Exercise: Endarterectomy versus stenting using CMA2, answer 11

Question 11: How could we check for any evidence of publication bias?

Suggested answer:

To do this we must click "Return to table" again. There is an option "Analyses" at the top of the screen. This contains the option "Publication bias"

I got this funnel plot:

See detailed description at D. D

This looks quite symmetrical, so there is nothing here to suggest publication bias.

Clicking "Table" gives a large number of analyses which have been proposed to test for publication bias.

I clicked "next table" until I came to the Begg and Mazumdar rank correlation, as covered in the lectures. I chose the bottom P value, which is 0.46551, i.e. P = 0.5, no evidence of any publication bias.

I continued through the screen and found this:

Duval and Tweedie's trim and fill
    Fixed Effects Random Effects Q Value
Studies
Trimmed
Point
Estimate
Lower
Limit
Upper
Limit
Point
Estimate
Lower
Limit
Upper
Limit
Observed values   0.67581 0.53524 0.85330 0.66815 0.47022 0.94939 12.76269
Adjusted values 0 0.67581 0.53524 0.85330 0.66815 0.47022 0.94939 12.76269

Trim and fill could find no studies to put in or take out, providing more evidence that there is no evidence of publication bias. (There may still be publication bias, but we have nothing to suggest it here.)


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Last updated: 19 February, 2010.

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