
Studies of Ventricular Enlargement-Reply
Lee Friedman, PhD;
John A. Jesberger;
Herbert Y. Meltzer, MD
Department of Psychiatry School of Medicine Case Western Reserve University 10900 Euclid Ave Cleveland, OH 44106 Helio Elkis, MD, PhD São Paulo, Brazil
Arch Gen Psychiatry. 1996;53(12):1166-1167.
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In Reply
The critique by Persaud of our meta-analysis' is based on the following 2 contentions: (1) There is a generally accepted quantitative criterion for the fail-safe N (Nfs) and (2) the quantitative criterion of Rosenthal2—a criterion that would require us to achieve an Nfs equal to 65—is a reasonable criterion to apply to our meta-analysis. In our opinion, both contentions are refutable.
One point that needs to be made before we proceed is that several types of meta-analysis exist. Rosenthal discusses Nfs in the context of a "combined significance" metaanalysis, whereas we conducted an "effect size" metaanalysis.3 (See the book by Hedges and Olkin3 for a critique of the combined significance approach and a defense of the effect size approach.) Separate formulas for the calculation of Nfs are required for these 2 types of meta-analysis. This is not debatable. What is debatable is
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