Professor Julian Higgins explains why he believes the systematic review and meta-analysis methods described in many highly cited papers are routinely misunderstood or misused. Julian Higgins is Professor of Evidence Synthesis at the Bristol Evidence Synthesis, Appraisal and Modelling (BEAM) Centre at the University of Bristol. His research has focussed on the methodology of systematic review and meta-analysis and he has been senior editor of the Cochrane Handbook for Systematic Reviews of Interventions since 2003. He is an NIHR Senior Investigator and currently co-directs the NIHR Bristol Evidence Synthesis Group.
Systematic reviews and meta-analyses have become influential and popular. Papers describing aspects of the systematic review and meta-analysis toolkit have become some of the most highly cited papers. I will review those that appear at the top of the most-cited list and explain why I believe the methods described are routinely misunderstood or misused. These include a test for asymmetry in a funnel plot, the I-squared statistic for measuring inconsistency across studies, the random-effects meta-analysis model and the PRIMSA reporting guideline.
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Professor Julian Higgins explains why he believes the systematic review and meta-analysis methods described in many highly cited papers are routinely misunderstood or misused. Julian Higgins is Professor of Evidence Synthesis at the Bristol Evidence Synthesis, Appraisal and Modelling (BEAM) Centre at the University of Bristol. His research has focussed on the methodology of systematic review and meta-analysis and he has been senior editor of the Cochrane Handbook for Systematic Reviews of Interventions since 2003. He is an NIHR Senior Investigator and currently co-directs the NIHR Bristol Evidence Synthesis Group.
Systematic reviews and meta-analyses have become influential and popular. Papers describing aspects of the systematic review and meta-analysis toolkit have become some of the most highly cited papers. I will review those that appear at the top of the most-cited list and explain why I believe the methods described are routinely misunderstood or misused. These include a test for asymmetry in a funnel plot, the I-squared statistic for measuring inconsistency across studies, the random-effects meta-analysis model and the PRIMSA reporting guideline.
Evidence isn't enough: The politics and practicalities of communicating health research
Evidence-Based Health Care
1 hour 2 minutes
5 years ago
Evidence isn't enough: The politics and practicalities of communicating health research
The logic and principles behind the drive for evidence-based health care are so compelling that often the limitations of evidence go unacknowledged. Despite a strong evidence base demonstrating the health risks associated with higher body weights, and health professionals routinely instructing patients to lose weight to improve their health, the incidence of obesity is predicted to continue to rise. Calling on his research into the relationships between obesity, inequality and health, Oli Williams - a fellow of The Healthcare Improvement Studies Institute - will argue that when it comes to reducing the burden on, and improving, health care a more critical approach to the way we generate, select, apply and communicate evidence is needed.
Oli Williams completed his PhD in the Department of Sociology at the University of Leicester. He was subsequently awarded the NIHR CLAHRC West Dan Hill Fellowship in Health Equity which he held at the University of Bath. He later re-joined the University of Leicester in the Department of Health Sciences working in the SAPPHIRE Group and is now based at King's College London after being awarded a THIS Institute Postdoctoral Fellowship. His research focuses on health inequalities, the promotion of healthy lifestyles, obesity, weight stigma, equitable intervention and co-production. He co-founded the art collective Act With Love (AWL) to promote social change. The Weight of Expectation comic is one example of their work, view others at: www.actwithlove.co.uk In recognition of his work on weight stigma the British Science Association invited Oli to deliver the Margaret Mead Award Lecture for Social Sciences at the British Science Festival 2018.
This talk was held as part of the Qualitative Research Methods course which is part of the Evidence-Based Health Care Programme. Creative Commons Attribution-Non-Commercial-Share Alike 2.0 UK: England & Wales; http://creativecommons.org/licenses/by-nc-sa/2.0/uk/
Evidence-Based Health Care
Professor Julian Higgins explains why he believes the systematic review and meta-analysis methods described in many highly cited papers are routinely misunderstood or misused. Julian Higgins is Professor of Evidence Synthesis at the Bristol Evidence Synthesis, Appraisal and Modelling (BEAM) Centre at the University of Bristol. His research has focussed on the methodology of systematic review and meta-analysis and he has been senior editor of the Cochrane Handbook for Systematic Reviews of Interventions since 2003. He is an NIHR Senior Investigator and currently co-directs the NIHR Bristol Evidence Synthesis Group.
Systematic reviews and meta-analyses have become influential and popular. Papers describing aspects of the systematic review and meta-analysis toolkit have become some of the most highly cited papers. I will review those that appear at the top of the most-cited list and explain why I believe the methods described are routinely misunderstood or misused. These include a test for asymmetry in a funnel plot, the I-squared statistic for measuring inconsistency across studies, the random-effects meta-analysis model and the PRIMSA reporting guideline.