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[R-meta] Weighting studies combining inverse variance and quality score in multiple treatment studies

Dear Vivien,

My response is only to the second question (weighting using quality scores):

This is strongly discouraged at least by Cochrane. It is a matter of the 
difference between the multidimensional concept of quality and the 
unidimensional concept of bias (which we want to avoid). Not every item 
of quality leads to bias, and if it does, the direction of bias might be 
unclear. Biases may cancel out. Moreover, to downweight a biased study 
still leads to bias, thus you might as well throw the study out.

See the Cochrane Handbook http://handbook-5-1.cochrane.org/ , particularly

8.3? Tools for assessing quality and risk of bias
8.3.1 Types of tools
8.3.2 Reporting versus conduct
8.3.3 Quality scales and Cochrane reviews
8.3.4 Collecting information for assessments of risk of bias
8.15.2? Assessing risk of bias from other sources

References:

Sander Greenland and Keith O'Rourke, "On the bias produced by quality 
scores in meta-analysis, and a hierarchical view of proposed solutions", 
Biostatistics., vol. 2, pp. 463-471, 2001.

Peter J?ni, Douglas G. Altman, and Matthias Egger, "Assessing the 
quality of controlled clinical trials", Brit. Med. J., vol. 323, pp. 
42-46, 2001.

A. R. Jadad, D. J. Cook, A. Jones, T. P. Klassen, P. Tugwell, M. Moher, 
and D. Moher, "Methodology and reports of systematic reviews and 
meta-analyses: A comparison of Cochrane reviews with articles published 
in paper-based journals.", J. Amer. Med. Assoc., vol. 280, pp. 278-80, 1998.

Emerson JD, Burdick E, Hoaglin DC, Mosteller F, Chalmers TC. An 
empirical study of the possible relation of treatment differences to 
quality scores in controlled randomized clinical trials. Controlled 
Clinical Trials 1990; 11: 339-352.

Schulz KF, Chalmers I, Hayes RJ, Altman DG. Empirical evidence of bias. 
Dimensions of methodological quality associated with estimates of 
treatment effects in controlled trials. JAMA 1995; 273: 408-412.

Best,

Gerta


Am 19.01.2018 um 18:04 schrieb Vivien Bonnesoeur: