A 7-Step Guideline for Qualitative Synthesis and Meta-Analysis of Observational Studies in Health Sciences

Objectives: To provide a step-by-step, easy-to-understand, practical guide for systematic review and meta-analysis of observational studies.Methods: A multidisciplinary team of researchers with extensive experience in observational studies and systematic review and meta-analysis was established. Pre...

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Main Authors: Marija Glisic, Peter Francis Raguindin, Armin Gemperli, Petek Eylul Taneri, Dante Jr. Salvador, Trudy Voortman, Pedro Marques Vidal, Stefania I. Papatheodorou, Setor K. Kunutsor, Arjola Bano, John P. A. Ioannidis, Taulant Muka
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Public Health Reviews
Subjects:
Online Access:https://www.ssph-journal.org/articles/10.3389/phrs.2023.1605454/full
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author Marija Glisic
Marija Glisic
Peter Francis Raguindin
Peter Francis Raguindin
Peter Francis Raguindin
Peter Francis Raguindin
Armin Gemperli
Armin Gemperli
Petek Eylul Taneri
Dante Jr. Salvador
Dante Jr. Salvador
Trudy Voortman
Trudy Voortman
Pedro Marques Vidal
Stefania I. Papatheodorou
Setor K. Kunutsor
Setor K. Kunutsor
Arjola Bano
Arjola Bano
John P. A. Ioannidis
John P. A. Ioannidis
John P. A. Ioannidis
John P. A. Ioannidis
Taulant Muka
Taulant Muka
Taulant Muka
author_facet Marija Glisic
Marija Glisic
Peter Francis Raguindin
Peter Francis Raguindin
Peter Francis Raguindin
Peter Francis Raguindin
Armin Gemperli
Armin Gemperli
Petek Eylul Taneri
Dante Jr. Salvador
Dante Jr. Salvador
Trudy Voortman
Trudy Voortman
Pedro Marques Vidal
Stefania I. Papatheodorou
Setor K. Kunutsor
Setor K. Kunutsor
Arjola Bano
Arjola Bano
John P. A. Ioannidis
John P. A. Ioannidis
John P. A. Ioannidis
John P. A. Ioannidis
Taulant Muka
Taulant Muka
Taulant Muka
author_sort Marija Glisic
collection DOAJ
description Objectives: To provide a step-by-step, easy-to-understand, practical guide for systematic review and meta-analysis of observational studies.Methods: A multidisciplinary team of researchers with extensive experience in observational studies and systematic review and meta-analysis was established. Previous guidelines in evidence synthesis were considered.Results: There is inherent variability in observational study design, population, and analysis, making evidence synthesis challenging. We provided a framework and discussed basic meta-analysis concepts to assist reviewers in making informed decisions. We also explained several statistical tools for dealing with heterogeneity, probing for bias, and interpreting findings. Finally, we briefly discussed issues and caveats for translating results into clinical and public health recommendations. Our guideline complements “A 24-step guide on how to design, conduct, and successfully publish a systematic review and meta-analysis in medical research” and addresses peculiarities for observational studies previously unexplored.Conclusion: We provided 7 steps to synthesize evidence from observational studies. We encourage medical and public health practitioners who answer important questions to systematically integrate evidence from observational studies and contribute evidence-based decision-making in health sciences.
