Assessment of funnel plot asymmetry and publication bias in reproductive health meta-analyses: an analytic survey

Ref ID 716
First Author J.P. Souza
Journal REPRODUCTIVE HEALTH
Year Of Publishing 2007
URL https://link.springer.com/article/10.1186/1742-4755-4-3
Keywords • Cochrane
• Reproductive health
• Publication bias
Problem(s) • Poor consideration of publication bias
Article Type Empirical
Article Subtype Meta-epidemiological analysis
First Author Country Brazil
Aim To assess the occurrence of publication bias in systematic reviews with meta-analyses published in the WHO reproductive health library. Additionally to perform publication bias assessment using the "trim and "fill method" where these had not been undertaken.
Level of Investigation Analytical
Summary of Findings None of the reviews had reported any evaluation of publication bias or funnel plot asymmetry.
Number of systematic reviews included 21
Number of eligible systematic reviews assessed 21
Treatment impacted Yes
Treatment impacted description When such evaluations were performed on the reviews identified, some degree of asymmetry in funnel plots was observed in 18 of the 21 meta-analyses evaluated (85.7%).
Interpretation impacted Yes
Interpretation impacted description In 18 of the 21 meta-analyses evaluated, the adjustments for publication bias had no effect on the conclusions; however, in the remaining three (14.3%), the conclusion could not be considered robust due to a possible publication bias.