Evidence map›Paper›PMID 24921064›Full record

ArticleEGEMS (Washington, DC)2013

Estimating causal effects in observational studies using Electronic Health Data: Challenges and (some) solutions.

Elizabeth A Stuart, Eva DuGoff, Michael Abrams, David Salkever, Donald Steinwachs

Abstract read
In one paragraph

Article in EGEMS (Washington, DC), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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

21 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. General Control Functions for Causal Effect Estimation from Instrumental Variables.Advances in neural information processing systems · 2020
    Article
  7. Article
  8. Review
  9. Population-Based Registry Linkages to Improve Validity of Electronic Health Record-Based Cancer Research.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
    Article
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Performing an Informatics Consult: Methods and Challenges.Journal of the American College of Radiology : JACR · 2018
    Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Article
  20. Article
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

5 authors.

Elizabeth A StuartDepartment of Mental Health, Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, 8 Floor, Baltimore, MD 21205, estuart@jhsph.edu.
Eva DuGoffDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health.
Michael AbramsThe Hilltop Institute, University of Maryland Baltimore County.
David SalkeverDepartment of Public Policy, University of Maryland Baltimore County.
Donald SteinwachsDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health.

Funding

SMI Dual Eligibles and Medicare Part D: Impact on Medications Continuity and OutcR01MH079974 · NIMH · JOHNS HOPKINS UNIVERSITY · PI STEINWACHS, DONALD MICHAEL · 2008 to 2011
$2.1M
Estimating Population Effects of Mental Health interventionsK25MH083846 · NIMH · JOHNS HOPKINS UNIVERSITY · PI STUART, ELIZABETH A. · 2008 to 2012
$780k
NIMH NIH HHS K25 MH083846NIMH NIH HHS R01 MH079974
6 · The paper itself

Abstract

Electronic health data sets, including electronic health records (EHR) and other administrative databases, are rich data sources that have the potential to help answer important questions about the effects of clinical interventions as well as policy changes. However, analyses using such data are almost always non-experimental, leading to concerns that those who receive a particular intervention are likely different from those who do not, in ways that may confound the effects of interest. This paper outlines the challenges in estimating causal effects using electronic health data, and offers some solutions, with particular attention paid to propensity score methods that help ensure comparisons between similar groups. The methods are illustrated with a case study describing the design of a study using Medicare and Medicaid administrative data to estimate the effect of the Medicare Part D prescription drug program among individuals with serious mental illness.

Identifiers

PMID24921064
PMCPMC4049166

What OpenQuestion holds

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Registered trials

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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.