Protocols for meta-analysis of intervention safety seldom specified methods to deal with rare events

<h3>Objectives</h3><p dir="ltr">Meta-analyses of rare events often generate unstable results, and selective reporting of the results may mislead the health care decision. Developing a synthesis plan for rare events in protocol may help to formulate the reporting. We aim t...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: You Zhou (129411) (author)
مؤلفون آخرون: Bo Zhu (118038) (author), Lifeng Lin (2034385) (author), Joey S.W. Kwong (16932546) (author), Chang Xu (102022) (author)
منشور في: 2020
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author You Zhou (129411)
author2 Bo Zhu (118038)
Lifeng Lin (2034385)
Joey S.W. Kwong (16932546)
Chang Xu (102022)
author2_role author
author
author
author
author_facet You Zhou (129411)
Bo Zhu (118038)
Lifeng Lin (2034385)
Joey S.W. Kwong (16932546)
Chang Xu (102022)
author_role author
dc.creator.none.fl_str_mv You Zhou (129411)
Bo Zhu (118038)
Lifeng Lin (2034385)
Joey S.W. Kwong (16932546)
Chang Xu (102022)
dc.date.none.fl_str_mv 2020-09-25T00:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.jclinepi.2020.09.023
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Protocols_for_meta-analysis_of_intervention_safety_seldom_specified_methods_to_deal_with_rare_events/24210699
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Health sciences
Epidemiology
Mathematical sciences
Statistics
Protocols
Meta-analysis of rare events
Data synthesis plan
PROSPERO
dc.title.none.fl_str_mv Protocols for meta-analysis of intervention safety seldom specified methods to deal with rare events
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Objectives</h3><p dir="ltr">Meta-analyses of rare events often generate unstable results, and selective reporting of the results may mislead the health care decision. Developing a synthesis plan for rare events in protocol may help to formulate the reporting. We aim to investigate whether existing protocols specified methods to deal with rare events.</p><h3>Study Design and Setting</h3><p dir="ltr">Protocols (not including Cochrane protocols) for systematic reviews of health care interventions focused on the safety registered in PROSPERO were included. The proportion of protocols that specified methods to deal with rare events and the detailed methods were summarized. We compared the difference of proportions (PD) across different settings.</p><h3>Results</h3><p dir="ltr">We identified 1,004 eligible protocols, of which, 119 (11.85%, 95% confidence interval (CI): 9.92%, 14.01%) specified methods to deal with rare events. The three most commonly planned methods were the Mantel–Haenszel, Peto's odds ratio, and continuity correction. Protocols planned a quantitative analysis (PD = 0.07, 95% CI: 0.02, 0.12; <i>P</i> = 0.004) and listed safety as a primary outcome (PD = 0.07, 95% CI: 0.01, 0.12; <i>P</i> = 0.018) were more likely to specify methods to deal with rare events.</p><h3>Conclusion</h3><p dir="ltr">Protocols for systematic reviews of intervention safety seldom specified methods to deal with rare events. Future systematic reviewers should provide a detailed and rigorous synthesis plan for rare events in their protocols.</p><h2>Other Information</h2><p dir="ltr">Published in: Journal of Clinical Epidemiology<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.jclinepi.2020.09.023" target="_blank">https://dx.doi.org/10.1016/j.jclinepi.2020.09.023</a></p>
eu_rights_str_mv openAccess
id Manara2_18d85024625d98c92c1b1000e2db33c9
identifier_str_mv 10.1016/j.jclinepi.2020.09.023
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/24210699
publishDate 2020
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rights_invalid_str_mv CC BY 4.0
spelling Protocols for meta-analysis of intervention safety seldom specified methods to deal with rare eventsYou Zhou (129411)Bo Zhu (118038)Lifeng Lin (2034385)Joey S.W. Kwong (16932546)Chang Xu (102022)Biomedical and clinical sciencesClinical sciencesHealth sciencesEpidemiologyMathematical sciencesStatisticsProtocolsMeta-analysis of rare eventsData synthesis planPROSPERO<h3>Objectives</h3><p dir="ltr">Meta-analyses of rare events often generate unstable results, and selective reporting of the results may mislead the health care decision. Developing a synthesis plan for rare events in protocol may help to formulate the reporting. We aim to investigate whether existing protocols specified methods to deal with rare events.</p><h3>Study Design and Setting</h3><p dir="ltr">Protocols (not including Cochrane protocols) for systematic reviews of health care interventions focused on the safety registered in PROSPERO were included. The proportion of protocols that specified methods to deal with rare events and the detailed methods were summarized. We compared the difference of proportions (PD) across different settings.</p><h3>Results</h3><p dir="ltr">We identified 1,004 eligible protocols, of which, 119 (11.85%, 95% confidence interval (CI): 9.92%, 14.01%) specified methods to deal with rare events. The three most commonly planned methods were the Mantel–Haenszel, Peto's odds ratio, and continuity correction. Protocols planned a quantitative analysis (PD = 0.07, 95% CI: 0.02, 0.12; <i>P</i> = 0.004) and listed safety as a primary outcome (PD = 0.07, 95% CI: 0.01, 0.12; <i>P</i> = 0.018) were more likely to specify methods to deal with rare events.</p><h3>Conclusion</h3><p dir="ltr">Protocols for systematic reviews of intervention safety seldom specified methods to deal with rare events. Future systematic reviewers should provide a detailed and rigorous synthesis plan for rare events in their protocols.</p><h2>Other Information</h2><p dir="ltr">Published in: Journal of Clinical Epidemiology<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.jclinepi.2020.09.023" target="_blank">https://dx.doi.org/10.1016/j.jclinepi.2020.09.023</a></p>2020-09-25T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.jclinepi.2020.09.023https://figshare.com/articles/journal_contribution/Protocols_for_meta-analysis_of_intervention_safety_seldom_specified_methods_to_deal_with_rare_events/24210699CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/242106992020-09-25T00:00:00Z
spellingShingle Protocols for meta-analysis of intervention safety seldom specified methods to deal with rare events
You Zhou (129411)
Biomedical and clinical sciences
Clinical sciences
Health sciences
Epidemiology
Mathematical sciences
Statistics
Protocols
Meta-analysis of rare events
Data synthesis plan
PROSPERO
status_str publishedVersion
title Protocols for meta-analysis of intervention safety seldom specified methods to deal with rare events
title_full Protocols for meta-analysis of intervention safety seldom specified methods to deal with rare events
title_fullStr Protocols for meta-analysis of intervention safety seldom specified methods to deal with rare events
title_full_unstemmed Protocols for meta-analysis of intervention safety seldom specified methods to deal with rare events
title_short Protocols for meta-analysis of intervention safety seldom specified methods to deal with rare events
title_sort Protocols for meta-analysis of intervention safety seldom specified methods to deal with rare events
topic Biomedical and clinical sciences
Clinical sciences
Health sciences
Epidemiology
Mathematical sciences
Statistics
Protocols
Meta-analysis of rare events
Data synthesis plan
PROSPERO