knitr::opts_chunk$set(warning=F, mesage=F, dpi=200, fig.path='figures/', dev=c('png', 'svg'))
library(meta)
library(ggplot2)

Synopsis

Methods

Statistical analysis was carried out using the meta (v8.2.1) package (Balduzzi et al. 2019) in the R version 4.5.2 (2025-10-31) programming language (R Core Team 2021).

Meta-analysis of proportions was pooled by fitting a random intercept logistic regression model with the metaprop function to logit transformed proportions in order to include valid estimates for studies with very few or no events. Study estimates are shown with computed Clopper-Pearson 95% confidence intervals. The same pooled estimates were conducted for subgroups and tested by \(\chi^2\)-test for significant pairwise differences.

Heterogeneity was assessed by estimating the maximum-likelihood of \(\tau^2\) and quantified with the \(I^2\) index.

Groupwise comparisons of studies were analyzed using odds ratios between treatment and control group with the metabin function using a random effects model for the pooled odds ratio using the Mantel-Haenszel method (Mantel and Haenszel 1959). Heterogeneity was assessed using a restricted maximum-likelihood estimator of \(\tau^2\).

Publication bias was assessed using a funnelplot of the logit transformed prevalence and inverse variance and tested using the metabias function with linear regression test (Egger et al. 1997) and rank correlation test (Begg and Mazumdar 1994) for asymmetry.

Study Summaries

#d = readxl::read_xlsx('data/extracted.xlsx', sheet=1, na='NA')

Primary Outcomes

Additional Outcomes

All Subgroups

References

Balduzzi, Sara, Gerta Rmücker, and Guido Schwarzer. 2019. How to perform a meta-analysis with R: a practical tutorial.” Evid. Based Ment. Health 22 (4): 153–60. https://doi.org/10.1136/ebmental-2019-300117.
Begg, Colin B., and Madhuchhanda Mazumdar. 1994. Operating Characteristics of a Rank Correlation Test for Publication Bias on JSTOR.” Biometrics 50 (4): 1088–101. https://www.jstor.org/stable/2533446.
Egger, Matthias, George Davey Smith, Martin Schneider, and Christoph Minder. 1997. Bias in meta-analysis detected by a simple, graphical test.” BMJ 315 (7109): 629–34. https://doi.org/10.1136/bmj.315.7109.629.
Mantel, N., and W. Haenszel. 1959. Statistical aspects of the analysis of data from retrospective studies of disease.” J. Natl. Cancer Inst. 22 (4): 719–48. https://pubmed.ncbi.nlm.nih.gov/13655060.
R Core Team. 2021. R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing. https://www.R-project.org.