicine · doi:10.1186/s12916-022-02540-9 · Cited by 18
“Methods This meta-epidemiological study adheres to the guidelines for reporting meta-epidemiological methodology research [11].”
MethodEstrup, S., Barot, E., Mortensen, C. B., Anthon, C. T., Crescioli, E., Kjær, M. N., Vesterlund, G. K., Bruun, C. R. L., Collet, M. O., Rasmussen, B. S., et al. (2022) · Acta Anaesthesiologica Scandinavica · doi:10.1111/aas.14183 · Cited by 16
Reddy, A. K., Lulkovich, K., Wirtz, A., Thompson, J. C., Scott, J., Checketts, J. X., Ottwell, R., Hanson, C. D., Hartwell, M. L., & Vassar, M. B. (2023) · Orthopaedic Journal of Sports Medicine · doi:10.1177/23259671221137923 · Cited by 17
Santo, T. D., Rice, D. B., Amiri, L. S. N., Tasleem, A., Li, K., Boruff, J. T., Geoffroy, M., Benedetti, A., & Thombs, B. D. (2023) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2023.05.017 · Cited by 20
Hernández, J. A. Z., Dorsey-Treviño, E. G., González‐González, J. G., Brito, J. P., Montori, V. M., & Rodríguez‐Gutiérrez, R. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-031259 · Cited by 18
Ivaldi, D., Burgos, M. A., Oltra, G. V., Liquitay, C. M. E., & Garegnani, L. (2024) · Cochrane Evidence Synthesis and Methods · doi:10.1002/cesm.12074 · Cited by 22
Evaluation of indicators supporting reproducibility and transparency within cardiology literature
Anderson, J. M., Wright, B., Rauh, S. L., Tritz, D., Horn, J. G., Parker, I., Bergeron, D., Cook, S., & Vassar, M. B. (2020) · Heart · doi:10.1136/heartjnl-2020-316519 · Cited by 15
Niederer, D., Weippert, M., & Behrens, M. (2022) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2022.11149 · Cited by 16
Assessment of transparent and reproducible research practices in the psychiatry literature
Sherry, C. E., Pollard, J., Tritz, D., Carr, B., Pierce, A. M., & Vassar, M. B. (2020) · General Psychiatry · doi:10.1136/gpsych-2019-100149 · Cited by 16
“11 We have made available protocols, materials and other pertinent information on Open Science Framework (https:// osf. io/ n4yh5/).”
Bullock, G. S., Ward, P., Impellizzeri, F. M., Kluzek, S., Hughes, T., Hillman, C., Waterman, B. R., Danelson, K., Henry, K., Barr, E., et al. (2023) · Journal of Orthopaedic & Sports Physical Therapy · doi:10.2519/jospt.2023.12016 · Cited by 15
Bernardeau, C., Revol, B., Salvo, F., Fusaroli, M., Raschi, E., Cracowski, J., Roustit, M., & Khouri, C. (2025) · Drug Safety · doi:10.1007/s40264-025-01524-x · Cited by 15
“We reported this study according to the guideline for reporting meta-epidemiological methodology research [33].”
Analysis of spin in vascular surgery randomized controlled trials with nonsignificant outcomes
Nguyen, J., Li, A., Tam, D. Y., & Forbes, T. L. (2021) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2021.09.051 · Cited by 15
Xu, C., Zhang, F., Doi, S. A. R., Furuya‐Kanamori, L., Lin, L., Chu, H., Yang, X., Li, S., Zorzela, L., Golder, S., et al. (2024) · BMC Medicine · doi:10.1186/s12916-024-03300-7 · Cited by 14
“Empirical and/or meta-epidemiological studies are valuable sources of evidence that can help us examine the relationship between methodological weaknesses and their potential impact on research findings [4].”
BackgroundSiedler, M. R., Kawtharany, H., Azzam, M., Ezgü, D., Alshorman, A., Mikati, I. K. E., Abid, S., Choaib, A., Hamarsha, Q., Murad, M. H., et al. (2025) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2025.111684 · Cited by 14
COVID-19 randomized controlled trials in medRxiv and PubMed
Kataoka, Y., Oide, S., Ariie, T., Tsujimoto, Y., & Furukawa, T. A. (2020) · European Journal of Internal Medicine · doi:10.1016/j.ejim.2020.09.019 · Cited by 14
Emary, P. C., Stuber, K. J., Mbuagbaw, L. C. E., Oremus, M., Nolet, P. S., Nash, J., Bauman, C. A., Ciraco, C., Couban, R., & Busse, J. W. (2023) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2023.11.004 · Cited by 16
Mheissen, S., Khan, H., Normando, D., Vaiid, N., & Flores‐Mir, C. (2024) · PLoS ONE · doi:10.1371/journal.pone.0298526 · Cited by 14
“The reporting of this methodological study followed the reporting guidelines for methodological studies [25] which was adapted from Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).”
