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How Randomized Controlled
Trials are Used in Meta-
Analysis
An Academic presentation by
Dr. Nancy Agnes, Head, Technical
Operations, Pubrica
Group: www.pubrica.com
Email: sales@pubrica.com
Randomized controlled trials (RCTs) are prospective studies that assess the efficacy of a
novel intervention or treatment.
Although no research is likely to show causation, randomization eliminates bias and provides
a rigorous technique for examining cause-effect correlations between an intervention and
result.
This is because the process of randomization balances participant characteristics (both
observable and unobserved) between groups, allowing any variations in result to be
attributed to the research intervention. This is not achievable with any other research design.
Introduction
Randomized controlled trials—for efficacy research
Randomized Controlled Trials (RCTs) are a commonly used research design in medical and scientific
studies to assess the effectiveness of interventions or treatments. Meta-analysis, on the other hand, is a
statistical technique used to combine and analyze the results of multiple studies on a particular topic to
draw more robust conclusions.
To know more about meta-analysis services, check our study guide on How to do a meta-analysis for a
manuscript.
RCTs are Used in Meta-Analysis
The first step in a meta-analysis is to
identify all relevant RCTs that have
been conducted on a specific topic.
This is typically done through a
systematic literature review, where
researchers search various databases
and sources to find all available RCTs.
Researchers establish specific inclusion
and exclusion criteria to determine
which RCTs are eligible for inclusion in
the meta-analysis. Common criteria
might include the type of intervention,
the patient population, the outcome
measures, and the study design.
Identifying
Relevant RCTs
1
2
Inclusion Criteria
Here's how RCTs are used in the context of
meta-analysis
For each eligible RCT, relevant data is
extracted. This includes information
about the study design, sample size,
treatment group, control group, and the
results in terms of the outcome of
interest. This data collection is typically
recorded in a standardized format.
One of the key steps in meta-analysis is
calculating the effect size for each RCT.
The effect size is a measure of the
magnitude of the treatment effect, and
it allows for the comparison of results
across different studies. Common effect
size measures include odds ratios, risk
ratios, or mean differences, depending
on the type of data and outcome being
studied.
Data Extraction
3
4
Effect Size
Calculation
In a meta-analysis, not all studies are
given equal importance. Larger studies
or those with a lower risk of bias may be
given more weight in the analysis. This
helps ensure that the results of higher-
quality studies have a greater influence
on the overall findings.
Meta-analysis employs statistical
techniques to combine the effect sizes
from individual RCTs. A common
method is to use a weighted average of
the effect sizes, where the weights are
determined by the study's sample size
and quality.
Weighting Studies
5
6
Statistical Analysis:
Researchers assess the heterogeneity
of the included RCTs to determine how
much variability exists between the
studies. This is important because high
heterogeneity may impact the
reliability of the meta-analysis results.
Publication bias occurs when studies
with positive results are more likely to be
published, leading to an overestimation
of the treatment effect. Meta-analysts
often assess for publication bias and
attempt to correct it.
Heterogeneity
Assessment
7
8
Publication Bias
Assessment
The meta-analysis results are
interpreted to provide an overall
estimate of the treatment effect, along
with a measure of uncertainty (e.g., a
confidence interval). This synthesis of
evidence from multiple RCTs allows for
a more comprehensive and reliable
assessment of the intervention's
efficacy.
Check our Examples to get an understanding of our adaptability across
meta-analysis topics and subject domains.
The findings of the meta-analysis are
typically reported in a scientific paper or
a report, and they may be subject to
peer review and publication in
academic journals.
Interpretation of
Results
9
10
Reporting and
Publication
Pubrica has extensive experience in conducting meta-analysis, a quantitative, formal,
epidemiological study design used to systematically assess the results of previous research to derive
conclusions about that body of research.
Pubrica's team ofresearchersand authors develop Scientific andmedical research papersthat can
act as an indispensable tool to the practitioner/authors.
Pubrica medical writers help you to write and edit the introduction by introducing the reader to the
shortcomings or empty spaces in the identified research field.
Our experts are aware of the structure that follows the broad topic, the problem, and the background
and advance to a narrow topic to state the hypothesis.
About Pubrica
Contact Us
+44 1618186353
UNITED KINGDOM
+91-9884350006
INDIA
EMAIL
sales@pubrica.com

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How Randomized Controlled Trials are Used in Meta-Analysis

  • 1. How Randomized Controlled Trials are Used in Meta- Analysis An Academic presentation by Dr. Nancy Agnes, Head, Technical Operations, Pubrica Group: www.pubrica.com Email: sales@pubrica.com
  • 2. Randomized controlled trials (RCTs) are prospective studies that assess the efficacy of a novel intervention or treatment. Although no research is likely to show causation, randomization eliminates bias and provides a rigorous technique for examining cause-effect correlations between an intervention and result. This is because the process of randomization balances participant characteristics (both observable and unobserved) between groups, allowing any variations in result to be attributed to the research intervention. This is not achievable with any other research design. Introduction Randomized controlled trials—for efficacy research
  • 3. Randomized Controlled Trials (RCTs) are a commonly used research design in medical and scientific studies to assess the effectiveness of interventions or treatments. Meta-analysis, on the other hand, is a statistical technique used to combine and analyze the results of multiple studies on a particular topic to draw more robust conclusions. To know more about meta-analysis services, check our study guide on How to do a meta-analysis for a manuscript. RCTs are Used in Meta-Analysis
  • 4.
  • 5. The first step in a meta-analysis is to identify all relevant RCTs that have been conducted on a specific topic. This is typically done through a systematic literature review, where researchers search various databases and sources to find all available RCTs. Researchers establish specific inclusion and exclusion criteria to determine which RCTs are eligible for inclusion in the meta-analysis. Common criteria might include the type of intervention, the patient population, the outcome measures, and the study design. Identifying Relevant RCTs 1 2 Inclusion Criteria Here's how RCTs are used in the context of meta-analysis
  • 6. For each eligible RCT, relevant data is extracted. This includes information about the study design, sample size, treatment group, control group, and the results in terms of the outcome of interest. This data collection is typically recorded in a standardized format. One of the key steps in meta-analysis is calculating the effect size for each RCT. The effect size is a measure of the magnitude of the treatment effect, and it allows for the comparison of results across different studies. Common effect size measures include odds ratios, risk ratios, or mean differences, depending on the type of data and outcome being studied. Data Extraction 3 4 Effect Size Calculation
  • 7. In a meta-analysis, not all studies are given equal importance. Larger studies or those with a lower risk of bias may be given more weight in the analysis. This helps ensure that the results of higher- quality studies have a greater influence on the overall findings. Meta-analysis employs statistical techniques to combine the effect sizes from individual RCTs. A common method is to use a weighted average of the effect sizes, where the weights are determined by the study's sample size and quality. Weighting Studies 5 6 Statistical Analysis:
  • 8. Researchers assess the heterogeneity of the included RCTs to determine how much variability exists between the studies. This is important because high heterogeneity may impact the reliability of the meta-analysis results. Publication bias occurs when studies with positive results are more likely to be published, leading to an overestimation of the treatment effect. Meta-analysts often assess for publication bias and attempt to correct it. Heterogeneity Assessment 7 8 Publication Bias Assessment
  • 9. The meta-analysis results are interpreted to provide an overall estimate of the treatment effect, along with a measure of uncertainty (e.g., a confidence interval). This synthesis of evidence from multiple RCTs allows for a more comprehensive and reliable assessment of the intervention's efficacy. Check our Examples to get an understanding of our adaptability across meta-analysis topics and subject domains. The findings of the meta-analysis are typically reported in a scientific paper or a report, and they may be subject to peer review and publication in academic journals. Interpretation of Results 9 10 Reporting and Publication
  • 10. Pubrica has extensive experience in conducting meta-analysis, a quantitative, formal, epidemiological study design used to systematically assess the results of previous research to derive conclusions about that body of research. Pubrica's team ofresearchersand authors develop Scientific andmedical research papersthat can act as an indispensable tool to the practitioner/authors. Pubrica medical writers help you to write and edit the introduction by introducing the reader to the shortcomings or empty spaces in the identified research field. Our experts are aware of the structure that follows the broad topic, the problem, and the background and advance to a narrow topic to state the hypothesis. About Pubrica
  • 11. Contact Us +44 1618186353 UNITED KINGDOM +91-9884350006 INDIA EMAIL sales@pubrica.com