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Let's say that I'm conducting a meta-analysis, looking at the performance of group A and group B with respect to a certain construct. Now, some of the studies that I'll come across will report that no statistical differences could be found between the two groups but no exact test statistics and/or raw data will be presented. In a meta-analysis, how should I handle such studies?

Basically, I see three different alternatives here:

  1. Include them all and assign to each one of them an effect size of 0.
  2. Throw them all out.
  3. Do some kind of power analysis for each one of them or set a threshold at a certain number of participants. Include all which should have been able to reach statistical significance and assign to each one of them an effect size of 0. Throw the rest out.

I can see merits with all the different options. Option one is fairly conservative and you'll only risk making a type II error. Option two raises the risk for making a type I error, but it also avoids having your results ruined because of a bunch of underpowered studies. Option three seems like the middle road between option one and option two, but a lot of assumptions and/or pure guesses will have to be made (What effect size should you base your power analyses on? What number of participants should you demand from each study for it to pass?), probably making the final result less reliable and more subjective.

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  • $\begingroup$ Don't assign zero, because that's an underestimate of the effect. One approach is to assign a value of effect size which is associated with a p-value of 0.5 (the expected p-value if the null hypothesis is true). $\endgroup$ – Jeremy Miles Mar 25 '14 at 5:01
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    $\begingroup$ What would make you even take a glance at a $P$-value when deciding what to do with a study when including in a meta-analysis? Think estimation not hypothesis testing. $\endgroup$ – Frank Harrell Mar 25 '14 at 13:32
  • $\begingroup$ @JeremyMiles "Don't assign zero, because that's an underestimate of the effect." - Is it? I mean, it could be, but since there's no available data, I simply can't know what the true effect for these studies are. $\endgroup$ – Speldosa Mar 25 '14 at 14:29
  • $\begingroup$ @FrankHarrell Studies reporting non-significant results gives you a hint of what the actual effect size for that study might be. Studies not reporting anything at all are totally useless and only introduces noise unless one assumes that there's a bias towards not reporting anything (not even a failed statistical test) when there isn't an effect present (maybe one should assume this to be the case?). The question I'm investigating for my meta-analysis is a question that's very often not the main question (or not even a question the authors are asking at all) of the studies that I'm looking at. $\endgroup$ – Speldosa Mar 25 '14 at 15:45
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    $\begingroup$ @JeremyMiles i know you provided your 'effect size estimate based on p-value of 0.5' suggestion a while back - do you know of any work i can cite if i adopt this approach? I'd be most grateful for any help! $\endgroup$ – user101075 Jan 18 '16 at 16:13
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As you point out, there are merits with all three approaches. There clearly isn't one option that is 'best'. Why not do all 3 and present the results as a sensitivity analysis?

A meta-analysis conducted with ample and appropriate sensitivity analyses just shows that the author is well aware of the limits of the data at hand, makes explicit the influence of the choices we make when conducting a meta-analysis, and is able to critically evaluate the consequences. To me, that is the mark of well-conducted meta-analysis.

Anybody who has ever conducted a meta-analysis knows very well that there are many choices and decisions to be made along the way and those choices and decisions can have a considerable influence on the results obtained. The advantage of a meta-analysis (or more generally, a systematic review) is that the methods (and hence the choices and decisions) are made explicit. And one can evaluate their influence in a systematic way. That is exactly how a meta-analysis should be conducted.

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Here are the steps that I would take (and that I teach to my students):

1) Contact the authors of the original research. Be polite and request exact effect estimates to use in your meta-analysis. Worst thing that can happen is that they don't reply or refuse to give you the information. Best case scenario is you get the exact information you were looking for.

2) If you have exact p-values, you can often back calculate SD's with some degree of certainty.

3) You make some sort of imputation. This could be using 'borrowing' the effect estimate from similar sized trials, largest SD in the meta-analysis, SD from similar studies in the same meta-analysis, expert opinion, etc. There are many ways to impute the missing data, some more scientifically correct than others, but the most important thing is that you are crystal clear about what you did and to conduct a sensitivity analysis to determine the effect of the imputation(s) on the pooled effect estimate.

3) You put them the studies into the meta-analysis with the missing data. The program (e.g. RevMan) will not give these studies any weight in the analysis because it won't be able to calculate the effect estimate and variance for that study, but you will be able to visually show that there were additional studies with partial data that were not part of the pooled calculation.

4) You don't include data from these studies.

Pick you poison...

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