# Fixed-effects model: the most convincing model for meta-analysis with few studies

arXiv: https://arxiv.org/abs/2002.04211 · HTML: https://mlsanity.com/paper/2002.04211/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- First posted on arXiv 11 Feb 2020.

## Built on by (most cited first, 1 of 1)

- [Bayesian Meta-Analyses Could Be More: A Case Study in Trial of Labor After a Cesarean-section Outcomes and Complications](https://mlsanity.com/paper/2601.10089/) (2026)

## Abstract (arXiv)

According to Davey et al. (2011) with a total of 22,453 meta-analyses from the January 2008 Issue of the Cochrane Database of Systematic Reviews, the median number of studies included in each meta-analysis is only three. In other words, about a half or more of meta-analyses conducted in the literature include only two or three studies. While the common-effect model (also referred to as the fixed-effect model) may lead to misleading results when the heterogeneity among studies is large, the conclusions based on the random-effects model may also be unreliable when the number of studies is small. Alternatively, the fixed-effects model avoids the restrictive assumption in the common-effect model and the need to estimate the between-study variance in the random-effects model. We note, however, that the fixed-effects model is under appreciated and rarely used in practice until recently. In this paper, we compare all three models and demonstrate the usefulness of the fixed-effects model when the number of studies is small. In addition, we propose a new estimator for the unweighted average effect in the fixed-effects model. Simulations and real examples are also used to illustrate the benefits of the fixed-effects model and the new estimator.