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spelling doaj.art-b4ce1a6ef86f4fc6b375d5827435e8a92023-05-16T08:55:04ZengFrontiers Media S.A.Public Health Reviews2107-69522023-05-014410.3389/phrs.2023.16054541605454A 7-Step Guideline for Qualitative Synthesis and Meta-Analysis of Observational Studies in Health SciencesMarija Glisic0Marija Glisic1Peter Francis Raguindin2Peter Francis Raguindin3Peter Francis Raguindin4Peter Francis Raguindin5Armin Gemperli6Armin Gemperli7Petek Eylul Taneri8Dante Jr. Salvador9Dante Jr. Salvador10Trudy Voortman11Trudy Voortman12Pedro Marques Vidal13Stefania I. Papatheodorou14Setor K. Kunutsor15Setor K. Kunutsor16Arjola Bano17Arjola Bano18John P. A. Ioannidis19John P. A. Ioannidis20John P. A. Ioannidis21John P. A. Ioannidis22Taulant Muka23Taulant Muka24Taulant Muka25Institute of Social and Preventive Medicine, University of Bern, Bern, SwitzerlandSwiss Paraplegic Research, Nottwil, SwitzerlandInstitute of Social and Preventive Medicine, University of Bern, Bern, SwitzerlandSwiss Paraplegic Research, Nottwil, SwitzerlandGraduate School for Health Sciences, University of Bern, Bern, SwitzerlandFaculty of Health Science and Medicine, University of Lucerne, Lucerne, SwitzerlandSwiss Paraplegic Research, Nottwil, SwitzerlandInstitute of Primary and Community Care, University of Lucerne, Lucerne, SwitzerlandHRB-Trials Methodology Research Network, National University of Ireland, Galway, IrelandInstitute of Social and Preventive Medicine, University of Bern, Bern, SwitzerlandGraduate School for Health Sciences, University of Bern, Bern, SwitzerlandDepartment of Epidemiology, Erasmus MC, University Medical Center, Rotterdam, NetherlandsDivision of Human Nutrition and Health, Wageningen University and Research, Wageningen, NetherlandsDepartment of Medicine, Internal Medicine, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland0Department of Epidemiology, Harvard TH Chan School of Public Health, Boston, MA, United States1Diabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, United Kingdom2Translational Health Sciences, Bristol Medical School, University of Bristol, Southmead Hospital, Bristol, United KingdomInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland3Department of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland4Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States5Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA, United States6Department of Statistics, Stanford University, Stanford, CA, United States7Meta-Research Innovation Center at Stanford (METRICS), Stanford University, Stanford, CA, United StatesInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland7Meta-Research Innovation Center at Stanford (METRICS), Stanford University, Stanford, CA, United States8Epistudia, Bern, SwitzerlandObjectives: To provide a step-by-step, easy-to-understand, practical guide for systematic review and meta-analysis of observational studies.Methods: A multidisciplinary team of researchers with extensive experience in observational studies and systematic review and meta-analysis was established. Previous guidelines in evidence synthesis were considered.Results: There is inherent variability in observational study design, population, and analysis, making evidence synthesis challenging. We provided a framework and discussed basic meta-analysis concepts to assist reviewers in making informed decisions. We also explained several statistical tools for dealing with heterogeneity, probing for bias, and interpreting findings. Finally, we briefly discussed issues and caveats for translating results into clinical and public health recommendations. Our guideline complements “A 24-step guide on how to design, conduct, and successfully publish a systematic review and meta-analysis in medical research” and addresses peculiarities for observational studies previously unexplored.Conclusion: We provided 7 steps to synthesize evidence from observational studies. We encourage medical and public health practitioners who answer important questions to systematically integrate evidence from observational studies and contribute evidence-based decision-making in health sciences.https://www.ssph-journal.org/articles/10.3389/phrs.2023.1605454/fullcross-sectional studiesobservational studyevidence-based approachcohort studiessystematic review and meta-analysis
spellingShingle Marija Glisic
Marija Glisic
Peter Francis Raguindin
Peter Francis Raguindin
Peter Francis Raguindin
Peter Francis Raguindin
Armin Gemperli
Armin Gemperli
Petek Eylul Taneri
Dante Jr. Salvador
Dante Jr. Salvador
Trudy Voortman
Trudy Voortman
Pedro Marques Vidal
Stefania I. Papatheodorou
Setor K. Kunutsor
Setor K. Kunutsor
Arjola Bano
Arjola Bano
John P. A. Ioannidis
John P. A. Ioannidis
John P. A. Ioannidis
John P. A. Ioannidis
Taulant Muka
Taulant Muka
Taulant Muka
A 7-Step Guideline for Qualitative Synthesis and Meta-Analysis of Observational Studies in Health Sciences
Public Health Reviews
cross-sectional studies
observational study
evidence-based approach
cohort studies
systematic review and meta-analysis
title A 7-Step Guideline for Qualitative Synthesis and Meta-Analysis of Observational Studies in Health Sciences
title_full A 7-Step Guideline for Qualitative Synthesis and Meta-Analysis of Observational Studies in Health Sciences
title_fullStr A 7-Step Guideline for Qualitative Synthesis and Meta-Analysis of Observational Studies in Health Sciences
title_full_unstemmed A 7-Step Guideline for Qualitative Synthesis and Meta-Analysis of Observational Studies in Health Sciences
title_short A 7-Step Guideline for Qualitative Synthesis and Meta-Analysis of Observational Studies in Health Sciences
title_sort 7 step guideline for qualitative synthesis and meta analysis of observational studies in health sciences
topic cross-sectional studies
observational study
evidence-based approach
cohort studies
systematic review and meta-analysis
url https://www.ssph-journal.org/articles/10.3389/phrs.2023.1605454/full
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