Evidence map›Paper›PMID 41992899›Full record

ArticleResearch synthesis methods2026

Evaluation of the replicability of systematic reviews with meta-analyses of the effects of health interventions.

Daniel G Hamilton, Joanne E McKenzie, Phi-Yen Nguyen, Melissa L Rethlefsen, Steve McDonald, Sue E Brennan, Fiona M Fidler, Julian P T Higgins, Raju Kanukula, Sathya Karunananthan and 7 more

Abstract read
In one paragraph

Article in Research synthesis methods, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

17 authors.

Daniel G HamiltonSchool of Public Health and Preventive Medicine, https://ror.org/02bfwt286Monash University, Australia.ORCID https://orcid.org/0000-0001-8104-474X
Joanne E McKenzieSchool of Public Health and Preventive Medicine, https://ror.org/02bfwt286Monash University, Australia.ORCID https://orcid.org/0000-0003-3534-1641
Phi-Yen NguyenSchool of Public Health and Preventive Medicine, https://ror.org/02bfwt286Monash University, Australia.ORCID https://orcid.org/0000-0002-0476-3385
Melissa L RethlefsenHealth Sciences Library and Informatics Center, https://ror.org/02jvjmd55University of New Mexico Health Sciences Center, USA.ORCID https://orcid.org/0000-0001-5322-9368
Steve McDonaldSchool of Public Health and Preventive Medicine, https://ror.org/02bfwt286Monash University, Australia.ORCID https://orcid.org/0000-0003-2832-5205
Sue E BrennanSchool of Public Health and Preventive Medicine, https://ror.org/02bfwt286Monash University, Australia.
Fiona M FidlerSchool of History and Philosophy of Sciences, https://ror.org/01ej9dk98The University of Melbourne, Australia.
Julian P T HigginsPopulation Health Sciences, https://ror.org/0524sp257University of Bristol, UK.ORCID https://orcid.org/0000-0002-8323-2514
Raju KanukulaSchool of Architecture, Design and Planning, University of Sydney, Sydney, NSW, Australia.
Sathya KarunananthanInterdisciplinary School of Health Sciences, https://ror.org/03c4mmv16University of Ottawa Faculty of Health Sciences, Canada.
Lara J MaxwellFaculty of Medicine, https://ror.org/03c4mmv16University of Ottawa, Canada.ORCID https://orcid.org/0000-0003-0023-941X
David MoherOttawa Methods Centre, Ottawa Hospital Research Institute, Canada.
Shinichi NakagawaDepartment of Biological Sciences, University of Alberta, Canada.ORCID https://orcid.org/0000-0002-7765-5182
David NunanNuffield Department of Primary Care, University of Oxford, UK.
Peter TugwellDepartment of Medicine, University of Ottawa, Canada.
Vivian A WelchSchool of Epidemiology and Public Health, University of Ottawa, Canada.
Matthew J PageSchool of Public Health and Preventive Medicine, https://ror.org/02bfwt286Monash University, Australia.ORCID https://orcid.org/0000-0002-4242-7526

Funding

Australian Research Council DE200101618
6 · The paper itself

Abstract

Systematic reviews are often characterized as being inherently replicable, but several studies have challenged this claim. The objective of the study was to investigate the variation in results following independent replication of literature searches and meta-analyses of systematic reviews. We included 10 systematic reviews of the effects of health interventions published in November 2020. Two information specialists repeated the original database search strategies. Two experienced review authors screened full-text articles, extracted data, and calculated the results for the first reported meta-analysis. All replicators were initially blinded to the results of the original review. A meta-analysis was considered not 'fully replicable' if the original and replicated summary estimate or confidence interval width differed by more than 10%, and meaningfully different if there was a difference in the direction or statistical significance. The difference between the number of records retrieved by the original reviewers and the information specialists exceeded 10% in 25/43 (58%) searches for the first replicator and 21/43 (49%) searches for the second. Eight meta-analyses (80%, 95% CI: 49-96) were initially classified as not fully replicable. After screening and data discrepancies were addressed, the number of meta-analyses classified as not fully replicable decreased to five (50%, 95% CI: 24-76). Differences were classified as meaningful in one blinded replication (10%, 95% CI: 1-40) and none of the unblinded replications (0%, 95% CI: 0-28). The results of systematic review processes were not always consistent when their reported methods were repeated. However, these inconsistencies seldom affected summary estimates from meta-analyses in a meaningful way.

Indexed as

Meta-Analysis as TopicSystematic Reviews as TopicHumansReproducibility of ResultsResearch Designliterature searchmeta-analysismeta-researchreplicationreproducibilitysystematic review

Identifiers

PMID41992899
PMCPMC13126212

What OpenQuestion holds

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LicenceCC BY
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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.