Volume 35, Issue 21
Research Article

A new measure of between‐studies heterogeneity in meta‐analysis

Alessio Crippa

Corresponding Author

Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden

Correspondence to: Alessio Crippa, Department of Public Health Sciences, Karolinska Institutet, Tomtebodavägen 18A, 171 77 Stockholm, Sweden.

E‐mail: alessio.crippa@ki.se

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Polyna Khudyakov

Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, U.S.A.

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Molin Wang

Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, U.S.A.

Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, U.S.A.

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Nicola Orsini

Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden

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Donna Spiegelman

Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, U.S.A.

Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, U.S.A.

Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, U.S.A.

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First published: 10 May 2016
Citations: 12

Abstract

Assessing the magnitude of heterogeneity in a meta‐analysis is important for determining the appropriateness of combining results. The most popular measure of heterogeneity, I2, was derived under an assumption of homogeneity of the within‐study variances, which is almost never true, and the alternative estimator, urn:x-wiley:02776715:media:sim6980:sim6980-math-0001, uses the harmonic mean to estimate the average of the within‐study variances, which may also lead to bias. This paper thus presents a new measure for quantifying the extent to which the variance of the pooled random‐effects estimator is due to between‐studies variation, urn:x-wiley:02776715:media:sim6980:sim6980-math-0002, that overcomes the limitations of the previous approach. We show that this measure estimates the expected value of the proportion of total variance due to between‐studies variation and we present its point and interval estimators. The performance of all three heterogeneity measures is evaluated in an extensive simulation study. A negative bias for urn:x-wiley:02776715:media:sim6980:sim6980-math-0003 was observed when the number of studies was very small and became negligible as the number of studies increased, while urn:x-wiley:02776715:media:sim6980:sim6980-math-0004 and I2 showed a tendency to overestimate the impact of heterogeneity. The coverage of confidence intervals based upon urn:x-wiley:02776715:media:sim6980:sim6980-math-0005 was good across different simulation scenarios but was substantially lower for urn:x-wiley:02776715:media:sim6980:sim6980-math-0006 and I2, especially for high values of heterogeneity and when a large number of studies were included in the meta‐analysis. The proposed measure is implemented in a user‐friendly function available for routine use in r and sas. urn:x-wiley:02776715:media:sim6980:sim6980-math-0007 will be useful in quantifying the magnitude of heterogeneity in meta‐analysis and should supplement the p‐value for the test of heterogeneity obtained from the Q test. Copyright © 2016 John Wiley & Sons, Ltd.

Number of times cited according to CrossRef: 12

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