Conventional random-effects models in meta-analysis rely on large sample approximations instead of exact small sample results. While random-effects methods produce efficient estimates and confidence intervals for the summary effect have correct coverage when the number of studies is sufficiently large, we demonstrate that conventional methods…

For estimation of heterogeneity variance T[superscript 2] in meta-analysis of log-odds-ratio, we derive new mean- and median-unbiased point estimators and new interval estimators based on a generalized Q statistic, Q[subscript F], in which the weights depend on only the studies' effective sample sizes. We compare them with familiar estimators…

Meta-analyses in orphan diseases and small populations generally face particular problems, including small numbers of studies, small study sizes and heterogeneity of results. However, the heterogeneity is difficult to estimate if only very few studies are included. Motivated by a systematic review in immunosuppression following liver…