Journal Information
Vol. 5. Issue 27.
Pages 265-272 (November - December 1991)
Vol. 5. Issue 27.
Pages 265-272 (November - December 1991)
Open Access
Metaanálisis en Epidemiologia (Primera parte): Caracteristicas Generales
Meta-Analysis in Epidemiology: General Characteristics (First part)
Visits
5569
Miguel Delgado Rodríguez*,**,****, María Sillero Arenas***, Ramón Gálvez Vargas*
* Cátedra de Medicina Preventiva. Facultad de Medicina. Granada
** Hospital Virgen de las Nieves. Granada
*** Delegación Provincial de Salud y Consumo. Jaén
This item has received

Under a Creative Commons license
Article information
Resumen

En el presente trabajo se resumen las principales características del metaanálisis en salud pública, así como sus objetivos y utilidades También se establecen las directrices generales en la realización de este tipo de técnicas. A lo largo de la revisión se detallan las distintas etapas en la ejecución de un metaanálisis, comentándose con ejemplos las ventajas e inconvenientes de las distintas opciones que se presentan en el diseño.

Palabras clave:
Metaanálisis
Métodos epidemiológicos
Revisiones
Summary

In the present work the general characteristics, aims and applications ol meta-analysis in public health are described. The general rules and the relevant steps for the development of this type of studies are considered. These points are illustrated with a number of real examples and the advantages and limitations of the different methodological options are commented.

