EPIDEMIOLOGY AND HEALTH DATA INSIGHTS
Methodological Paper

Reporting Practices in Epilepsy Research: An Overview and Tutorial

Epidemiology and Health Data Insights, 1(5), 2025, ehdi018, https://doi.org/10.63946/ehdi/17368
Publication date: Nov 03, 2025
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ABSTRACT

Background. This study examined the reporting practice of subgroup effects of meta-analytic research published in the leading journal of the ILAE.
Methods. We selected studies that used ratio measures and employed subgroup analyses. Subgroup differences were calculated as the difference between the log-transformed estimates over the square root of the sum of the squared standard errors. For the calculated test scores, a corresponding two-tailed p-value was calculated using the standard normal cumulative distribution function. The authors also conducted additional analyses accounting for multiple comparisons.
Results. The literature search identified 55 publications, of which 14 (25 %) were included. Neither study used a formal test to compare the subgroups. The number of reported subgroup estimates ranged from 2 to 20, and the number of pairwise comparisons ranged from 1 to 53. Overall, there were 187 comparisons, resulting in a median log difference of 0 (IQR 0.12 – 0.17) and a range from -2.92 to 2.32. The median p-value was 0.54 (IQR 0.21-0.85) with 18 (9%) comparisons showing p-values lower than the conventional significance level, whereas 6 and 21 contrasts were 0.05 < p ≤ 0.10 and 0.10 < p ≤ 0.20, respectively. Seven (4%) comparisons resulted in a p-value lower than the corrected significance level when adjusted for multiple comparisons.
Conclusion. There was a lack of compliance with the reporting guidelines. The findings from the subgroup analyses were commonly interpreted without employing a formal test. There is need to emphasize the importance of adherence to established reporting standards when presenting the subgroup effects.

KEYWORDS

Epilepsy Meta-Analysis Subgroup Analysis Reporting Bias

CITATION (Vancouver)

Akhmedullin R, Kyrgyzbay G, Kimadiev D, Utebekov Z, Ablayeva A. Reporting Practices in Epilepsy Research: An Overview and Tutorial. Epidemiology and Health Data Insights. 2025;1(5):ehdi018. https://doi.org/10.63946/ehdi/17368
APA
Akhmedullin, R., Kyrgyzbay, G., Kimadiev, D., Utebekov, Z., & Ablayeva, A. (2025). Reporting Practices in Epilepsy Research: An Overview and Tutorial. Epidemiology and Health Data Insights, 1(5), ehdi018. https://doi.org/10.63946/ehdi/17368
Harvard
Akhmedullin, R., Kyrgyzbay, G., Kimadiev, D., Utebekov, Z., and Ablayeva, A. (2025). Reporting Practices in Epilepsy Research: An Overview and Tutorial. Epidemiology and Health Data Insights, 1(5), ehdi018. https://doi.org/10.63946/ehdi/17368
AMA
Akhmedullin R, Kyrgyzbay G, Kimadiev D, Utebekov Z, Ablayeva A. Reporting Practices in Epilepsy Research: An Overview and Tutorial. Epidemiology and Health Data Insights. 2025;1(5), ehdi018. https://doi.org/10.63946/ehdi/17368
Chicago
Akhmedullin, Ruslan, Gaziz Kyrgyzbay, Darkhan Kimadiev, Zhasulan Utebekov, and Ayana Ablayeva. "Reporting Practices in Epilepsy Research: An Overview and Tutorial". Epidemiology and Health Data Insights 2025 1 no. 5 (2025): ehdi018. https://doi.org/10.63946/ehdi/17368
MLA
Akhmedullin, Ruslan et al. "Reporting Practices in Epilepsy Research: An Overview and Tutorial". Epidemiology and Health Data Insights, vol. 1, no. 5, 2025, ehdi018. https://doi.org/10.63946/ehdi/17368

