Publication Bias

The File Drawer Problem

Author

A. C. Del Re

The File Drawer Problem

The Hidden Threat

“For every significant study published, there are 10 failed studies sitting in a file drawer.” – Rosenthal (1979)

If we only meta-analyze published studies (which tend to be significant), we overestimate the true effect size.

1. Visualizing Bias: The Funnel Plot

A Funnel Plot displays Effect Size (X-axis) vs. Precision (Y-axis).

  • Symmetry: Indicates no bias (small studies scatter randomly L/R).
  • Asymmetry (Missing Corner): Indicates bias (small, non-significant studies are missing).

Interactive Funnel Plot

We will simulate a “Biased” literature where small, non-significant studies were “censored” (never published).

2. Statistical Tests: Egger’s Regression

We can formally test for asymmetry using a regression.

\[ EffectSize = \beta_0 + \beta_1(StandardError) \]

If \(\beta_1\) is significant, small studies have different effects than large ones -> Bias.

3. The Solution: Trim-and-Fill

“The trim and fill method estimates the number of missing null studies from meta-analysis.”

  • Logic: It iteratively removes (trims) the most extreme small studies from the positive side of the funnel plot, re-estimates the effect size, and then adds back (fills) the original studies plus their mirror images on the negative side.
  • Result: A symmetric funnel plot and an adjusted (often lower) Effect Size estimate.

4. Fail Safe N

Also called the File Drawer Analysis (Rosenthal, 1979).

Definition: “The number of null studies that have to be added for the overall effect to be reduced to Non-Significant.”

  • Interpretation: If Fail Safe N is large (e.g., > 100), the results are robust. If small (e.g., < 10), the results are fragile.



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