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Heterogeneity

The results loose credibility

Different effect sizes in different trials

Different patient cohorts?

Different treatment efficacy?

Quality of data

- How often is the TSH measured?

- In Hodgkin patients?

- In H&NSCC patients?

An opportunity to learn

Which patients benefit?

Which is the better treatment?

The assumption behind a meta-analysis is that

1) The interventio i t same

2) The effect size is the same in different cohorts