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Transitivity, coherence, and reliability of network meta-analyses comparing proximal humerus fracture treatments: a meta-epidemiological study.

Nicolai SandauThomas Vedste AagaardAsbjørn HróbjartssonIan A HarrisStig Brorson
Published in: BMC musculoskeletal disorders (2024)
Current network meta-analyses of RCTs comparing interventions for proximal humerus fractures do not provide reliable estimates of intervention effects. We advise caution in using these network meta-analyses to guide clinical practice. To improve the utility of network meta-analyses to guide clinical practice, journal editors should require that network meta-analyses are done according to a predefined analysis plan in a publicly available protocol and that both coherence and transitivity have been adequately assessed and reported.
Keyphrases
  • meta analyses
  • randomized controlled trial
  • systematic review
  • clinical practice
  • physical activity
  • network analysis