Meta-Analiz: Bir Derleme

Meta-analiz, birçok çalışmadaki verileri birleştirmek ve tedavi müdahalelerinin etkinliğini değerlendirmek için sık kullanılan bir istatistiksel tekniktir. Bağımsız çalışmalardan elde edilen sonuçları birleştirerek hem çalışmanın gücünü artırabilir (bireysel çalışmalara göre) hem de effect size tahminlerini iyileştirebilir. Meta-analiz yürütme süreçleri arasında bir protokol geliştirmek, makaleler seçmek, dahil edilme kriterleri geliştirmek, veri toplamak, veri analizi yapmak ve sonuçları yorumlamak bulunmaktadır. Meta-analizin önemli bir limitasyonu, sadece analiz için geri alınabilir verilere sahip ilgili çalışmaların dahil edilebilmesidir. Bu durum publication(yayin) bias için endişe yaratmaktadir. Meta-analizin, tıp literatürünü özetlerken önemli bilgiler sağlayabilecek tam olarak faydalı bir bilimsel yöntem olduğu oldukça açıktır. Bununla birlikte, dahil edilen araştırmaların araştırma sorusuyla aynı olmadığı veya farklı sonuç verileri topladığı takdirde yanıltıcı olabilir.

Meta-Analysis: A Review Article

Meta-analysis is a frequently used statistical technique which uses to combine data from severalstudies to evaluate the effectiveness of treatment interventions. By combining results from independent studies, we can both increase power of the study (over individual studies) and improveestimates of the size of the effect. The processes of conducting meta-analysis include developinga protocol, selecting articles, developing inclusion criteria, collecting data, data analysis andinterpreting results. A major limitation of the meta-analysis is that only relevant studies whichhave retrievable data can be included for analysis. This causes concern for publication bias. It isobvious that metaanalysis is a useful scientific method that can provide important informationwhen summarizing medical literature. However, there can be misleading if the studies includedare non-similar in their research question or collect different types of outcome data.

___

  • Glasser SP. Essentials of Clinical Research. P:159-176. Springer Science, 2008; 159-76. https://doi.org/10.1007/978-1-4020-8486-7_10
  • Greenland S, O’ Rourke K. Meta-Analysis. Modern Epidemiology, 3rd ed. Edited by Rothman KJ, Greenland S, Lash T. Lippincott Williams and Wilkins; 2008; 652.
  • Pearson K. Report on certain enteric fever inoculation statistics. Bri Med J. 1904;3:1243-6.
  • Beecher HK. The powerful placebo. J Am Med Assoc. 1955;159:1602-6. https://doi.org/10.1001/jama.1955.02960340022006
  • “Archie Cochrane: The name behind Cochrane”. www. cochrane.org. Cochrane Collaboration. 5 December 2013. Retrieved 10 September 2014.
  • Stewart L, Moher D, Shekelle P. Why prospective registration of systematic reviews makes sense. Syst Rev. 2012;9:1-7. https://doi.org/10.1186/2046-4053-1-7
  • Arthur W, Bennett W, Huffcutt AI. Conducting MetaAnalysis Using SAS. Mahwah, N.J.: Psychology Press 2001.
  • Fazalare JA, Griesser MJ, Siston RA, Flanigan DC. The use of continuous passive motion following knee cartilage defect surgery: a systematic review. Orthopedics. 2010;33:878. https://doi.org/10.3928/01477447-20101021-16
  • Quatman CE, Quatman-Yates CC, Schmitt LC, Paterno MV. The clinical utility and diagnostic performance of MRI for identification and classification of knee osteochondritis dissecans. J Bone Joint Surg Am. 2012;94:1036- 44. https://doi.org/10.2106/JBJS.K.00275
  • Mulla SM, Wang L, Khokhar R, et al. Management of Central Poststroke Pain: Systematic Review of Randomized Controlled Trials. Stroke. 2015;46:2853- 60. https://doi.org/10.1161/STROKEAHA.115.010259
  • Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Controlled Clinical Trials. 1996;17:1-12. https://doi.org/10.1016/0197-2456(95)00134-4
  • Dhammi IK, Haq RU. How to Write Systematic Review or Metaanalysis. Indian J Orthop. 2018;52:575-7. https://doi.org/10.4103/ortho.IJOrtho_557_18
  • Dickersin, Min, & Meinert, 1992
  • Hedges LV. Estimation of effect size under non-random sampling: The effects of censoring studies yielding statistically insignificant mean differences. Journal of Educational Statistics. 1984;9:61-85. https://doi.org/10.2307/1164832
  • Rosenthal R. The file drawer problem and tolerance for null results. Psychological Bulletin. 1979;86:638-41. https://doi.org/10.1037/0033-2909.86.3.638
  • Greenwald AG. Consequences of prejudice against null hypothesis. Psychological Bulletin. 1975;82:1-19. https://doi.org/10.1037/h0076157
  • Coursol A, Wagner EE. Effect of positive findings on submission and acceptance rates: A note on metaanalysis bias. Professional Psychology. 1986;17:136-7. https://doi.org/10.1037/0735-7028.17.2.136
  • McLeod BD, Weisz JR. Using dissertations to examine potential bias in child and adolescent clinical trials. Journal of Consulting and Clinical Psychology. 2004;72:235-51. https://doi.org/10.1037/0022-006X.72.2.235
  • Harris JD, Quatman CE, Manring MM, Siston RA, Flanigan DC. How to write a systematic review. Am J Sports Med. 2014;42:2761-8. https://doi.org/10.1177/0363546513497567
  • Schulze R. Metaanalysis: A Comparison of Approaches. Cambridge, MA: Hogrefe & Huber 2004.
  • Jacobs A. A medical writer’s guide to meta-analysis. Medical Writings. 2016;25:22-5.
  • Komatsu R, Turan AM, Orhan-Sungur M, McGuire J, Radke OC, Apfel CC. Remifentanil for general anaesthesia: a systematic review. Anaesthesia. 2007;62:1266- 80. https://doi.org/10.1111/j.1365-2044.2007.05221.x
  • Ebell MH, Siwek J, Weiss BD, et al. Strength of recommendation taxonomy (SORT): a patient-centered approach to grading evidence in the medical literature. Am Fam Physician. 2004;69:548-56. https://doi.org/10.3122/jabfm.17.1.59
  • Grade Working Group. Grading of Recommendations Assessment, Development and Evaluation. Available at: http://www.gradeworkinggroup. org/ Accessed January 20, 2013.
  • Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and metaanalyses: the PRISMA statement. Clin Epidemiol. 2009;62:1006-12. https://doi.org/10.1016/j.jclinepi.2009.06.005
  • Tovey D. Standards for the reporting of new Cochrane Intervention Reviews. Version 1.1. December 17, 2012.
  • Ferguson CJ, Brannick MT. Publication bias in psychological science: prevalence, methods for identifying and controlling, and implications for the use of metaanalyses. Psychol Methods. 2012;17:120-8. https://doi.org/10.1037/a0024445
  • Brignardello-Petersen R. Important limitations in methods make systematic review assessing impact of crown-to-implant ratio on treatment complications not useful. J Am Dent Assoc. 2018;8177:30766-9.
Anestezi Dergisi-Cover
  • ISSN: 1300-0578
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1993
  • Yayıncı: Betül Kartal
Sayıdaki Diğer Makaleler

