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Meta-Analysis

Meta-Analysis Service for Systematic Reviews and Evidence Synthesis

A meta-analysis is the quantitative component of a systematic review. It pools effect sizes from individual studies, calculates a summary estimate, generates forest plots, tests for heterogeneity, evaluates publication bias, and produces a GRADE Summary of Findings table that rates the certainty of evidence per outcome.

ScribeLabWriter's meta-analysis service is led by PhD biostatisticians who use R (metafor and meta packages) and Stata as the primary analytical platforms. Every analysis is delivered with reproducible, annotated code so you, your supervisor, or a journal reviewer can verify every calculation.

We support standalone meta-analyses for researchers who have already completed a systematic review and need statistical synthesis, and bundled meta-analyses as part of our full systematic review writing service.

What a Meta-Analysis Delivers That Narrative Synthesis Cannot

Narrative synthesis describes patterns across studies in words. A meta-analysis quantifies them. It tells the reader not just that "most studies found a positive effect" but that the pooled odds ratio is 1.47 (95% CI: 1.12 to 1.93, p = 0.006) with moderate heterogeneity (I-squared = 58%) and moderate certainty of evidence on GRADE.

That level of precision is what journals, clinical guideline developers, and grant reviewers expect. A systematic review without a meta-analysis when the data supports one is often flagged by peer reviewers as incomplete. A systematic review with an incorrectly conducted meta-analysis is worse, because the pooled estimate may be misleading.

The most common errors in published meta-analyses include using fixed-effect models when random-effects are appropriate, reporting I-squared without tau-squared or prediction intervals, failing to conduct sensitivity analyses, ignoring publication bias, and not producing a GRADE Summary of Findings table. Our service addresses each of these by default.

Statistical Methods We Use

Effect Size Calculation

We calculate the appropriate effect size based on your study designs and outcome types:

Pooling and Estimation

We use REML (Restricted Maximum Likelihood) as the default heterogeneity estimator, which is the current recommendation in the Cochrane Handbook (version 6.5, 2024) and the default in the R metafor package. REML produces less biased estimates of tau-squared than the traditional DerSimonian-Laird method, particularly when the number of studies is small. For reviews with fewer than 10 studies, we apply the Hartung-Knapp variance correction to produce more conservative confidence intervals.

We report both fixed-effect and random-effects models when appropriate, with a clear rationale for the primary model choice based on the expected clinical and methodological heterogeneity across your included studies.

Heterogeneity Assessment

Publication Bias

Subgroup and Sensitivity Analyses

GRADE Summary of Findings

Every meta-analysis includes a GRADE certainty of evidence rating per outcome, assessing five domains: risk of bias, inconsistency, indirectness, imprecision, and publication bias. Ratings are produced using GRADEpro GDT and delivered as a formatted Summary of Findings table ready for journal submission.

What You Receive

Every meta-analysis project includes:

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Software and Tools

We use the following statistical software and tools for every meta-analysis:

All code is delivered in fully annotated, runnable scripts so any reviewer can reproduce every result.

When to Use Meta-Analysis and When Not To

Meta-analysis is appropriate when the included studies are sufficiently similar in design, population, intervention, and outcome measurement to justify statistical pooling. It is not always the right approach.

Meta-Analysis Is Appropriate WhenNarrative Synthesis Is More Appropriate When
Studies use comparable designs, populations, and outcome measuresStudies are too heterogeneous in design or population to pool meaningfully
At least 2 studies report extractable quantitative data for the same comparisonOnly 1 study reports data for a given comparison
A precise summary estimate would inform clinical or policy decisionsThe research question is exploratory and a pooled number would oversimplify the findings
Heterogeneity can be explored through pre-specified subgroup analysesHeterogeneity is so high that subgroup analyses would not produce meaningful subsets

If you are unsure whether meta-analysis is appropriate for your review, include that question in your enquiry. Our biostatisticians will assess the feasibility based on your included studies before recommending an analytical approach.

Turnaround and Timeline

TierTimelineBest For
Standard3 to 5 weeksThesis chapters, dissertation meta-analyses, projects with flexible timelines
Priority1 to 2 weeksJournal submissions with reviewer-requested additional analyses
Express3 to 7 daysUrgent revise-and-resubmit deadlines, conference submissions

Frequently Asked Questions

How many studies do I need for a meta-analysis?

A meta-analysis requires a minimum of two studies reporting extractable quantitative data for the same comparison and outcome. However, meta-analyses with very few studies (fewer than five) have limited statistical power for heterogeneity assessment and publication bias testing. We will advise you on feasibility based on your included studies.

What software do you use?

We use R (metafor and meta packages) and Stata as the primary platforms. For Cochrane reviews, we use RevMan. GRADE Summary of Findings tables are produced in GRADEpro GDT. Risk of bias visualizations use robvis. All code is delivered in annotated, reproducible scripts.

Can I get a meta-analysis without a full systematic review?

Yes. If you have already completed the systematic review (search, screening, data extraction) and need only the statistical synthesis, you can order the meta-analysis as a standalone service. We work from your extracted data. If the extraction needs refinement, we will advise you before proceeding.

What is the difference between fixed-effect and random-effects models?

A fixed-effect model assumes all studies estimate the same true effect. A random-effects model assumes the true effect varies across studies and estimates both the average effect and the between-study variance (tau-squared). Random-effects is the more conservative and more commonly appropriate choice for clinical reviews where populations, settings, and interventions differ across studies. We report both when relevant, with a clear rationale for the primary model.

What is I-squared and why does it matter?

I-squared quantifies the proportion of variability in the results that is due to heterogeneity rather than sampling error. An I-squared of 0% suggests no observed heterogeneity, 25% is low, 50% is moderate, and 75% or above is high (Higgins and Thompson, 2002). However, I-squared alone is insufficient. We always report tau-squared (the absolute between-study variance) and prediction intervals to give a complete picture of heterogeneity, as recommended by the Cochrane Handbook.

Do you produce GRADE tables?

Yes. Every meta-analysis includes a GRADE certainty of evidence rating per outcome, assessing risk of bias, inconsistency, indirectness, imprecision, and publication bias. The output is a formatted Summary of Findings table produced in GRADEpro GDT, ready for your manuscript.

Can you handle network meta-analysis or dose-response meta-analysis?

Yes. Network meta-analysis (comparing multiple interventions simultaneously using R netmeta or Stata network) and dose-response meta-analysis are available as specialized services. Include the details in your enquiry and we will scope the project accordingly.

Will I receive the code?

Yes. Every meta-analysis is delivered with a fully annotated R or Stata script that reproduces every calculation, every figure, and every table. You or your reviewer can run the code independently and verify the results.

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