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dc.contributor.authorSalanti, G.en
dc.contributor.authorIoannidis, J. P.en
dc.date.accessioned2015-11-24T19:43:26Z-
dc.date.available2015-11-24T19:43:26Z-
dc.identifier.issn1878-5921-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/24757-
dc.rightsDefault Licence-
dc.subjectAlgorithmsen
dc.subject*Bias (Epidemiology)en
dc.subject*Data Interpretation, Statisticalen
dc.subjectFatty Acids, Omega-3/administration & dosageen
dc.subjectHair Dyes/adverse effectsen
dc.subjectHospital Mortalityen
dc.subjectHospitals, Teaching/statistics & numerical dataen
dc.subjectHumansen
dc.subjectLikelihood Functionsen
dc.subjectLymphoma, Non-Hodgkin/epidemiologyen
dc.subject*Meta-Analysis as Topicen
dc.subjectResearch Design/standardsen
dc.subjectRisken
dc.titleSynthesis of observational studies should consider credibility ceilingsen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.primary10.1016/j.jclinepi.2008.05.014-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/19131013-
heal.identifier.secondaryhttp://ac.els-cdn.com/S089543560800259X/1-s2.0-S089543560800259X-main.pdf?_tid=6bb8950a584764dd6c01254f0b98148c&acdnat=1333018214_bed2bc124839b2a6f5e3288c1f830570-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2009-
heal.abstractOBJECTIVE: Meta-analyses of observational studies often get spuriously precise results. We aimed to factor this skepticism in meta-analysis calculations. STUDY DESIGN AND SETTING: We developed a simple sensitivity analysis starting from the assumption that any single observational study cannot give us more than a maximum certainty c% (called credibility ceiling) that an effect is in a particular direction and not in the other. Each study included in meta-analysis is adjusted for different credibility ceilings c and the consistency of the conclusion examined. We applied the method in three meta-analyses of observational studies with nominally statistically significant summary effects (mortality with teaching versus nonteaching health care; risk of non-Hodgkin's lymphoma with hair dyes; mortality with omega-3 fatty acids). RESULTS: Between-study heterogeneity I(2) estimates dropped from 36%-72% without a ceiling effect to 0% with ceilings of 9%, 4%, and 4% in the three meta-analyses, respectively. Nominal statistical significance was lost with ceilings of 10%, 8%, and 11%, respectively. The likelihood ratios suggested that even with minimal ceiling effects, there was no strong support for the credibility of each of these three associations. CONCLUSIONS: Consideration of credibility ceilings allows conservative interpretation of observational evidence and can be applied routinely to meta-analyses of observational studies.en
heal.journalNameJ Clin Epidemiolen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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