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pubmed-article:21472757pubmed:abstractTextAlthough meta-analyses are typically viewed as retrospective activities, they are increasingly being applied prospectively to provide up-to-date evidence on specific research questions. When meta-analyses are updated account should be taken of the possibility of false-positive findings due to repeated significance tests. We discuss the use of sequential methods for meta-analyses that incorporate random effects to allow for heterogeneity across studies. We propose a method that uses an approximate semi-Bayes procedure to update evidence on the among-study variance, starting with an informative prior distribution that might be based on findings from previous meta-analyses. We compare our methods with other approaches, including the traditional method of cumulative meta-analysis, in a simulation study and observe that it has Type I and Type II error rates close to the nominal level. We illustrate the method using an example in the treatment of bleeding peptic ulcers.lld:pubmed
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pubmed-article:21472757pubmed:issn1097-0258lld:pubmed
pubmed-article:21472757pubmed:authorpubmed-author:HigginsJulian...lld:pubmed
pubmed-article:21472757pubmed:authorpubmed-author:WhiteheadAnne...lld:pubmed
pubmed-article:21472757pubmed:authorpubmed-author:SimmondsMarkMlld:pubmed
pubmed-article:21472757pubmed:copyrightInfoCopyright © 2010 John Wiley & Sons, Ltd.lld:pubmed
pubmed-article:21472757pubmed:issnTypeElectroniclld:pubmed
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pubmed-article:21472757pubmed:pagination903-21lld:pubmed
pubmed-article:21472757pubmed:dateRevised2011-11-7lld:pubmed
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pubmed-article:21472757pubmed:year2011lld:pubmed
pubmed-article:21472757pubmed:articleTitleSequential methods for random-effects meta-analysis.lld:pubmed
pubmed-article:21472757pubmed:affiliationMRC Biostatistics Unit, Institute of Public Health, Robinson Way, Cambridge CB2 0SR, U.K. julian.higgins@mrc-bsu.cam.ac.uklld:pubmed
pubmed-article:21472757pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:21472757pubmed:publicationTypeComparative Studylld:pubmed
pubmed-article:21472757pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed