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Evidence · Meta-analyses · continued

Heterogeneity as information rather than as a nuisance posts 61–90

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

NL
ne.laurentTL214 Jan 2026#61

Adding the measurement that post #58 says would settle it.

Small methodological point on heterogeneity: repeating a measurement is cheap and resolves most of what is being argued about here at no cost to anyone.

0 likes 6mo
NB
n.bridgewaterTL2Member15 Jan 2026#62

Post #60 describes the usual case. This is about the unusual one.

Where I would push back on the heterogeneity consensus is the confidence, not the direction. The direction looks right. The confidence is borrowed.

2 likes 6mo
SL
s.lundgrenTL215 Jan 2026 · edited#63

Double extraction with disagreement resolution is standard and is worth checking for, because single extraction errors are common and non-random.

The right answer here may simply be that it has not been measured.

13 likes 6mo
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LJankowiakTL3Regular16 Jan 2026#64
g.tamm, post #13: Where I part company with post #9, and it is a narrow parting. Study quality and weighting: some meta-analyses weight all studies equally; others weight by study size or study quality. The choice affects the result and should be stated and justified. Go to post

An honest declaration on heterogeneity: I have a prior here and it is strong enough that you should weight what I say downward. Stating it rather than hiding it.

27 likes in reply to #13 6mo
AK
ak.kravchenkoTL217 Jan 2026#65

Heterogeneity is worth one more sentence than it usually gets, and the sentence is the one about how the number was arrived at.

0 likes 6mo
AD
ambient_draftTL3Regular18 Jan 2026#66

On post #64 — agreed on the reasoning, with one qualification.

Quality assessment of included trials should change the analysis rather than sit beside it. A sensitivity analysis excluding the weakest studies is the minimum.

0 likes 6mo
NK
n.kirchnerTL218 Jan 2026#67
Nicolaides, post #58: Confirming post #56 from a second method, which matters more than confirming it from a second person. The claim about heterogeneity upthread is stronger than its source supports. I have read the source. The source says "associated with" and the post says "causes". Go to post

Post #66 is right about the mechanism and I think understates the practical bit.

Heterogeneity sits at the boundary between what this community can usefully discuss and what it cannot, and I think it falls on the discussable side, narrowly.

9 likes in reply to #58 6mo
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integrator_traceTL219 Jan 2026#68
AF
a.friskTL220 Jan 2026#69
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e.lokkenTL221 Jan 2026#70

Study quality and weighting: some meta-analyses weight all studies equally; others weight by study size or study quality. The choice affects the result and should be stated and justified.

Happy to expand any of that if it is the useful part.

0 likes 6mo
DO
d.oyelaranTL3Pharmacist21 Jan 2026#71

Post #67 describes the usual case. This is about the unusual one.

Adding the boring version of heterogeneity, because the interesting version keeps getting posted and the boring one is usually right.

Check the ordinary explanations, in order, and stop when one of them accounts for what you are seeing. Most of the time the second one does.

0 likes 6mo
CT
c.tullochTL222 Jan 2026#72
a.nyberg, post #5: Appreciated. The plain phrasing does more work here than a longer post would. Go to post

That is a fair summary of where the discussion has got to.

19 likes in reply to #5 6mo
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v.szaboTL3Analytical chemist23 Jan 2026 · edited#73

Where the pooled result and the largest single trial disagree, that disagreement is the interesting thing rather than an inconvenience to be smoothed.

The conclusion is tentative; the arithmetic underneath it is not.

4 likes 6mo
HV
h.vargaTL224 Jan 2026#74

Pooled estimates and heterogeneity: when trials differ in population, duration, or comparator, a pooled estimate answers a question that no individual trial asked. High heterogeneity means effects genuinely differ across studies. The pooled number is an average of things that should not have been averaged.

The step people skip is the one I have spelled out.

0 likes 6mo
PM
physio_marchettiTL2Physiotherapist25 Jan 2026#75

On post #71 — agreed on the reasoning, with one qualification.

Double extraction with disagreement resolution is standard and is worth checking for, because single extraction errors are common and non-random.

That is all I can say without guessing.

0 likes 6mo
NO
n.oseiTL225 Jan 2026#76
CL
coldchain_liuTL3Regular26 Jan 2026 · edited#77
LJankowiak, post #64: An honest declaration on heterogeneity: I have a prior here and it is strong enough that you should weight what I say downward. Stating it rather than hiding it. Go to post

Small correction to my own earlier position on heterogeneity. I had the units the wrong way round, which changes the conclusion by an order of magnitude and therefore changes it entirely.

8 likes in reply to #64 6mo
JI
j.iyerTL227 Jan 2026#78

Study quality and weighting: some meta-analyses weight all studies equally; others weight by study size or study quality. The choice affects the result and should be stated and justified.

Nothing above should be read as advice about what anyone else should do.

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EF
e.ferrariTL228 Jan 2026#79

My experience of heterogeneity contradicts the reply above. I am posting it as a data point rather than as a refutation, because one person's experience is exactly that.

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s.silvaTL228 Jan 2026#80

Individual participant data pooling is a much stronger design than aggregate pooling and is rare because it requires cooperation rather than a search.

I would put the burden of proof on the interesting explanation, not the dull one.

8 likes 6mo
EN
electrolyte_notesTL2Regular29 Jan 2026#81

Building on post #80 rather than restating it.

Second-hand on heterogeneity, so weight it accordingly — someone whose method I trust told me this and I have not verified it myself.

31 likes 6mo
BD
b.dumitruTL230 Jan 2026#82

Fixed-effects versus random-effects models: fixed-effects assumes all studies are estimating the same thing and variation is sampling error. Random-effects assumes studies are estimating effects from different distributions and allows between-study variance. Choice matters if heterogeneity is high.

0 likes 6mo
NT
nl_translatorTL2Translator · NL30 Jan 2026#83
ni.stanescu, post #39: Double extraction with disagreement resolution is standard and is worth checking for, because single extraction errors are common and non-random. I would put this at better than even and not much better. Go to post

If you are new and reading this thread for the answer to heterogeneity: the answer is conditional, the conditions are in the third reply, and the rest of the thread is worth skipping.

3 likes in reply to #39 6mo
ZS
z.szaboTL231 Jan 2026#84
Nicolaides, post #58: Confirming post #56 from a second method, which matters more than confirming it from a second person. The claim about heterogeneity upthread is stronger than its source supports. I have read the source. The source says "associated with" and the post says "causes". Go to post

Everything in post #82 holds. The case it does not cover is the one I have.

Offering a way to settle heterogeneity rather than another opinion about it. Two measurements, taken the same way, a fortnight apart. If the difference is within the noise, the question was not answerable at this precision.

10 likes in reply to #58 6mo
QZ
q.zhao_qaTL3Quality assurance1 Feb 2026#85

Thank you for taking the time. That was more work than a reply usually is.

0 likes 6mo
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i.lehtinenTL22 Feb 2026#86

Study quality and weighting: some meta-analyses weight all studies equally; others weight by study size or study quality. The choice affects the result and should be stated and justified.

That is what I would do. It may not be what is correct.

1 like 6mo
UC
unit_conversionTL3Regular2 Feb 2026#87
ro.frisk, post #50: Distinguishing three things in the heterogeneity discussion that keep getting used interchangeably: the observation, the proposed mechanism, and the recommendation that gets attached to both. Go to post

The arithmetic in post #84 is right; the assumption feeding it is the part to check.

Pooled estimates and heterogeneity: when trials differ in population, duration, or comparator, a pooled estimate answers a question that no individual trial asked. High heterogeneity means effects genuinely differ across studies. The pooled number is an average of things that should not have been averaged.

Same conclusion as the reply above, reached differently, which is mildly reassuring.

6 likes in reply to #50 6mo
ZC
z.cardosoTL23 Feb 2026 · edited#88

Answering the question post #86 raises rather than the one it answers.

Something worth flagging about heterogeneity: the strongest-sounding claims in this thread are the ones with no source attached, which is the usual pattern and not a coincidence.

16 likes 6mo
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CFairweatherTL1Member4 Feb 2026#89

Worth stating the null on heterogeneity before we explain it: the observation may be nothing. That possibility deserves a sentence and usually does not get one.

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SD
s.demirTL25 Feb 2026#90

Worth separating two things that post #86 runs together.

Double extraction with disagreement resolution is standard and is worth checking for, because single extraction errors are common and non-random.

Worth one more sentence than it usually gets.

3 likes 6mo