Systematic Review and Meta-analysis

Learning objectives

Upon successful completion of the course the post-graduate students are expected to be able to:

  • develop a systematic review and meta-analysis protocol according to SPIRIT guidelines
  • apply methods used in meta-analysis. More specifically, they will be able to:
    • Choose and apply fixed- and random-effects models based on the characteristics of the data
    • Apply the Mantel-Heanzel, Peto, Inverse variance, Der Simonian and Laird methods.
    • Apply and interpret the heterogeneity criterion Q and I2
    • Apply meta-regression and investigate sources of heterogeneity
  • Implement sensitivity analysis
  • create forest plots, as well as funnel plots, graphs to investigate the systematic error of small studies or to identify studies with a large effect on the results, etc.
  • understand and evaluate results of meta-analyses. In particular:
    • heterogeneity
    • systematic publication error
    • effect of small studies
  • publish findings of a meta-analysis according to PRISMA guidelines.

Course content

The following topics are covered:

  • Introduction to meta-analysis –Protocol development
  • Systematic review
  • Practical exercise in literature review through PubMed
  • Study evaluation and data extraction
  • Synthesis of the estimates of studies – fixed and random effects model
  • Systematic errors in meta-analysis
  • Assessment of heterogeneity
  • Practical exercise in Revman
  • Practical exercise in STATA
  • Evaluation and presentation of findings of a meta-analysis for publication
  • Practical exercise in STATA
  • General issues in meta-analysis
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