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REFERENCES

  1. Deeks JJ. Chapter 10: Analysing data and undertaking meta-analyses. In: Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, et al., editors. Cochrane Handbook for Systematic Reviews of Interventions version 6.0 [updated July 2019]. Cochrane; 2019. Available from: www.training.cochrane.org/handbook
  2. Collaborative overview of randomised trials of antiplatelet therapy--I: Prevention of death, myocardial infarction, and stroke by prolonged antiplatelet therapy in various categories of patients. Antiplatelet Trialists' Collaboration. BMJ. 1994 Jan 8;308(6921):81-106. https://doi.org/10.1136/bmj.308.6921.81
  3. Sun X, Ioannidis JP, Agoritsas T, Alba AC, Guyatt G. How to use a subgroup analysis: users' guide to the medical literature. JAMA. 2014 Jan 22;311(4):405-11. https://doi.org/10.1001/jama.2013.285063
  4. Assmann SF, Pocock SJ, Enos LE, Kasten LE. Subgroup analysis and other (mis)uses of baseline data in clinical trials. Lancet. 2000 Mar 25;355(9209):1064-9. https://doi.org/10.1016/s0140-6736(00)02039-0
  5. Sun X, Briel M, Walter SD, Guyatt GH. Is a subgroup effect believable? Updating criteria to evaluate the credibility of subgroup analyses. BMJ. 2010 Mar 29;340:c117. https://doi.org/10.1136/bmj.c117
  6. Altman DG. Clinical trials: subgroup analyses in randomized trials--more rigour needed. Nat Rev Clin Oncol. 2015 Sep;12(9):506-7. https://doi.org/10.1038/nrclinonc.2015.113
  7. Ioannidis JP. Microarrays and molecular research: noise discovery? Lancet. 2005 Feb 5-11;365(9458):454-5. https://doi.org/10.1016/S0140-6736(05)17856-4
  8. Oxman AD, Guyatt GH. A consumer's guide to subgroup analyses. Ann Intern Med. 1992 Jan 1;116(1):78-84. https://doi.org/10.7326/0003-4819-116-1-78
  9. Shorvon S. The early history (1909-1961) of Epilepsia, the journal of the International League Against Epilepsy, and its echoes today. Epilepsia. 2007 Jan;48(1):1-14. https://doi.org/10.1111/j.1528-1167.2006.00934.x
  10. Hoffmann F, Allers K, Rombey T, Helbach J, Hoffmann A, Mathes T, et al. Nearly 80 systematic reviews were published each day: Observational study on trends in epidemiology and reporting over the years 2000-2019. J Clin Epidemiol. 2021 Oct;138:1-11. https://doi.org/10.1016/j.jclinepi.2021.05.015
  11. Papageorgiou SN, Tsiranidou E, Antonoglou GN, Deschner J, Jäger A. Choice of effect measure for meta-analyses of dichotomous outcomes influenced the identified heterogeneity and direction of small-study effects. J Clin Epidemiol. 2015 May;68(5):534-41. https://doi.org/10.1016/j.jclinepi.2014.11.013
  12. Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015 Jan 1;4(1):1. https://doi.org/10.1186/2046-4053-4-1
  13. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021 Mar 29;372:n71. https://doi.org/10.1136/bmj.n71
  14. Altman DG, Bland JM. How to obtain the P value from a confidence interval. BMJ. 2011 Aug 8;343:d2304. https://doi.org/10.1136/bmj.d2304
  15. Altman DG, Bland JM. Interaction revisited: the difference between two estimates. BMJ. 2003 Jan 25;326(7382):219. https://doi.org/10.1136/bmj.326.7382.219
  16. Borenstein M, Higgins JP. Meta-analysis and subgroups. Prev Sci. 2013 Apr;14(2):134-43. https://doi.org/10.1007/s11121-013-0377-7
  17. Halliday A, Duncan A, Cheung M, Boston RC, Apiwattanakul M, Camacho X, et al. Second-line immunotherapy and functional outcomes in autoimmune encephalitis: A systematic review and individual patient data meta-analysis. Epilepsia. 2022 Sep;63(9):2214-24. https://doi.org/10.1111/epi.17337
  18. Ferlazzo E, Gasparini S, Beghi E, Sueri C, Russo E, Leo A, et al. Epilepsy in cerebrovascular diseases: Review of experimental and clinical data with meta-analysis of risk factors. Epilepsia. 2016 Aug;57(8):1205-14. https://doi.org/10.1111/epi.13448
