Every year we discuss a lot about meta-analyses with our master classes. The more we discuss this topic the more problems are coming up. Despite there are a lot of technical improvements in that field the conclusions that are drawn are always arguable and doubtful. The main problem seems to us, that research communities rely too much on this method and often ignore the limits (especially in evidence-based-medicine). In addition to the traditional problems (control group bias, garbage-in-garbage-out bias, apples-and-oranges-bias, publication-bias, times-changing-realities-changing bias) some ongoing discussions in research literature reinforce the problems. One is the false-positive-bias (Fanelli) another one is the allegiance problem (stake-holder-bias), and there is the current replication crisis. But it seems that one could add some more, for example the problem of an increasing abstraction and reductionism in the EBM-hierarchy from case studies via RCTs to meta-analysis.

What do you think? What is the validity of meta-analysis? Are there solutions?

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