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![]() Additionally, there is empirical evidence that the first study on a given topic will have the largest effect size, with diminishing or contradictory effect sizes reported in subsequent studies ( 3, 5). However, clinical trials may differ in their inclusion criteria and recruitment, and trials are conducted on a sample of the target population therefore, the results of a single study represent a random result from a distribution of possible trial results ( 3, 4). ![]() ![]() Within this approach, scientific evidence is derived from the results of research studies. The evidence-based medicine approach integrates patient values, clinical expertise, and scientific evidence to make decisions about the clinical care of patients ( 1, 2). Evidence-based veterinary medicine has evolved from principles of evidence-based medicine developed in the human healthcare literature. These evidence synthesis approaches can provide scientific input to evidence-based clinical decision-making for veterinarians and regulatory bodies, and also can be useful for identifying gaps in the literature to enhance the efficiency of future research in a topic area.Įvidence-based decision-making is a hallmark of veterinary clinical practice and veterinary public health. Meta-analysis provides a summary effect size, and allows heterogeneity of effect among studies to be quantified and explored. The results from multiple studies can be combined using meta-analysis. An extensive literature search is undertaken and, for each relevant study identified by the search, a formal extraction of data, including the effect size, and assessment of the risk of bias is performed. The systematic review process follows structured steps with multiple reviewers working in parallel to reduce the potential for bias. Questions types that can be addressed by a systematic review include prevalence/incidence questions, and questions related to etiology, intervention efficacy, and diagnostic test accuracy. Systematic reviews are intended to address a specific question by identifying and summarizing all of the available research that has addressed the review question. The results of scoping reviews can help to inform future research by identifying gaps in the existing literature and also can be used to identify areas where there may be a sufficient depth of literature to warrant a systematic review. The approach involves an extensive literature search, following by a structured mapping, or charting, of the literature. Scoping reviews are a descriptive approach, designed to chart the literature around a particular topic. ![]() A sample dataset and coding to conduct a simple meta-analysis in the statistical program R also are provided. This review provides an overview of scoping reviews, systematic reviews, and meta-analysis, including a discussion of the method and uses. As these methods increasingly are being used by researchers and read by practitioners, it is important to understand the distinction between these techniques and to understand what research questions they can, and cannot, address. Scoping reviews, systematic reviews, and meta-analyses all are methods intended to provide transparent and replicable ways of summarizing a body of research to address an important clinical or public health issue. 2Department of Veterinary Diagnostic and Production Animal Medicine, Iowa State University College of Veterinary Medicine, Ames, IA, United StatesĮvidence-based decision making is a hallmark of effective veterinary clinical practice.1Department of Population Medicine, University of Guelph, Guelph, ON, Canada. ![]()
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