Evidence map›Paper›PMID 30725345›Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2019

Can authorship bias be detected in meta-analysis?

Ahmed M Abou-Setta, Rasheda Rabbani, Lisa M Lix, Alexis F Turgeon, Brett L Houston, Dean A Fergusson, Ryan Zarychanski

Abstract read
PubMed Publisher
In one paragraph

Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Authorship network bias in meta-analysis.Research synthesis methods · 2026
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ahmed M Abou-SettaGeorge and Fay Yee Centre for Healthcare Innovation, University of Manitoba/Winnipeg Regional Health Authority, Chown Building, 367-753 McDermot Ave, Winnipeg, MB, R3A 1R9, Canada. ahmed.abou-setta@umanitoba.ca.ORCID http://orcid.org/0000-0003-0153-9916
Rasheda RabbaniGeorge and Fay Yee Centre for Healthcare Innovation, University of Manitoba/Winnipeg Regional Health Authority, Chown Building, 367-753 McDermot Ave, Winnipeg, MB, R3A 1R9, Canada.
Lisa M LixGeorge and Fay Yee Centre for Healthcare Innovation, University of Manitoba/Winnipeg Regional Health Authority, Chown Building, 367-753 McDermot Ave, Winnipeg, MB, R3A 1R9, Canada.
Alexis F TurgeonDivision of Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, Centre de recherche CHU de Québec - Université Laval, Population Health and Optimal Health Practice Research Unit, Université Laval, Québec City, QC, Canada.
Brett L HoustonDepartment of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Dean A FergussonClinical Epidemiology Program, Department of Medicine, Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada.
Ryan ZarychanskiGeorge and Fay Yee Centre for Healthcare Innovation, University of Manitoba/Winnipeg Regional Health Authority, Chown Building, 367-753 McDermot Ave, Winnipeg, MB, R3A 1R9, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStatistical approaches have been developed to detect bias in individual trials, but guidance on how to detect systematic differences at a meta-analytical level is lacking. In this paper, we elucidate whether author bias can be detected in a cohort of randomized trials included in a meta-analysis.

methodsWe utilized mortality data from 35 trials (10,880 patients) included in our previously published meta-analysis. First, we linked each author with their trial (or trials). Then we calculated author-specific odds ratios using univariate cross table methods. Finally, we tested the effect of authorship by comparing each author's estimated odds ratio with all other pooled estimated odds ratios using meta-regression.

resultsThe median number of investigators named as authors on the primary trial reports was six (interquartile range: 5-8, range: 2-32). The results showed that the slope of author effect for mortality ranged from - 1.35 to 0.71. We identified only one author team showing a marginally significant effect (- 0.39; 95% confidence interval, - 0.78 to 0.00). This author team has a history of retractions due to data manipulations and ethical violations.

conclusionWhen combining trial-level data to produce a pooled effect estimate, investigators must consider sources of potential bias. Our results suggest that systematic errors can be detected using meta-regression, although further research is needed to examine the sensitivity of this model. Systematic reviewers will benefit from the availability of methods to guard against the dissemination of results with the potential to mislead decision-making.

Indexed as

BiasMeta-Analysis as TopicAuthorshipHumansRandomized Controlled Trials as TopicRegression AnalysisSystematic Reviews as Topic

Identifiers

PMID30725345

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.