Evidence map›Paper›PMID 22273587›Full record

ArticleClinical trials (London, England)2012

Analysis of combined data from heterogeneous study designs: an applied example from the patient navigation research program.

Richard G Roetzheim, Karen M Freund, Don K Corle, David M Murray, Frederick R Snyder, Andrea C Kronman, Pascal Jean-Pierre, Peter C Raich, Alan Ec Holden, Julie S Darnell and 3 more

Abstract read
In one paragraph

Article in Clinical trials (London, England), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Can patient navigation improve receipt of recommended breast cancer care? Evidence from the National Patient Navigation Research Program.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2014
    Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Follow-up and timeliness after an abnormal cancer screening among underserved, urban women in a patient navigation program.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2012
    Article
  10. Article
  11. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Richard G RoetzheimUniversity of South Florida Department of Family Medicine, Tampa, FL 33612, USA. rroetzhe@health.usf.edu
Karen M Freund
Don K Corle
David M Murray
Frederick R Snyder
Andrea C Kronman
Pascal Jean-Pierre
Peter C Raich
Alan Ec Holden
Julie S Darnell
Victoria Warren-Mears
Steven Patierno
PNRP Design and Analysis Committee for the Patient Navigation Research Program Investigators

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI Christine O'Connell · 1998 to 2026
$93.5M
Chicago Cancer Navigation ProjectU01CA116875 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ROSEN, STEVEN TERRY · 2005 to 2011
$4.5M
RCT of Primary Care-based Patient Navigation-ActivationU01CA116924 · NCI · UNIVERSITY OF ROCHESTER · PI FISCELLA, KEVIN ANTHONY · 2005 to 2011
$4.4M
"Patient Navigation in the SafetyNet: CONNECTeDD"U01CA116892 · NCI · BOSTON MEDICAL CENTER · PI FREUND, KAREN · 2005 to 2010
$4.3M
DC City-wide Patient Navigation Research ProgramU01CA116937 · NCI · GEORGE WASHINGTON UNIVERSITY · PI PATIERNO, STEVEN R · 2005 to 2011
$4.1M
Improving Patient Outcomes Through System NavigationU01CA116903 · NCI · DENVER HEALTH AND HOSPITAL AUTHORITY · PI RAICH, PETER CHRISTIAN · 2005 to 2011
$3.8M
Patient Navigation Research ProgramU01CA116885 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI DUDLEY, DONALD J · 2005 to 2010
$3.3M
Patient Navigator ProgramU01CA117281 · NCI · H. LEE MOFFITT CANCER CTR &RES INST · PI ROETZHEIM, RICHARD G · 2005 to 2009
$3.1M
Northwest Tribal Cancer Navigator ProgramU01CA116925 · NCI · NORTHWEST PORTLAND AREA INDIAN HLTH BD · PI WARREN-MEARS, VICTORIA ANN · 2005 to 2009
$3.0M
NCI NIH HHS P30 CA076292NCI NIH HHS U01 CA116875NCI NIH HHS U01CA116875NCI NIH HHS U01 CA116885NCI NIH HHS U01CA116885NCI NIH HHS U01 CA116892NCI NIH HHS U01 CA116903NCI NIH HHS U01CA116903NCI NIH HHS U01 CA116924NCI NIH HHS U01CA116924NCI NIH HHS U01 CA116925NCI NIH HHS U01CA116925NCI NIH HHS U01 CA116937NCI NIH HHS U01CA116937NCI NIH HHS U01 CA 117281NCI NIH HHS U01 CA117281
6 · The paper itself

Abstract

backgroundThe Patient Navigation Research Program (PNRP) is a cooperative effort of nine research projects, with similar clinical criteria but with different study designs. To evaluate projects such as PNRP, it is desirable to perform a pooled analysis to increase power relative to the individual projects. There is no agreed-upon prospective methodology, however, for analyzing combined data arising from different study designs. Expert opinions were thus solicited from the members of the PNRP Design and Analysis Committee. PURPOSE: To review possible methodologies for analyzing combined data arising from heterogeneous study designs.

methodsThe Design and Analysis Committee critically reviewed the pros and cons of five potential methods for analyzing combined PNRP project data. The conclusions were based on simple consensus. The five approaches reviewed included the following: (1) analyzing and reporting each project separately, (2) combining data from all projects and performing an individual-level analysis, (3) pooling data from projects having similar study designs, (4) analyzing pooled data using a prospective meta-analytic technique, and (5) analyzing pooled data utilizing a novel simulated group-randomized design.

resultsMethodologies varied in their ability to incorporate data from all PNRP projects, to appropriately account for differing study designs, and to accommodate differing project sample sizes. LIMITATIONS: The conclusions reached were based on expert opinion and not derived from actual analyses performed.

conclusionsThe ability to analyze pooled data arising from differing study designs may provide pertinent information to inform programmatic, budgetary, and policy perspectives. Multisite community-based research may not lend itself well to the more stringent explanatory and pragmatic standards of a randomized controlled trial design. Given our growing interest in community-based population research, the challenges inherent in the analysis of heterogeneous study design are likely to become more salient. Discussion of the analytic issues faced by the PNRP and the methodological approaches we considered may be of value to other prospective community-based research programs.

Indexed as

Data Interpretation, StatisticalResearch DesignClinical Trials as TopicHumansRandomized Controlled Trials as TopicUnited States

Identifiers

PMID22273587
PMCPMC3679186

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.