$npx -y skills add Aperivue/medsci-skills --skill meta-analysisSystematic review and meta-analysis pipeline for medical research. Covers protocol registration (PROSPERO), search strategy, screening, data extraction, risk of bias assessment (QUADAS-2/ROBINS-I), statistical synthesis (bivariate/HSROC for DTA, random-effects for intervention),
| 1 | # Meta-Analysis Skill |
| 2 | |
| 3 | You are helping a medical researcher conduct a systematic review and meta-analysis. |
| 4 | You support the full pipeline from protocol development to submission-ready manuscript, |
| 5 | with specialized support for diagnostic test accuracy (DTA) meta-analyses. |
| 6 | |
| 7 | ## Communication Rules |
| 8 | |
| 9 | - Communicate with the user in their preferred language. |
| 10 | - All output documents, code, and checklists in English. |
| 11 | - Medical terminology always in English. |
| 12 | |
| 13 | ## Reference Files |
| 14 | |
| 15 | ### Built-in References (`${CLAUDE_SKILL_DIR}/references/`) |
| 16 | |
| 17 | - **PROSPERO template**: `${CLAUDE_SKILL_DIR}/references/PROSPERO_template.md` -- field-by-field guide with word limits, pitfalls checklist |
| 18 | - **ICMJE COI guide**: `${CLAUDE_SKILL_DIR}/references/icmje_coi_guide.md` -- batch generation, python-docx pitfalls, form structure |
| 19 | - **R templates**: `${CLAUDE_SKILL_DIR}/references/r_templates.md` |
| 20 | - **Checklists**: `${CLAUDE_SKILL_DIR}/references/checklists/` |
| 21 | - `PRISMA_DTA.md` -- 27-item checklist |
| 22 | - `QUADAS2.md` -- 4 domains + signalling questions |
| 23 | - `ROBINS_I.md` -- 7 domains + pre-assessment + synthesis recommendation |
| 24 | - `RoB2.md` -- 5 domains + signalling questions + overall judgment |
| 25 | - `PROBAST.md` -- 4 domains + AI extension + validation studies |
| 26 | - `NOS.md` -- Cohort (8 items) + Case-control (8 items) + star interpretation |
| 27 | - `JBI_Case_Series.md` -- 10-item critical appraisal checklist for case series |
| 28 | - **Phase 9 Co-author Circulation**: `${CLAUDE_SKILL_DIR}/references/phase9_circulation.md` -- thread continuity, attachment scope, recipient structure, 7-day window |
| 29 | - **Phase 10 Self-Audit Recovery**: `${CLAUDE_SKILL_DIR}/references/phase10_recovery.md` -- trigger conditions, 12-step rebuild sprint, PROSPERO amendment, re-circulation framing |
| 30 | - **Data integrity checklist**: `${CLAUDE_SKILL_DIR}/references/data_integrity_checklist.md` -- DI-1~DI-9 extraction/synthesis guardrails (prior anonymized MA projects) |
| 31 | - **Review orchestration**: `${CLAUDE_SKILL_DIR}/references/review_orchestration.md` -- RO-1~RO-5 circulation discipline (extends phase9_circulation.md) |
| 32 | - **Submission package drift**: `${CLAUDE_SKILL_DIR}/references/submission_package_drift.md` -- multi-journal folder hygiene, `DO_NOT_EDIT_HERE` gate, `_build.sh` pattern |
| 33 | - **Post-submission release ops**: `${CLAUDE_SKILL_DIR}/references/post_submission_release_ops.md` -- Zenodo DOI gating, tag-cleanup gates, reject-retarget versioning |
| 34 | - **Empirical peer-review lessons**: `${CLAUDE_SKILL_DIR}/references/empirical_lessons.md` -- 16 accumulated SR-MA peer-review / submission lessons (2026-05/06) that drive the Phase 4 extraction-form schema, Phase 4c QC, and Phase 8 submission gates. Load before designing the extraction form and before submission. |
| 35 | |
| 36 | ### Built-in Templates (`${CLAUDE_SKILL_DIR}/templates/`) |
| 37 | |
| 38 | - **Extraction Form v2** (`templates/extraction_form_v2.md`) -- dual-extractor schema with `source_page_ref`, `source_verbatim_quote`, `cohort_source`, `overlap_flag_reviewer1/2`, `sample_n_dta_pool` vs `sample_n_prognostic_pool` columns. Required for SR-MA targeting high-impact radiology / medical AI journals. |
| 39 | - **Supplementary 8-file Checklist** (`templates/supplementary_8file_checklist.md`) -- S1-S8 mandatory package (PRISMA, PROSPERO, search strategy, exclusion list, extraction table, per-study x per-domain RoB, subgroup forests, sensitivity / publication bias) with a submission-gate bash check. |
| 40 | |
| 41 | ### Built-in Scripts (`${CLAUDE_SKILL_DIR}/scripts/`) |
| 42 | |
| 43 | - **`screening_reconcile.py`** -- Phase 3f ID-set screening reconciliation. |
| 44 | - **`check_pool_consistency.py`** -- pool-composition / PRISMA count consistency. |
| 45 | - **`cohort_overlap_check.py`** -- shared-database cohort-overlap detection. |
| 46 | - **`extract_assist.py`** -- Phase 4 AI-assisted extraction *suggestions* (page ref + verbatim quote, `AI_SUGGESTED`/`needs_review`); human-confirm then `dta_extraction_qc.py`. Challenge card: `scripts/extract_assist_challenge/`. |
| 47 | - **`dta_extraction_qc.py`** -- 2x2 cell ↔ source sens/spec QC on the **confirmed** extraction CSV. |
| 48 | |
| 49 | --- |
| 50 | |
| 51 | ## Meta-Analysis Types |
| 52 | |
| 53 | | Type | RoB Tool | Statistical Model | Reporting Guideline | |
| 54 | |------|----------|-------------------|-------------------| |
| 55 | | **DTA** (diagnostic test accuracy) | QUADAS-2 | Bivariate / HSROC | PRISMA-DTA | |
| 56 | | **Intervention** (treatment effect) | RoB 2 (RCT) / ROBINS-I (NRSI) | |