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Evidence · Meta-analyses · continued

Revisiting: What pooling buys you and what it destroys posts 31–60

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1 · go to the accepted answer.

HK
h.karlsenTL223 May 2026#31

This settles it for me, at least until somebody posts a reason it should not.

0 likes 2mo
DB
d.barrosTL224 May 2026#32

Post #29 is the version of this I will quote in future. One addition.

On pooling buys I would separate what is worth knowing from what is worth acting on. The first list is long and the second is short, and conflating them is how threads get heated.

26 likes 2mo
MI
m.ivaturiTL225 May 2026#33
j.dahlberg, post #13: What I would tell a new member reading about pooling buys for the first time: the confident posts are not the reliable ones, and the reliable ones are longer. Go to post

Study quality and weighting: some meta-analyses weight all studies equally; others weight by study size or study quality. The choice affects the result and should be stated and justified.

12 likes in reply to #13 2mo
AS
a.silvaTL226 May 2026#34
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va.baptistaTL227 May 2026#35

Since pooling buys keeps coming up, it should probably be a maintained page rather than a recurring thread. I am happy to draft it if someone with more direct experience will review it.

0 likes 2mo
SC
so.cardosoTL228 May 2026#36

What I can speak to on pooling buys is narrow, so I will keep it narrow rather than generalising from it. Beyond that boundary I do not know.

0 likes 2mo
SD
s.dziedzicTL229 May 2026#37
s.duarte, post #11: Adding a null result on pooling buys. I looked, carefully, and found nothing, and null results deserve posting precisely because they never are. Go to post

Answering the question post #33 raises rather than the one it answers.

Study quality and weighting: some meta-analyses weight all studies equally; others weight by study size or study quality. The choice affects the result and should be stated and justified.

18 likes in reply to #11 2mo
CA
c.adebayoTL230 May 2026#38

Double extraction with disagreement resolution is standard and is worth checking for, because single extraction errors are common and non-random.

7 likes 2mo
EC
excursion_checkTL3Regular31 May 2026#39

Post #37 and I disagree about the size of the effect, not about the direction.

Study quality and weighting: some meta-analyses weight all studies equally; others weight by study size or study quality. The choice affects the result and should be stated and justified.

1 like 2mo
SV
s.vanheckeTL21 Jun 2026#40

Second this, and I would have said it less carefully.

0 likes 2mo
JN
j.nascimentoTL22 Jun 2026#41

That is consistent with mine, for whatever one more account is worth.

0 likes 2mo
CB
c.bakkerTL23 Jun 2026 · edited#42

I had written a reply contradicting post #39 and deleted it. Here is what survived.

For anyone finding this later: the short answer on pooling buys is that it depends on one thing, and the rest of the thread is people identifying which thing.

3 likes 2mo
EL
e.lokkenTL24 Jun 2026#43
excursion_check, post #39: Post #37 and I disagree about the size of the effect, not about the direction. Study quality and weighting: some meta-analyses weight all studies equally; others weight by study size or study quality. The choice affects the result and should be stated and justified. Go to post

Picking up post #42: that is the part I would want checked first.

Individual participant data pooling is a much stronger design than aggregate pooling and is rare because it requires cooperation rather than a search.

17 likes in reply to #39 2mo
CR
c.rasmussenTL25 Jun 2026#44

Two things can be true about pooling buys at once: the mechanism is plausible and the evidence for the size of the effect is thin. Most of the argument here is people defending the first against attacks on the second.

33 likes 2mo
AW
a.wikstromTL26 Jun 2026#45

Post #42 is right about the mechanism and I think understates the practical bit.

Before the thread moves on from pooling buys — what is the sample size behind the claim? I am not being difficult; I have seen the same figure quoted from an n of four and from an n of four hundred.

0 likes 2mo
C
chromatogramTL4Analytical chemist7 Jun 2026#46

Coming back to post #44, because the follow-up matters more than the original answer.

Study quality and weighting: some meta-analyses weight all studies equally; others weight by study size or study quality. The choice affects the result and should be stated and justified.

1 like 2mo
CR
c.ramosTL28 Jun 2026#47
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s.leclercTL4 Moderator8 Jun 2026#48
m.yilmaz, post #12: Double extraction with disagreement resolution is standard and is worth checking for, because single extraction errors are common and non-random. That is all the detail I have. Someone else will have more. Go to post

Where the included trials share a sponsor and a protocol template, their errors correlate and pooling does not average them out.

A guess, clearly labelled as one.

25 likes in reply to #12 2mo
TI
trough_indexTL3Regular9 Jun 2026 · edited#49

I changed my mind about pooling buys after someone here asked me for the source and I could not produce one. That is worth saying out loud because it is the ordinary way it happens.

3 likes 2mo
EM
e.mwangiTL210 Jun 2026#50
s.vanhecke, post #40: Second this, and I would have said it less carefully. Go to post

Noted, and thank you for writing it out rather than summarising it.

11 likes in reply to #40 2mo
FD
f.danquahTL211 Jun 2026#51

I read post #48 twice before replying, because I had assumed the opposite.

Careful with the language on pooling buys. "Not detected" and "not present" are different findings and the first is a statement about the method.

0 likes 2mo
MM
maintenance_modeTL3Regular12 Jun 2026#52

Double extraction with disagreement resolution is standard and is worth checking for, because single extraction errors are common and non-random.

Nothing above should be read as advice about what anyone else should do.

23 likes 2mo
PK
p.krastevTL213 Jun 2026#53
f.fonseca, post #28: Post #26 describes the usual case. This is about the unusual one. Individual participant data pooling is a much stronger design than aggregate pooling and is rare because it requires cooperation rather than a search. Go to post

Posting my pooling buys numbers with the method attached so they can be discounted properly. Uncontrolled, unblinded, and collected by someone who wanted a particular answer.

6 likes in reply to #28 1mo
RV
r.venkatesanTL3Wiki editor14 Jun 2026#54

The thing about pooling buys that took me longest to accept is that a plausible mechanism is not evidence of an effect. It is a reason to look, not a result.

1 like 1mo
AI
a.ilungaTL215 Jun 2026#55

Everything in post #51 holds. The case it does not cover is the one I have.

Study quality and weighting: some meta-analyses weight all studies equally; others weight by study size or study quality. The choice affects the result and should be stated and justified.

0 likes 1mo
CL
coldchain_liuTL3Regular15 Jun 2026#56
c.bakker, post #42: I had written a reply contradicting post #39 and deleted it. Here is what survived. For anyone finding this later: the short answer on pooling buys is that it depends on one thing, and the rest of the thread is people identifying which thing. Go to post

Narrowing post #55, because the general version has more than one answer.

The practical version of pooling buys is three sentences long. The rigorous version is three pages and reaches the same conclusion with the conditions attached.

31 likes in reply to #42 1mo
AP
au.pereiraTL216 Jun 2026#57
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logbook_erinTL3Regular17 Jun 2026 · edited#58

Double extraction with disagreement resolution is standard and is worth checking for, because single extraction errors are common and non-random.

I would rather say I do not know than round it up to an answer.

3 likes 1mo
NO
n.oseiTL218 Jun 2026#59

When a meta-analysis is unhelpful: if the included studies are heterogeneous in population, intervention, or outcome, pooling them produces a number that represents nothing in particular. Reading the individual studies is more useful than reading the pooled estimate.

1 like 1mo
VS
v.szaboTL3Analytical chemist19 Jun 2026#60

Double extraction with disagreement resolution is standard and is worth checking for, because single extraction errors are common and non-random.

0 likes 1mo