Evidence map›Paper›PMID 25087978›Full record

ReviewStatistics in medicine2014

Review of methods for handling confounding by cluster and informative cluster size in clustered data.

Shaun Seaman, Menelaos Pavlou, Andrew Copas

Abstract readReview
In one paragraph

Review in Statistics in medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing 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

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

  1. Marginal structural models for multilevel clustered data.Biostatistics (Oxford, England) · 2022
    Pooled it
  2. Trial
  3. Article
  4. Use of estimands in cluster randomised trials: A review.Clinical trials (London, England) · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. On the mixed-model analysis of covariance in cluster-randomized trials.Statistical science : a review journal of the Institute of Mathematical Statistics · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Demystifying estimands in cluster-randomised trials.Statistical methods in medical research · 2024
    Article
  17. Article
  18. Article
  19. Article
  20. Joint Modeling ofInternational journal of fertility & sterility · 2023
    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

3 authors.

Shaun SeamanMRC Biostatistics Unit, Cambridge, CB2 0SR, U.K.
Menelaos Pavlou
Andrew Copas

Funding

Medical Research Council G0600657Medical Research Council MC_EX_G0800814Medical Research Council MC_U105260558Medical Research Council MC_US_A030_0015Medical Research Council U105260558
6 · The paper itself

Abstract

Clustered data are common in medical research. Typically, one is interested in a regression model for the association between an outcome and covariates. Two complications that can arise when analysing clustered data are informative cluster size (ICS) and confounding by cluster (CBC). ICS and CBC mean that the outcome of a member given its covariates is associated with, respectively, the number of members in the cluster and the covariate values of other members in the cluster. Standard generalised linear mixed models for cluster-specific inference and standard generalised estimating equations for population-average inference assume, in general, the absence of ICS and CBC. Modifications of these approaches have been proposed to account for CBC or ICS. This article is a review of these methods. We express their assumptions in a common format, thus providing greater clarity about the assumptions that methods proposed for handling CBC make about ICS and vice versa, and about when different methods can be used in practice. We report relative efficiencies of methods where available, describe how methods are related, identify a previously unreported equivalence between two key methods, and propose some simple additional methods. Unnecessarily using a method that allows for ICS/CBC has an efficiency cost when ICS and CBC are absent. We review tools for identifying ICS/CBC. A strategy for analysis when CBC and ICS are suspected is demonstrated by examining the association between socio-economic deprivation and preterm neonatal death in Scotland.

Indexed as

Cluster AnalysisConfounding Factors, EpidemiologicBiometryData Interpretation, StatisticalHumansLikelihood FunctionsLinear ModelsLogistic ModelsSample Sizeconditional maximum likelihoodconfounding by clustercontextual effectinformative cluster sizepoor man's methodwithin-cluster effect

Identifiers

PMID25087978
PMCPMC4320764

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.