Dealing with missing standard deviation and mean values in meta-analysis of continuous outcomes: a systematic review
By C. Weir, I. Butcher, Valentina Assi, S. Lewis, G. Murray, P. Langhorne, M. Brady. BMC Medical Research Methodology, 2018
381 citations recorded by the source corpus.
BackgroundRigorous, informative meta-analyses rely on availability of appropriate summary statistics or individual participant data. For continuous outcomes, especially those with naturally skewed distributions, summary information on the mean or variability often goes unreported. While full reporting of original trial data is the ideal, we sought to identify methods for handling unreported mean or variability summary statistics in meta-analysis.MethodsWe undertook two systematic literature reviews to identify methodological approaches used to deal with missing mean or variability summary statistics. Five electronic databases were searched, in addition to the Cochrane Colloquium abstract books and the Cochrane Statistics Methods Group mailing list archive. We also conducted cited reference searching and emailed topic experts to identify recent methodological developments. Details recorded included the description of the method, the information required to implement the method, any underlying assumptions and whether the method could be readily applied in standard statistical software. We provided a summary description of the methods identified, illustrating selected methods in example meta-analysis scenarios.ResultsFor missing standard deviations (SDs), following screening of 503 articles, fifteen methods were identified in addition to those reported in a previous review. These included Bayesian hierarchical modelling at the meta-analysis level; summary statistic level imputation based on observed SD values from other trials in the meta-analysis; a practical approximation based on the range; and algebraic estimation of the SD based on other summary statistics. Following screening of 1124 articles for methods estimating the mean, one approximate Bayesian computation approach and three papers based on alternative summary statistics were identified. Illustrative meta-analyses showed that when replacing a missing SD the approximation using the range minimised loss of precision and generally performed better than omitting trials. When estimating missing means, a formula using the median, lower quartile and upper quartile performed best in preserving the precision of the meta-analysis findings, although in some scenarios, omitting trials gave superior results.ConclusionsMethods based on summary statistics (minimum, maximum, lower quartile, upper quartile, median) reported in the literature facilitate more comprehensive inclusion of randomised controlled trials with missing mean or variability summary statistics within meta-analyses.
Subfields: Statistics and Probability, Surgery
View Paper: https://www.semanticscholar.org/paper/0bed2a3291e7187198937f565ddb6fa25cb990d2
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Citations in the corpus
- Optimally estimating the sample standard deviation from the five‐number summary (2020, background): “This shows that the weight in formula (15) is, approximately, the optimal weight of the estimator.”
- Meta-Analysis Reveals Artificial Reefs Can Be Effective Tools for Fish Community Enhancement but Are Not One-Size-Fits-All (2020, background): “It is generally preferable to impute missing values than to exclude those studies with missing values from the meta-analysis (Batson and Burton, 2016; Weir et al., 2018).”