P value-driven methods were underpowered to detect publication bias: analysis of Cochrane review meta-analyses

Ref ID 332
First Author L. Furuya-Kanamori
Journal JOURNAL OF CLINICAL EPIDEMIOLOGY
Year Of Publishing 2020
URL https://www.jclinepi.com/article/S0895-4356(19)30381-6/fulltext
Keywords • General medical
• Publication bias
Problem(s) • Poor consideration of publication bias
• Weaknesses identified in some Cochrane reviews
Number of systematic reviews included 5014
Summary of Findings The proportion of meta-analyses detected as asymmetrical via Egger’s, Harbord’s, Peters’, and Begg’s tests decreased by 42.6%, 41.1%, 29.3%, and 28.3%, respectively, when the median number of studies in the meta-analysis decreased from 87 to 14. P values decreased as the number of studies increased in the meta-analysis, despite the level of symmetry remaining constant. The simulation study confirmed that when publication bias is present, P value tests underestimate the presence of publication bias, particularly when study numbers are small.
Did the article find that the problem(s) led to qualitative changes in interpretation of the results? N/A
Are the methods of the article described in enough detail to replicate the study? Yes