Key words:
Meta-analysis
Epidemiological Methods
Reviews
Full text is only aviable in PDF
Bibliogrífia
[1.]
C.V. Glass.
Primary, secondary, and meta-analysis of research.
Educ Res, 5 (1976), pp. 3-9
[2.]
B. MacMahon, G.B. Hutchison.
Prenatal X-ray and childhood cancer: a review.
Int J Cancer, 20 (1964), pp. 1172-1174
[3.]
S.H. Woolf, R.N. Battista, G.M. Anderson, A.G. Logan, E. Wang, Canadian Task Force on the Periodic Health Examinalion.
Assessing the clinical effectiveness of preventive maneuvers: analytic principles and systematic methods in reviewing evidence and developing clinical practice recommendations.
J Clin Epidemiol, 43 (1990), pp. 891-905
[4.]
R.J. Light, D.B. Piliemer, Summing up.
The science of reviewing research.
Harvard University Press, (1984),
[5.]
R. DerSimonian, N. Laird.
Meta-analysis in clinical trials.
Control Clin Trials, 7 (1986), pp. 177-188
[6.]
Bulpitt CJ. Meta-analysis. Lancet ii: 93–94
[7.]
H.S. Sacks, J. Berner, D. Reitman, V.A. Ancona-Berk, T.C. Chalmers.
Meta-analyses of randomized controlled trials.
N Engl J Med, 316 (1987), pp. 150-155
[8.]
M.P. Longnecker, J.A. Berlin, M.J. Orza, T.C. Chalmers.
A meta analysis of alcohol consumption in relation to risk of breast cancer.
JAMA, 260 (1988), pp. 652-656
[9.]
J-P. Boissel, J. Blanchard, E. Panak, J-C. Peyrieux, H. Sacks.
Considerations for the mela-analysis of randomized clinical trials (Summary ol a panel discussion).
Controlled Clin Trials, 10 (1989), pp. 254-281
[10.]
M. Jenicek.
Meta analyse en médicine.
Edisem, (1987),
[11.]
M. Delgado Rodríguez, R. Rodríguez-Contreras, M. Sillero Arenas, P. Lardelli Claret, A. Bueno Cavanillas, R. G´lvez Vargas.
Contraceptivos orales y cánceres de mama y cuello uterino. Metaanálisis cualitativo.
Toko-Gin Práct, 46 (1990), pp. 336-344
[12.]
Sillero Arenas M, Rodriguez-Contreras R, Delgado Rodriguez M, Bueno Cavanillas A, Gálvez Vargas R. Oral contraceptives and cancer of the cervix uteri. Patterns of research. Acta Obstet Ginecol Scand 1991 (en prensa).
[13.]
E. Tirosh, S. Rabino.
Physiotherapy of children with cerebral palsy.
AJDC, 149 (1989), pp. 552-555
[14.]
M. Baumgarten.
The health of persons giving care to the demented elderly: a critical review of the literature.
J Clin Epidemil, 42 (1989), pp. 1137-1148
[15.]
M. Gómez Olmedo, M.A. Fernández Sierra, M. Delgado Rodriguez, R. Gálvez Vargas.
Infección por VIH en la población española. I. Metaanálisis cualitativo.
Med Clin (Barc), 95 (1990), pp. 286-291
[16.]
M.A. Fernández Sierra, M.R. Gómez Olmedo, M. Delgado Rodríguez, R. Gálvez Vargas.
Infección por VIH en la población española, li. Metaanálisis de las tendencias temporales y geográficas.
Med Clin (Barc), 95 (1990), pp. 366-371
[17.]
M. Delgado-Rodríguez, M. Sillero-Arenas, R. Rodriguez-Contreras, R. López, R. Gálvez-Vargas.
Oral contraceptives and breast cancer. A meta-analysis.
Rev Epidém Santé Publ, 39 (1991), pp. 165-181
[18.]
Delgado-Rodríguez M, Sillero-Arenas M, Rodriguez-Contreras R, Martín-Moreno J.M., Gálvez-Vargas R. Oral contraceptives and cancer of the cervix uteri, A meta-analysis. Eur J Epidemiol 1991 (in press).
[19.]
R. Gianrossi, R. Detrano, D.F. Mulvihill, K. Lehmann, P. Dubach, A. Colombo, D. McArthur, V. Froelicher.
Exercice-induce ST depression in the diagnosis of coronary artery disease. A meta-analysls.
Circulation, 80 (1989), pp. 87-98
[20.]
S. Yusuf, R. Peto, J. Lewis, R. Collins, P. Sleight.
Beta blockade during and after myocardial infarction: an overview of the randomized trials.
Prog Cardiovas Dis, 27 (1985), pp. 335-371
[21.]
V. Velanovich.
Crystalloid versus colloid fluid resuscitation: a meta-analysis of mortality.
Surgery, 105 (1989), pp. 65-71
[22.]
M. Ewertz, S.W. Duffy, H-O. Adami, G. Kvale, E. Lund, O. Meirik, A. Mellemgaard, I. Soini, H. Tulinius.
Age at first birth, parity and risk of breast cancer: a meta-analysis of 8 studies from the nordic countries.
Int J Cancer, 46 (1990), pp. 597-603
[23.]
