The MOOSE guideline for writing a meta-analysis of observational studies.

About this guideline

This guideline is relevant to studies reporting meta-analyses of observational studies

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Reporting guidelines are best used early:

  • Use a template to write quickly and avoid the blank page
  • Use a checklist to double-check and reassure others that your work is described transparently

For drafting

For checking

For planning

Guidance

Approx. 1 min read

Title

1. Title

Identify the study as a meta-analysis of observational research

Abstract

2. Abstract

Provide a structured summary including, as applicable: background; objectives; data sources; study eligibility criteria, participants, and interventions; study appraisal and synthesis methods; results; limitations; conclusions and implications of key findings; systematic review registration number (From PRISMA checklist)

Background

3a. Background

Problem definition

3b. Background

Hypothesis statement

3c. Background

Description of study outcomes

3d. Background

Type of exposure or intervention used

3e. Background

Type of study designs used

3f. Background

Study population

Methods

4a. Search strategy

Qualifications of searchers (eg, librarians and investigators)

4b. Search strategy

Search strategy, including time period included in the synthesis and keywords

4c. Search strategy

Effort to include all available studies, including contact with authors

4d. Search strategy

Databases and registries searched

4e. Search strategy

Search software used, name and version, including special features used (eg, explosion)

4f. Search strategy

Use of hand searching (eg, reference lists of obtained articles)

4g. Search strategy

List of citations located and those excluded, including justification

4h. Search strategy

Method of addressing articles published in languages other than English

4i. Search strategy

Method of handling abstracts and unpublished studies

4j. Search strategy

Description of any contact with authors

5a. Methods

Description of relevance or appropriateness of studies gathered for assessing the hypothesis to be tested

5b. Methods

Rationale for the selection and coding of data (eg, sound clinical principles or convenience)

5c. Methods

Documentation of how data were classified and coded (eg, multiple raters, blinding, and interrater reliability)

5d. Methods

Assessment of confounding (eg, comparability of cases and controls in studies where appropriate)

5e. Methods

Assessment of study quality, including blinding of quality assessors; stratification or regression on possible predictors of study results

5f. Methods

Assessment of heterogeneity

5g. Methods

Description of statistical methods (eg, complete description of fixed or random effects models, justification of whether the chosen models account for predictors of study results, dose-response models, or cumulative meta-analysis) in sufficient detail to be replicated

5h. Methods

Provision of appropriate tables and graphics

Results

6a. Results

Graphic summarizing individual study estimates and overall estimate

6b. Results

Table giving descriptive information for each study included

6c. Results

Results of sensitivity testing (eg, subgroup analysis)

6d. Results

Indication of statistical uncertainty of findings

Discussion

7a. Discussion

Quantitative assessment of bias (eg. publication bias)

7b. Discussion

Justification for exclusion (eg, exclusion of non–English-language citations)

7c. Discussion

Assessment of quality of included studies

Conclusion

8a. Conclusion

Consideration of alternative explanations for observed results

8b. Conclusion

Generalization of the conclusions (ie, appropriate for the data presented and within the domain of the literature review)

8c. Conclusion

Guidelines for future research

8d. Conclusion

Disclosure of funding source