  19. Khoudari H, Alabbas M, Tobochnik S, Burneo J, Cox B, Lemus HN. Seizure outcomes after resection of temporal encephalocele in patients with drug-resistant epilepsy: A systematic review and meta-analysis. Epilepsia. 2025 Apr;66(4):945-54. https://doi.org/10.1111/epi.18130
  20. Lezaic N, Gore G, Josephson CB, Wiebe S, Jetté N, Keezer MR. The medical treatment of epilepsy in the elderly: A systematic review and meta-analysis. Epilepsia. 2019 Jul;60(7):1325-40. https://doi.org/10.1111/epi.16063
  21. Siriratnam P, Foster E, Shakhatreh L, Neal A, Carney PW, Jackson GD, et al. The effect of epilepsy surgery on productivity: A systematic review and meta-analysis. Epilepsia. 2022 Apr;63(4):789-811. https://doi.org/10.1111/epi.17185
  22. Guo X, Wang C, Long D, Zhang H, Yin S, Peng X, et al. Clinical phenotypic spectrum of NRXN1 microdeletions and their association with epilepsy: A systematic review and meta-analysis. Epilepsia. 2025 Jun;66(6):2022-35. https://doi.org/10.1111/epi.18291
  23. Lattanzi S, Trinka E, Striano P, Zaccara G, Del Giovane C, Nardone R, et al. Cannabidiol efficacy and clobazam status: A systematic review and meta-analysis. Epilepsia. 2020 Jun;61(6):1090-8. https://doi.org/10.1111/epi.16540
  24. Rafati A, Jameie M, Amanollahi M, Pasebani Y, Salimi N, Kazemi MHF, et al. Association of new onset seizure and COVID-19 vaccines and long-term follow-up: A systematic review and meta-analysis. Epilepsia. 2024 Oct;65(10):3010-27. https://doi.org/10.1111/epi.18076
  25. Mariajoseph FP, Chen Z, Sekhar P, Rewell SS, O'Brien TJ, Antonic-Baker A, et al. Incidence and risk factors of posttraumatic epilepsy following pediatric traumatic brain injury: A systematic review and meta-analysis. Epilepsia. 2022 Nov;63(11):2802-12. https://doi.org/10.1111/epi.17405
  26. Kobulashvili T, Kuchukhidze G, Brigo F, Zimmermann G, Höfler J, Leitinger M, et al. Diagnostic and prognostic value of noninvasive long-term video-electroencephalographic monitoring in epilepsy surgery: A systematic review and meta-analysis from the E-PILEPSY consortium. Epilepsia. 2018 Dec;59(12):2272-83. https://doi.org/10.1111/epi.14594
  27. Vary O'Neal A, Tamani I, Mendo CW, Josephson CB, Burneo JG, Steven DA, et al. Epilepsy surgery in adults older than 50 years: A systematic review and meta-analysis. Epilepsia. 2024 Jun;65(6):1548-59. https://doi.org/10.1111/epi.17995
  28. Johnson BJ, Jung KE, MacKenzie MA, Bah A, Jetté N, Mohamed N, et al. Association of social determinants of health with first antiseizure medication prescription for patients with newly diagnosed epilepsy: A systematic review and meta-analysis. Epilepsia. 2025 May;66(5):1560-72. https://doi.org/10.1111/epi.18251
  29. Goel K, Pek V, Shlobin NA, Chen JS, Wang A, Ibrahim GM, et al. Clinical utility of intraoperative electrocorticography for epilepsy surgery: A systematic review and meta-analysis. Epilepsia. 2023 Feb;64(2):253-65. https://doi.org/10.1111/epi.17475
  30. Antaya TC, Espino-Alvarado PH, Oiamo T, Wilk P, Speechley KN, Burneo JG. Association of outdoor air and noise pollution with unprovoked seizures and new onset epilepsy: A systematic review and meta-analysis. Epilepsia. 2024 Jul;65(7):1847-67. https://doi.org/10.1111/epi.18023
  31. Kaufman JS, MacLehose RF. Which of these things is not like the others? Cancer. 2013 Dec 15;119(24):4216-22. https://doi.org/10.1002/cncr.28359
  32. Sun X, Briel M, Busse JW, You JJ, Akl EA, Mejza F, et al. Credibility of claims of subgroup effects in randomised controlled trials: systematic review. BMJ. 2012 Mar 15;344:e1553. https://doi.org/10.1136/bmj.e1553
  33. Lemoine NP, Hoffman A, Felton AJ, Baur L, Chaves F, Gray J, et al. Underappreciated problems of low replication in ecological field studies. Ecology. 2016 Oct;97(10):2554-61. https://doi.org/10.1002/ecy.1508

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