MethodBlinding Assessments in Neonatal Ventilation Meta-Analyses: A Systematic Meta-Epidemiological Review
Kuitunen, I., Räsänen, K., Gualano, M. R., & Luca, D. D. (2024) · Neonatology · doi:10.1159/000539203 · Cited by 14
“We have reported this review according to meta-epidemiological adaptation of the Preferred Reporting Items in Systematic Reviews and Meta-analyses (PRISMA) guideline [14, 15].”
Treatment Effects in Randomized and Nonrandomized Studies of Pharmacological Interventions
Salcher‐Konrad, M., Nguyen, M., Savović, J., Higgins, J. P. T., & Naci, H. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.36230 · Cited by 15
Evidence certainty in neonatology—a meta-epidemiological analysis of Cochrane reviews
Varrio, T., Luca, D. D., & Kuitunen, I. (2025) · European Journal of Pediatrics · doi:10.1007/s00431-025-06023-w · Cited by 14
“We have reported the findings of this review according to the meta-epidemiological extension of the preferred reporting items in systematic reviews and meta-analysis (PRISMA) guideline [7].”
Kataoka, Y., Anan, K., Taito, S., Tsujimoto, Y., Kurata, Y., Wada, Y., Maruta, M., Kanaoka, K., Oide, S., Takahashi, S., et al. (2021) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2021.06.025 · Cited by 14
Innocenti, T., Salvioli, S., Logullo, P., Giagio, S., Ostelo, R., & Chiarotto, A. (2023) · Journal of Pain · doi:10.1016/j.jpain.2023.08.006 · Cited by 15
Feller, D., Wingbermühle, R. W., Berg, B., Vigdal, Ø. N., Innocenti, T., Grotle, M., Ostelo, R., & Chiarotto, A. (2024) · Journal of Pain · doi:10.1016/j.jpain.2024.104624 · Cited by 13
Scaffidi, M. A., Gimpaya, N., Li, J., Bansal, R., Verma, Y., Elsolh, K., Donn, G. M., Panjwani, A., Khan, R., & Grover, S. C. (2021) · CMAJ Open · doi:10.9778/cmajo.20200140 · Cited by 13
Alfailany, D. T., Hajeer, M. Y., & Darwich, K. M. A. (2023) · Progress in Orthodontics · doi:10.1186/s40510-023-00457-4 · Cited by 13
“Materials and methods This MES was constructed under ’Guidelines for reporting meta-epidemiological methodology research’ [23].”
MethodAn assessment of transparency and reproducibility‐related research practices in otolaryngology
Johnson, A., Torgerson, T., Skinner, M., Hamilton, T., Tritz, D., & Vassar, M. B. (2019) · The Laryngoscope · doi:10.1002/lary.28322 · Cited by 14
“18 This study is reported according to the guidance developed by Murad and Wang 19 for meta-research studies and, when relevant, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).”
MethodScaffidi, M. A., Elsolh, K., Li, J., Verma, Y., Bansal, R., Gimpaya, N., Larivière, V., Khan, R., & Grover, S. C. (2021) · PLoS ONE · doi:10.1371/journal.pone.0256577 · Cited by 13
“Reporting of our findings followed guidelines for the reporting of meta-epidemiological methodology research (see S1 Appendix) [7].”
Method
Metadata
- Authors
- Murad, M. H., & Wang, Z.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Murad, Mohammad Hassan
- Venue
- Evidence Based Medicine
- Publisher
- BMJ
- Published
- 2017-07-12
- Volume
- 22
- Issue
- 4
- Pages
- 139-142
- ISSN
- 1356-5524 (ISSN-L)
- 1473-6810
- PMC
- PMC5537553
- OpenAlex
- W2735796955
- Cited by
- 515
- References
- 24
- Citations by year
- 2026: 61 · 2025: 67 · 2024: 92 · 2023: 62 · 2022: 103 · 2021: 54 · 2020: 43 · 2019: 22 · 2018: 9 · 2017: 2
- FWCI
- 18.58
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- BMJ Evidence-Based Medicine (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Epidemiology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Keywords
- meta-epidemiology, reporting guidelines, PRISMA, study characteristics, research transparency, reproducibility, systematic reviews
- MeSH terms
- Systematic Reviews as Topic, Humans, Publishing, Quality Control, Meta-Analysis as Topic, Research Report
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