A Bootstrap Based Between-Study Heterogeneity Test in Meta-Analysis
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Meta-analysis combines pertinent information from existing studies to provide an overall estimate of population parameters/effect sizes, as well as to quantify and explain the differences between studies. However, testing the between-study heterogeneity is one of the most troublesome topics in meta-analysis research. Additionally, no methods have been proposed to test whether the size of the heterogeneity is larger than a specific level. The existing methods, such as the Q test and likelihood ratio (LR) tests, are criticized for their failure to control the Type I error rate and/or failure to attain enough statistical power. Although better reference distribution approximations have been proposed in the literature, the expression is complicated and the application is limited. In this article, we propose bootstrap based heterogeneity tests combining the restricted maximum likelihood (REML) ratio test or Q test with bootstrap procedures, denoted as B-REML-LRT and B-Q respectively. Simulation studies were conducted to examine and compare the performance of the proposed methods with the regular LR tests, the regular Q test, and the improved Q test in both the random-effects meta-analysis and mixed-effects meta-analysis. Based on the results of Type I error rates and statistical power, B-Q is recommended. An R package 𝚋𝚘𝚘𝚝.𝚑𝚎𝚝𝚎𝚛𝚘𝚐𝚎𝚗𝚎𝚒𝚝𝚢 is provided to facilitate the implementation of the proposed method.
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