In meta-analysis, is there any restrictions on the number of studies to perform subgroup analysis? i.e, what is the minimum number of studies to be included in the subgroup analysis?
There is no accepted minimum number of studies that are required for a meta-analysis. However, in different refernces you can find different minimum number of studies. For example:
• Cochrane handbook: a minimum of 10 studies
(no reason for the number)
• At least 6-10 studies for a continuous study-level
In order to do subgroup analysis there should be enough number of studies of at least 10 or so. If your data doesn't meet this condition then you don't have to do this test. Just describe and discuss the meta-analysis.
For sub-group analysis, we must consider the covariate distribution because it may affect the outcome in a study. In addition, a covariate can be an independent variable or it can be an unwanted, confounding variable. Adding a covariate to a model can increase the accuracy of your results.
On account of this criteria, the review author is required to consider the number of studies and participants to each sub-group. The Cochrane handbook advises that it is unlikely that an investigation of heterogeneity will produce useful findings unless there are at least 10 trials included in the meta-analysis, although 10 trials may be too few if the covariate is unevenly distributed.