Systematic reviews as a tool for planning and interpreting trials

Background Systematic reviews followed by ameta-analysis are carried out in medical research to combine the results of two or more related studies. Stroke trials have struggled to show beneficial effects and meta-analysis should be used more widely throughout the research process to either speed up...

Full description

Bibliographic Details
Main Authors: Bath, Philip M.W., Gray, Laura J.
Format: Article
Published: 2009
Online Access:https://eprints.nottingham.ac.uk/1077/
_version_ 1848790535307788288
author Bath, Philip M.W.
Gray, Laura J.
author_facet Bath, Philip M.W.
Gray, Laura J.
author_sort Bath, Philip M.W.
building Nottingham Research Data Repository
collection Online Access
description Background Systematic reviews followed by ameta-analysis are carried out in medical research to combine the results of two or more related studies. Stroke trials have struggled to show beneficial effects and meta-analysis should be used more widely throughout the research process to either speed up the development of useful interventions, or halt more quickly research with hazardous or ineffective interventions. Summary of review. This review summarises the clinical research process and illustrates how and when systematic reviews may be used throughout the development programme. Meta-analyses should be performed after observational studies, preclinical studies in experimental stroke, and after phase I, II, and III clinical trials and phase IV clinical surveillance studies. Although meta-analyses most commonly work with summary data, they may be performed to assess relationships between variables (meta-regression) and, ideally, should utilise individual patient data. Meta-analysis techniques may alsoworkwith ordered categorical outcome data (ordinal meta-analysis) and be used to perform indirect comparisons where original trial data do not exist. Conclusion Systematic review/meta-analyses are powerful tools in medical research and should be used throughout the development of all stroke and other interventions
first_indexed 2025-11-14T18:14:09Z
format Article
id nottingham-1077
institution University of Nottingham Malaysia Campus
institution_category Local University
last_indexed 2025-11-14T18:14:09Z
publishDate 2009
recordtype eprints
repository_type Digital Repository
spelling nottingham-10772020-05-04T20:26:36Z https://eprints.nottingham.ac.uk/1077/ Systematic reviews as a tool for planning and interpreting trials Bath, Philip M.W. Gray, Laura J. Background Systematic reviews followed by ameta-analysis are carried out in medical research to combine the results of two or more related studies. Stroke trials have struggled to show beneficial effects and meta-analysis should be used more widely throughout the research process to either speed up the development of useful interventions, or halt more quickly research with hazardous or ineffective interventions. Summary of review. This review summarises the clinical research process and illustrates how and when systematic reviews may be used throughout the development programme. Meta-analyses should be performed after observational studies, preclinical studies in experimental stroke, and after phase I, II, and III clinical trials and phase IV clinical surveillance studies. Although meta-analyses most commonly work with summary data, they may be performed to assess relationships between variables (meta-regression) and, ideally, should utilise individual patient data. Meta-analysis techniques may alsoworkwith ordered categorical outcome data (ordinal meta-analysis) and be used to perform indirect comparisons where original trial data do not exist. Conclusion Systematic review/meta-analyses are powerful tools in medical research and should be used throughout the development of all stroke and other interventions 2009 Article PeerReviewed Bath, Philip M.W. and Gray, Laura J. (2009) Systematic reviews as a tool for planning and interpreting trials. International Journal of Stroke, 4 (1). pp. 23-27. ISSN 1747-4949 http://www3.interscience.wiley.com/cgi-bin/fulltext/122196712/HTMLSTART
spellingShingle Bath, Philip M.W.
Gray, Laura J.
Systematic reviews as a tool for planning and interpreting trials
title Systematic reviews as a tool for planning and interpreting trials
title_full Systematic reviews as a tool for planning and interpreting trials
title_fullStr Systematic reviews as a tool for planning and interpreting trials
title_full_unstemmed Systematic reviews as a tool for planning and interpreting trials
title_short Systematic reviews as a tool for planning and interpreting trials
title_sort systematic reviews as a tool for planning and interpreting trials
url https://eprints.nottingham.ac.uk/1077/
https://eprints.nottingham.ac.uk/1077/