Hi unfortunetly in my study there are only 2 RCTs published to demonstrate any reliable effect with a surgical procedure on a pathology (osteoarthritis).

The remaining are case series, which measure patient's MEAN outcome scores at 1year, 1-5 years , >5 years. Some don't publish SD. Others publish just median scores. The series all have the same pathology (osteoarthritis), but do not necessarily have the same patient characteristics - typical of case series and units wanting to present their results.

Can I pool these Mean patient outcome scores together at 1 year / 1-5 years / >5 years and calculate the total mean and present them in a forest plot?

Does it statistically make sense or am I comparing apples and oranges? Do I just calculate the average or are there any tests you would recommend?

I understand that is the limitation that this is poor literature and hard to come to a conculsion, but that is the point I am trying to highlight that we can't keep publishing small case series but need large registry data which I will be working on.

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