SynthesisStatistics in medicine2021
Evaluation of various estimators for standardized mean difference in meta-analysis.
Synthesis in Statistics in medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 132 papers, 77 of them syntheses that pooled 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.
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.
Who cites it
132 citing papers in PubMed, 77 syntheses or guidelines pooled it.
- Home-based exercise interventions incorporating cardiac rehabilitation principles for people with cancer: a systematic review and meta-analysis.Annals of medicine · 2026Pooled it
- Cardiorenal protective effects of glucagon-like peptide-1 receptor agonists in chronic kidney disease: a systematic review and meta-analysis.Renal failure · 2026Pooled it
- Effectiveness of Telehealth Care Interventions for Women's Mental Health During and After the COVID-19 Pandemic: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2026Pooled it
- Effectiveness of Nursing and Non-Pharmacological Interventions in Reducing Intradialytic Hypotension Among Haemodialysis Patients: A Systematic Review and Meta-Analysis.Nursing open · 2026Pooled it
- Hallucinations and auditory-verbal signal detection studies: A meta-analytic review.Psychological medicine · 2026Pooled it
- Effectiveness of Movement Representation Techniques in Chronic Non-Specific Spinal Pain: A Systematic Review and Meta-Analysis.Medicina (Kaunas, Lithuania) · 2026Pooled it
- Effects of Cognitive Behavioral Therapy on Fall Prevention for Older Adults: A Meta-Analysis.Worldviews on evidence-based nursing · 2026Pooled it
- Sorting the mind: cognitive enhancement through transcutaneous auricular vagus nerve stimulation: a systematic review and meta-analysis.Psychological medicine · 2026Pooled it
- Management of osteoporosis in older men: a systematic review of randomized trials of pharmacological and non-pharmacological strategies.Archives of osteoporosis · 2026Pooled it
- The effect of narrative medicine-based education on academic performance and humanistic communication in residency training: a systematic review and meta-analysis.Scientific reports · 2026Pooled it
- Impact of selected second and third generation antipsychotics on cognitive dysfunction in schizophrenia-spectrum disorders. Systematic review and network meta-analysis.International clinical psychopharmacology · 2026Pooled it
- Technology-Assisted Interventions for Reducing Risk of Suicide: A Meta-Analysis Focused on Suicidal Ideation.Actas espanolas de psiquiatria · 2026Pooled it
- Blood trace element concentrations and adult hypertension: A systematic review and meta-analysis of observational studies.Environmental science and pollution research international · 2026Pooled it
- Effectiveness of Virtual Reality-Based Early Rehabilitation Strategies on Pain, Sleep, Anxiety, Balance, Cognition, and Limb Motor Function in Adult Intensive Care Unit Patients: Systematic Review and Meta-Analysis of Randomized Controlled Trials.Journal of medical Internet research · 2026Pooled it
- Safety and efficacy of intracardiac echocardiography in atrial fibrillation ablation: a meta-analysis.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026Pooled it
- Acetylcysteine combined with budesonide nebulized inhalation for the treatment of pneumonia in children: a meta-analysis.European journal of clinical pharmacology · 2026Pooled it
- The impact of transcranial magnetic stimulation on serum thyroid-stimulating hormone levels in depressive patients: a systematic review and meta-analysis of randomized controlled trials.Frontiers in psychiatry · 2026Pooled it
- Effects of high-intensity interval training on body composition, cardiorespiratory fitness, and selected lipid outcomes in adult women with overweight or obesity: a systematic review and meta-analysis.Frontiers in physiology · 2026Pooled it
- Neurometabolics of the anterior cingulate cortex (ACC) in major depressive disorder (MDD): A systematic review and meta-analysis.NeuroImage. Clinical · 2026Pooled it
- Effects of generative artificial intelligence on students' learning motivation: evidence from a meta-analysis.Frontiers in psychology · 2026Pooled it
72 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
Meta-analyses of a treatment's effect compared with a control frequently calculate the meta-effect from standardized mean differences (SMDs). SMDs are usually estimated by Cohen's d or Hedges' g. Cohen's d divides the difference between sample means of a continuous response by the pooled standard deviation, but is subject to nonnegligible bias for small sample sizes. Hedges' g removes this bias with a correction factor. The current literature (including meta-analysis books and software packages) is confusingly inconsistent about methods for synthesizing SMDs, potentially making reproducibility a problem. Using conventional methods, the variance estimate of SMD is associated with the point estimate of SMD, so Hedges' g is not guaranteed to be unbiased in meta-analyses. This article comprehensively reviews and evaluates available methods for synthesizing SMDs. Their performance is compared using extensive simulation studies and analyses of actual datasets. We find that because of the intrinsic association between point estimates and standard errors, the usual version of Hedges' g can result in more biased meta-estimation than Cohen's d. We recommend using average-adjusted variance estimators to obtain an unbiased meta-estimate, and the Hartung-Knapp-Sidik-Jonkman method for accurate estimation of its confidence interval.
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Registered trials
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.