Rodríguez-Coronado R, Delgado Rodríguez M, Sillero Arenas M, Lardelli Claret R, Gálvez Vargas R. Contraceptivos orales y cáncer de cuello uterino: análisis del poder de la asociación. Rev San Hig Públ 1991 (en prensa).
[24.]
M. Delgado Rodríguez, M. Sillero Arenas, R. Rodríguez-Contreras, A. Bueno Cavanillas, J.M. Martín Moreno, R. Gálvez Vargas.
Anticonceptivos orales y cáncer de mama, análisis de la potencia estadística de asociación.
Gac Sanit, 5 (1991), pp. 59-67
[25.]
Bracken MB. Oral contraception and congenital malformations in off spring: a review and meta-analysis of the prospective studies. Obstet Gynecol. 76: 552–557
[26.]
M. Fasoli, F. Parazzini, G. Cecchetti, C. La Vecchia.
Post-coital contraception: an overview of published studies.
Contraception, 39 (1989), pp. 459-468
[27.]
C.R. Herrera, C. Lynch.
Is baldness a risk factor for coronary artery disease? A review of the literature.
J Clin Epidemiol, 43 (1990), pp. 1255-1260
[28.]
R.J. Light.
Accumulating evidence from independent studies: what we can win and what we can lose?.
Stat Med, 6 (1987), pp. 221-228
[29.]
T.C. Chalmers, H. Levin, H.S. Sacks, D. Reitman, J. Berrier, R. Nagalingam.
Meta-analysis of clinical trials as a scientific discipline. I: Control of bias and comparison with large co-operative trials.
Stat Med, 6 (1987), pp. 315-326
[30.]
C.B. Begg, J.A. Berlin.
Publication bias and dissemination of clinical research.
J Natl Cancer Inst, 81 (1989), pp. 107-115
[31.]
G. Koren, K. Graham, H. Shear, T. Einarson.
Bias against the null hypothesis: the reproductive hazards of cocaine.
Lancet, ii (1989), pp. 1440-1442
[32.]
G.R. Howe, T. Hirohata, T.G. Hislop, J.M. Iscovich, J-M. Yuan, K. Katsouyanni, F. Lubin, E. Marubini, B. Modan, T. Rohan, P. Toniolo, Y. Schunzhang.
Dietary factors and risk of breast cancer: combined analysis of 12 case-control studies.
JNCI, 82 (1990), pp. 561-569
[33.]
K. Dickersin, T.C. Chalmers, R.J. Simes, J.P. Boissel, C.L. Meinert.
Report from the panel on the case for registers of clinical trials.
Controlled Clin Trials, 9 (1988), pp. 76-81
[34.]
K. Dickersin, K. Higgins, C.L. Meinert.
Identification of meta-analyses. The need for standard terminology.
Controlled Clin Trials, 11 (1990), pp. 52-66
[35.]
R.J. Ozminkowski, P.M. Wortman.
Inborn/outborn status and neonatal survival: a meta-analysis of nonrandomized studies.
Stat Med, 7 (1988), pp. 1207-1221
[36.]
R. Shinton, G. Beevers.
Meta-analysis of relation between cigarette smoking and stroke.
Br Med J, 298 (1989), pp. 798-1794
[37.]
J.A. Berlin, G.A. Colditz.
A Meta-analysis of physical activity in the prevention of coronary neart disease.
Am J Epidemiol, 132 (1990), pp. 612-628
[38.]
Delgado Rodríguez M, Sillero Arenas M, Rodríguez-Contreras R. Gálvez Vargas R. Pertinencia y normas para la realización de un estudio sobre anticonceptivos orales y cáncer de mama en España. Toko-Gm Práct 1991 (en prensa).
[39.]
T.C. Chalmers, H. Smith Jr., B. Blackburn, B. Silverman, B. Schroeder, D. Reitman, A. Ambroz.
A method for assessing the quality ol a randomized control trial.
Control Clin Trials, 2 (1981), pp. 31-49
[40.]
J.S. Reisch, J.E. Tyson, S.G. Mize.
Aid to the evaluation of therapeutic studies.
Pediatrics, 84 (1989), pp. 815-827
[41.]
Riet G ter, J. Kleijnen, P. Knipschild.
Acupunture and chronic pain: a critena-based meta-analysis.
J Clin Epidemiol, 43 (1990), pp. 1191-1199
[42.]
J.M. Elwood.
Casual relationships in medicine: a practical appraisal.
Oxford University Press, (1988),
[43.]
J.P. Realini, J.W. Goldzieher.
Oral contraceptives and cardiovascular disease: a critique of the epidemiologic studies.
Am J Obstet Gynecol, 152 (1985), pp. 729-798
[44.]
Delgado Rodríguez M, Sillero Arenas M, Rodriguez-Contreras R, Gálvez Vargas R. Metaanálisis en epidemilogia. II. Métodos cuantitativos. Gac Sanit (en prensa)
[45.]
J.P. Vandenbroucke.
Passive smoking and lung cancer: a publication bias?.
Br Med J, 296 (1988), pp. 391-392
Copyright © 1991. Sociedad Española de Salud Pública y Administración Sanitaria
Idiomas
Gaceta Sanitaria
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?