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Record W2399889412 · doi:10.1093/ndt/gfw092

Con: Meta-analysis: some key limitations and potential solutions

2016· article· en· W2399889412 on OpenAlexaff
Tonya M. Esterhuizen, Lehana Thabane

Bibliographic record

VenueNephrology Dialysis Transplantation · 2016
Typearticle
Languageen
FieldMedicine
TopicDialysis and Renal Disease Management
Canadian institutionsSt. Joseph’s Healthcare HamiltonMcMaster UniversityPopulation Health Research InstituteHamilton Health Sciences
Fundersnot available
KeywordsMeta-analysisMedicinePublication biasCriticismSystematic reviewMEDLINESubject (documents)Quality (philosophy)Intensive care medicineInternal medicineComputer scienceEpistemology

Abstract

fetched live from OpenAlex

Meta-analysis, a statistical combination of results of several trials to produce a summary effect, has been subject to criticism in the past, mainly for the reasons of poor quality of included studies, heterogeneity between studies meta-analyzed and failing to address publication bias. These limitations can cause the results to be misleading, which is important if policy and practice decisions are based on systematic reviews and meta-analyses. We elaborate on these limitations and illustrate them with examples from the nephrology literature. Finally, we present some potential solutions, notably, education in meta-analysis for evidence producers and consumers as well as the use of individual patient data for meta-analyses.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.313
metaresearch head score (Gemma)0.679
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesMetaresearch
DomainCandidate signal: Methods · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.687
Threshold uncertainty score0.847

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.3130.679
Meta-epidemiology (narrow)0.0050.003
Meta-epidemiology (broad)0.0080.008
Bibliometrics0.0060.013
Science and technology studies0.0030.007
Scholarly communication0.0090.010
Open science0.0090.007
Research integrity0.0150.015
Insufficient payload (model declined to judge)0.0120.002

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.048
GPT teacher head0.265
Teacher spread0.218 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; the direct Gemma label and the distilled Codex classifier agree on what is shown here.

Study designNot applicable
DomainMethods
GenreCommentary

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations89
Published2016
Admission routes1
Has abstractyes

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