Yoğun Bakım Sonrası Evde Bakım Gerektiren Hastaların Özellikleri ile Bakım Verenlerdeki Hasta Bakım Yükü ve Empati Arasındaki İlişki

Şeyda Efsun ÖZGÜNAY, FİGEN AKÇA, Derya KARASU, İsa KILIÇ

Genel Anestezi Altında Cerrahi Girişim Planlanan Bireylerin Sosyodemografik Özelliklerinin Anksiyete Üzerine Etkisi

Emine ARIK, Habibullah DOLGUN

Koroner Arter Baypas Cerrahisi Sonrası Gelişen Hastane İçi Mortalite ve Komplikasyonlar, Preoperatif Değerlerle Prediksiyon Mümkün mü?

Aslı DEMİR, Eda BALCI, Ülkü SABUNCU, Ümit KARADENİZ, Rabia KOÇULU, Aslıhan AYKUT

Limb-Girdle Musküler Distrofi’li Gebede Anestezi Yönetimi

RESUL YILMAZ, RUHİYE REİSLİ, Osman Mücahit TOSUN, Ahmet TOPAL, SEMA TUNCER UZUN

Retrograt İntrarenal Cerrahi Geçiren Hastalarda Nöromuskuler Ajan Kullanımının Postoperatif Titreme Üzerine Etkisi: Randomize Kontrollü Klinik Çalışma

İlkay BARAN, MENEKŞE OKŞAR, Savaş ALTINSOY

Hipofiz Cerrahisi Yapılan Akromegalik Hastalarda Hava Yolu Yönetiminin Retrospektif Değerlendirilmesi

Tomurcuk DEMİRCİ, Şennur UZUN, Başak AKÇA, Ülkü AYPAR

In-Hospital Mortality and Complications Following Coronary Artery Bypass Surgery; is it Possible to Predict with Preoperative Values?

Eda BALCI, Aslıhan AYKUT, Aslı DEMİR, Ülkü SABUNCU, Rabia KOÇULU, Ümit KARADENİZ

Successful Anesthetic Management of a 14 Year Old Boy Undergoing Tricuspid Valvular Surgery for Carcinoid Heart Disease

Aynur CAMKIRAN FIRAT, MURAT ÖZKAN, İLKAY ERDOĞAN, Pınar ZEYNELOĞLU

Hastane İçi Kardiyak Arrest Olgularının Değerlendirilmesi

Gönül TEZCAN KELEŞ, Eralp ÇEVİKKALP, ARZU AÇIKEL, İSMET TOPÇU

Anesthetic Management of a Child with Cerebro-Oculo-Facio-Skeletal Syndrome

Alev ŞAYLAN, Nalan ÇELEBİ, Özgür CANBAY