How to Appraise a Systematic Review and Meta Analysis in Clinical Practice | Meta Analysis Example

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  • เผยแพร่เมื่อ 7 ม.ค. 2025

ความคิดเห็น • 17

  • @erickmercado8023
    @erickmercado8023 10 หลายเดือนก่อน +2

    Thank you Dr. Rege, you've given me a lot better confidence in understanding and appraising Systematic Reviews and Meta Analysis!! Here's to research!!!

  • @viersternemotel
    @viersternemotel 6 ปีที่แล้ว +5

    Thank you very much for this video, it is great! Useful for both trainees and senior clinicians to keep knowledge up to date!

  • @emc890
    @emc890 2 ปีที่แล้ว +2

    the menta-analysis I am looking at has a "statistics for each study'' table showing p value at 0, so does that mean there is little chance of heterogeneity ?

    • @PsychiatrySimplified
      @PsychiatrySimplified  2 ปีที่แล้ว +1

      P value is derived from alpha ( it’s a Margin of Error in study for a false positive) - as no study is 100 % accurate. If the Test is for heterogeneity and the p value is

    • @PsychiatrySimplified
      @PsychiatrySimplified  2 ปีที่แล้ว +1

      Heterogeneity is calculated for the overall pooled group. It is asking the question - are we comparing apples vs apples or are there some pears ( heterogeneity) in this fruit basket

    • @emc890
      @emc890 2 ปีที่แล้ว +1

      @@PsychiatrySimplified Your explanation is great thank you.
      I did question it, but currently nothing makes sense and I have just confused myself further :')
      The article I have states that there is a heterogeneity in the group comparisons but I can not see this on the tables. which is why I think I can not get my head around it.
      Thank you for taking time out to get back to me :)

  • @shaun_fitzpatrick
    @shaun_fitzpatrick 4 ปีที่แล้ว +2

    Hi, for this example how would we work out if the meta analysis is clinically significant? Is 0.5 always the MCID for SMD? Thank you!!!

    • @PsychiatrySimplified
      @PsychiatrySimplified  4 ปีที่แล้ว

      Clinical significance is derived from a clinical judgement of effect size. So based on the outcome - for SMD a clinician will evaluate if the ’difference’ is clinically relevant. So say if a depression study showed a SMD of 4 points on HDRS then a clinician will make a judgement as to whether the 4 points difference is clinically relevant or significant for the patient group in study and if it applies to the patient group the clinician sees. Statistical significance is different - we covered it in another video th-cam.com/video/0gMIL-s5kSU/w-d-xo.html
      A detailed article on statistical significance (p values and confidence intervals can be read here psychscenehub.com/psychinsights/guide-p-values-confidence-intervals/

  • @jacklinemmochi6433
    @jacklinemmochi6433 11 หลายเดือนก่อน +1

    Very useful ❤

  • @jameshrcairns
    @jameshrcairns 4 ปีที่แล้ว +2

    This was really useful, thanks

  • @sanakauser8451
    @sanakauser8451 5 ปีที่แล้ว +2

    Thanku sir...Video gave me some idea

  • @manovriksha
    @manovriksha 6 ปีที่แล้ว +2

    Thanku sir..well explained.