Impact of data extraction errors in meta-analyses on the association between depression and peripheral inflammatory biomarkers: an umbrella reviewShow others and affiliations
2023 (English)In: Psychological Medicine, ISSN 0033-2917, E-ISSN 1469-8978, Vol. 53, no 5, p. 2017-2030, article id PII S0033291721003767Article, review/survey (Refereed) Published
Abstract [en]
Background Accumulating evidence suggests that alterations in inflammatory biomarkers are important in depression. However, previous meta-analyses disagree on these associations, and errors in data extraction may account for these discrepancies. Methods PubMed/MEDLINE, Embase, PsycINFO, and the Cochrane Library were searched from database inception to 14 January 2020. Meta-analyses of observational studies examining the association between depression and levels of tumor necrosis factor-alpha (TNF-alpha), interleukin 1-beta (IL-1 beta), interleukin-6 (IL-6), and C-reactive protein (CRP) were eligible. Errors were classified as follows: incorrect sample sizes, incorrectly used standard deviation, incorrect participant inclusion, calculation error, or analysis with insufficient data. We determined their impact on the results after correction thereof. Results Errors were noted in 14 of the 15 meta-analyses included. Across 521 primary studies, 118 (22.6%) showed the following errors: incorrect sample sizes (20 studies, 16.9%), incorrect use of standard deviation (35 studies, 29.7%), incorrect participant inclusion (7 studies, 5.9%), calculation errors (33 studies, 28.0%), and analysis with insufficient data (23 studies, 19.5%). After correcting these errors, 11 (29.7%) out of 37 pooled effect sizes changed by a magnitude of more than 0.1, ranging from 0.11 to 1.15. The updated meta-analyses showed that elevated levels of TNF- alpha, IL-6, CRP, but not IL-1 beta, are associated with depression. Conclusions These findings show that data extraction errors in meta-analyses can impact findings. Efforts to reduce such errors are important in studies of the association between depression and peripheral inflammatory biomarkers, for which high heterogeneity and conflicting results have been continuously reported.
Place, publisher, year, edition, pages
CAMBRIDGE UNIV PRESS , 2023. Vol. 53, no 5, p. 2017-2030, article id PII S0033291721003767
Keywords [en]
Data extraction error; depression; inflammatory biomarker; meta-analysis; umbrella review
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-184756DOI: 10.1017/S0033291721003767ISI: 000785633100001PubMedID: 34749836OAI: oai:DiVA.org:liu-184756DiVA, id: diva2:1657586
Note
Funding Agencies|Basic Science Research Program through the National Research Foundation of Korea - Ministry of Science, ICT & Future Planning, Republic of Korea [2017R1A2B3008214]
2022-05-112022-05-112023-11-07Bibliographically approved