Misunderstandings and misuses of commonly-cited methods for systematic reviews & meta-analyses.

Professor Julian Higgins explains why he believes the systematic review and meta-analysis methods described in many highly cited papers are routinely misunderstood or misused. Julian Higgins is Professor of Evidence Synthesis at the Bristol Evidence Synthesis, Appraisal and Modelling (BEAM) Centre at the University of Bristol. His research has focussed on the methodology of systematic review and meta-analysis and he has been senior editor of the Cochrane Handbook for Systematic Reviews of Interventions since 2003. He is an NIHR Senior Investigator and currently co-directs the NIHR Bristol Evidence Synthesis Group. Systematic reviews and meta-analyses have become influential and popular. Papers describing aspects of the systematic review and meta-analysis toolkit have become some of the most highly cited papers. I will review those that appear at the top of the most-cited list and explain why I believe the methods described are routinely misunderstood or misused. These include a test for asymmetry in a funnel plot, the I-squared statistic for measuring inconsistency across studies, the random-effects meta-analysis model and the PRIMSA reporting guideline.

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The broad aim of the Centre for Evidence Based Medicine is to develop, teach and promote evidence-based health care and provide support and resources to doctors and health care professionals to help maintain the highest standards of medicine. Many of the talks are taken from the Oxford Evidence-Based Health Care Programme and delivered by members of the Nuffield Department of Primary Care Health Sciences, the Centre of Evidence Medicine and leaders in the field of Evidence-based Health Care internationally.