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Message-ID: <7d2a311e-3029-9b07-a718-842bd462e909@imbi.uni-freiburg.de>
Date: 2020-01-09T18:31:13Z
From: Guido Schwarzer
Subject: [R-meta]  Subgroup analysis output using metafor - interpretation
In-Reply-To: <CAF8zgfZJHr0Y0U_v_Cn0uTwP4ofVCUMEHEBgynbvFR+uc0ApkA@mail.gmail.com>

Am 09.01.20 um 15:26 schrieb Joao Afonso:
> [...]
> As for the outliers I could take a step back and instead of removing them
> leave them in the data-set and see what happens when conducting the
> sub-group analysis. Is this best practice when conducing a meta-analysis?

I am no expert on outlier detection (in meta-analysis), however, I would 
say that it is in general a good idea to try to explain between-study 
heterogeneity using subgroup analysis or meta-regression first.

An intrinsic feature / problem of the meta-analysis of prevalences is 
typically the substantial between-study heterogeneity (which is clearly 
visible in your meta-analysis with an I2 of 99.7%). In my view, the main 
aim of a prevalence meta-analysis is actually to describe this 
heterogeneity. Removing outliers would reduce this heterogeneity and 
paint a different picture. I assume that there will be still substantial 
heterogeneity after conducting subgroup analyses. Prediction intervals 
can help to properly describe the between-study heterogeneity.

Best wishes, Guido