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Meta-research: the art of getting it wrong
Ioannidis, J.P.A. (2010). Meta-research: the art of getting it wrong. Research Synthesis Methods 1(3-4): 169-184. https://dx.doi.org/10.1002/jrsm.19
In: Research Synthesis Methods. Wiley-Blackwell: Hoboken. ISSN 1759-2879; e-ISSN 1759-2887, more
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  • Ioannidis, J.P.A.

Abstract
    Meta-analysis has major strengths, but sometimes it can often lead to wrong and misleading answers. In this SRSM presidential address, I discuss some case studies that exemplify these problems, including examples from meta-analyses of both clinical trials and observational associations. I also discuss issues of effect size estimation, bias (in particular significance-chasing biases), and credibility in meta-research. I examine the factors that affect the credibility of meta-analyses, including magnitude of effects, multiplicity of analyses, scale of data, flexibility of analyses, reporting, and conflicts of interest. Under the current circumstances, a survey of expert meta-analysts attending the SRSM meeting showed that most of them believe that the true effect is practically equally likely to lie within the 95% confidence interval of a meta-analysis or outside of it. Finally, I address the placement of meta-analysis in the wider current research agenda and make a plea for adoption of more prospective meta-designs. In many/most/all fields, all primary original research may be designed, executed, and interpreted as a prospective meta-analysis.

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