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荟萃分析:医疗保健专业人员的实用指南

Meta-Analysis: A to Z for Healthcare Professionals.

作者信息

Al-Namaeh Mashael

机构信息

Clinical Research, Clinical Virtual Research Center, Wayne, USA.

出版信息

Cureus. 2025 Mar 19;17(3):e80846. doi: 10.7759/cureus.80846. eCollection 2025 Mar.

Abstract

Meta-analysis is a powerful tool in evidence-based medicine, allowing researchers to synthesize findings from multiple studies to enhance clinical decision-making. This technical report provides a step-by-step guide on conducting a meta-analysis using JASP (Jeffreys's Amazing Statistics Program, University of Amsterdam, Amsterdam, Netherlands), an open-source statistical software. Two case studies illustrate its application: (1) an analysis of the association between serum vitamin D levels and intraocular pressure in primary open-angle glaucoma (POAG) and (2) an evaluation of the relationship between cardiovascular mortality and open-angle glaucoma (OAG). The study follows PRISMA guidelines and employs a random-effects model to account for heterogeneity. Results indicate no significant association between vitamin D and POAG (p = 0.122), while the cardiovascular disease-glaucoma meta-analysis shows high heterogeneity (I² = 99.54%). These findings highlight the challenges of interpreting meta-analyses with variable datasets. This report serves as a practical resource for researchers and clinicians, providing essential tools to conduct meta-analyses effectively and apply them in healthcare research.

摘要

荟萃分析是循证医学中的一项强大工具,它使研究人员能够综合多项研究的结果,以加强临床决策。本技术报告提供了一份使用JASP(杰弗里斯神奇统计程序,荷兰阿姆斯特丹大学)进行荟萃分析的分步指南,JASP是一款开源统计软件。两个案例研究说明了其应用:(1)原发性开角型青光眼(POAG)患者血清维生素D水平与眼压之间关联的分析,以及(2)心血管死亡率与开角型青光眼(OAG)之间关系的评估。该研究遵循PRISMA指南,并采用随机效应模型来处理异质性。结果表明维生素D与POAG之间无显著关联(p = 0.122),而心血管疾病 - 青光眼的荟萃分析显示出高度异质性(I² = 99.54%)。这些发现凸显了用可变数据集解释荟萃分析的挑战。本报告为研究人员和临床医生提供了实用资源,提供了有效进行荟萃分析并将其应用于医疗保健研究的重要工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0260/12007941/9fceb8806807/cureus-0017-00000080846-i01.jpg

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