Evidence map›Paper›PMID 22646911›Full record

ArticleBMC medical research methodology2012

Evaluation of the propensity score methods for estimating marginal odds ratios in case of small sample size.

Romain Pirracchio, Matthieu Resche-Rigon, Sylvie Chevret

Abstract readCase Reports
In one paragraph

Article in BMC medical research methodology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 1 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

98 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Radiotherapy boost in patients with hypoxic lesions identified byEuropean journal of nuclear medicine and molecular imaging · 2019
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  3. Evaluating large-scale propensity score adjustment when sample size is small.Journal of the American Medical Informatics Association : JAMIA · 2026
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  12. Early clinical outcomes in emergency CABG in the United Kingdom.Frontiers in cardiovascular medicine · 2026
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  19. Long-term clinical outcomes in patients between the age of 50-70 years receiving biological versus mechanical aortic valve prostheses.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
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  20. Article

38 more citing papers are in PubMed but not listed here.

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

3 authors.

Romain PirracchioService de Biostatistique et Information Médicale, Hôpital Saint-Louis, UMR-S717 Inserm; Sorbonne Paris Cité, Université Paris Diderot, 1 avenue Claude Vellefaux, Paris 75010, France.
Matthieu Resche-Rigon
Sylvie Chevret

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPropensity score (PS) methods are increasingly used, even when sample sizes are small or treatments are seldom used. However, the relative performance of the two mainly recommended PS methods, namely PS-matching or inverse probability of treatment weighting (IPTW), have not been studied in the context of small sample sizes.

methodsWe conducted a series of Monte Carlo simulations to evaluate the influence of sample size, prevalence of treatment exposure, and strength of the association between the variables and the outcome and/or the treatment exposure, on the performance of these two methods.

resultsDecreasing the sample size from 1,000 to 40 subjects did not substantially alter the Type I error rate, and led to relative biases below 10%. The IPTW method performed better than the PS-matching down to 60 subjects. When N was set at 40, the PS matching estimators were either similarly or even less biased than the IPTW estimators. Including variables unrelated to the exposure but related to the outcome in the PS model decreased the bias and the variance as compared to models omitting such variables. Excluding the true confounder from the PS model resulted, whatever the method used, in a significantly biased estimation of treatment effect. These results were illustrated in a real dataset.

conclusionEven in case of small study samples or low prevalence of treatment, PS-matching and IPTW can yield correct estimations of treatment effect unless the true confounders and the variables related only to the outcome are not included in the PS model.

Indexed as

Odds RatioPropensity ScoreSample SizeHumansMonte Carlo Method

Identifiers

PMID22646911
PMCPMC3511219

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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.