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1.A primary concern in conducting a meta-analysis is “publication bias”, meaning that published papers may be slanted (biased) towards those that show statistically significant findings.
2.This can give the appearance of a treatment or intervention be more effective than it is in reality.
3.(1) Dickersin K, Chan S, Chalmers TC, et al. Publication bias and clinical trials. Controlled Clin Trials 1987; 8: 343-53
4.(2) EEasterbrook PJ, Berlin JA, Gopalan R, Matthews DR. Publication bias in clinical research. Lancet 1991;337:867­72