Funnel plot: Difference between revisions

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| doi = 10.1016/S0895-4356(01)00377-8
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are useful adjuncts to meta-analyses. A funnel plot is a [[scatterplot]] of treatment effect against a measure of study size. It is used primarily as a visual aid for detecting bias or [[Study heterogeneity|systematic heterogeneity]]. A [[Symmetry|symmetric]] inverted funnel shape arises from a ‘well-behaved’ data set, in which publication bias is unlikely. An asymmetric funnel indicates a relationship between treatment effect estimate and study size. This suggests the possibility of either [[publication bias]] or a systematic difference between smaller and larger studies (‘small study effects’). Asymmetry can also arise from use of an inappropriate effect measure. Whatever the cause, an asymmetric funnel plot leads to doubts over the appropriateness of a simple meta-analysis and suggests that there needs to be investigation of possible causes.
 
A variety of choices of measures of ‘study size’ is available, including total sample size, [[Standard error (statistics)|standard error]] of the treatment effect, and inverse [[variance]] of the treatment effect ([[Weight function|weight]]). Sterne and Egger have compared these with others, and conclude that the standard error is to be recommended.<ref name="SterneJ2001Funnel"/>