Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Translational Research Institute Queensland, Woolloongabba, QLD, Australia.
Indian J Gastroenterol. 2020 Oct;39(5):503-513. doi: 10.1007/s12664-020-01107-x. Epub 2020 Nov 4.
Meta-analysis is an approach to formally, systematically and quantitatively analyze multiple existing research studies and to synthesize new research findings based upon the existing data. Until the late 1970s, meta-analyses were not regularly reported in the medical literature, but since then there has been an exponential growth of meta-analyses and they are now among the most frequently cited form of research. A properly performed systematic review and meta-analysis is a very important tool in evidence-based medicine and a good understanding of the steps involved in doing a systematic review and meta-analysis is important to yield meaningful results. The purpose of this review article is to provide a brief overview about systematic reviews and meta-analyses and the underlying principles for conducting this type of research. Methodological approaches for conducting a meticulous meta-analysis are described and the important steps involved in the interpretation and presentation of meta-analysis are outlined and discussed. The key objective of this paper is to outline a step-by-step approach that is useful to all researchers, who would like to conduct their first meta-analysis. This paper also provides clinicians and researchers with the information to interpret systematic reviews and meta-analyses.
元分析是一种正式、系统和定量分析多个现有研究并基于现有数据综合新研究结果的方法。直到 20 世纪 70 年代末,医学文献中并没有定期报告元分析,但此后元分析的数量呈指数级增长,现在是最常被引用的研究形式之一。精心进行的系统评价和荟萃分析是循证医学的重要工具,对进行系统评价和荟萃分析所涉及的步骤有很好的理解对于产生有意义的结果非常重要。本文的目的是简要概述系统评价和荟萃分析以及进行此类研究的基本原则。描述了进行细致荟萃分析的方法学方法,并概述和讨论了荟萃分析解释和呈现的重要步骤。本文的主要目的是概述一种循序渐进的方法,对所有希望进行第一次荟萃分析的研究人员都有用。本文还为临床医生和研究人员提供了解释系统评价和荟萃分析的信息。