What the evidence says
The sources on this page address one question: how often do analytic choices change the conclusion of a meta-analysis? The main source is a study of 358 behavioral science meta-analyses. It tests four outlier-handling treatments, each combined with several estimators. Two smaller claims come from a separate paper on Fisher's method for combining p-values. That paper shows a related instability in a different setting.
In the behavioral science sample, outlier handling usually moves the pooled effect very little. The median absolute change in Cohen's d is at most 0.047 and often much less. The conclusion about direction and size therefore rarely moves much for a typical meta-analysis.
Categorical conclusions change more often than the size of the effect. At least one treatment, combined with one estimator, reverses statistical significance in 11.5% of meta-analyses (41 of 358). It reverses the smallest-effect-of-interest assessment in 15.9% (57 of 358), using a threshold of |d| ≥ 0.20. The source also reports a sensitivity analysis with a lower threshold (c = 0.10). That analysis gives a 6.4% rate, counted over 715 meta-analysis-estimator combinations. The denominators differ: the first two rates count meta-analyses, and the 6.4% rate counts combinations.
The treatments differ in how often they change results. Winsorizing has the least effect. It changes specification sensitivity in 2.38% of 715 combinations, against 5.45% for DFBETAS. For the smallest-effect-of-interest assessment, the figures are 5.87% for Winsorizing and 7.12% for DFBETAS. The reversals are concentrated in results already close to the decision boundary. Strongly significant results essentially never change.
The Fisher's method paper shows the problem from the other side. Two sets of p-values can give the same combined statistic, T_F = 13.8 and p = 0.032, even though one has a single strong study and the other has three weak ones. In an empirical example, nearly identical p-values led the Adaptively Weighted Fisher method to assign different weights, (1,1,1) in one case and (1,0,1) in the other. Both examples are descriptive and come from one paper. They do not give a prevalence figure.