Evidence map›Paper›PMID 25565067›Full record

ArticleJournal of comparative effectiveness research2015

Revisiting the washout period in the incident user study design: why 6-12 months may not be sufficient.

Andrew W Roberts, Stacie B Dusetzina, Joel F Farley

Abstract read
In one paragraph

Article in Journal of comparative effectiveness research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing 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

31 citing papers in PubMed.

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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.

Andrew W RobertsDivision of Pharmaceutical Outcomes & Policy, UNC Eshelman School of Pharmacy, NC, USA.
Stacie B Dusetzina
Joel F Farley

Funding

North Carolina Translational & Clinical Sciences Institute (NC TraCS)UL1TR001111 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$43.9M
UNC BIRCWH CAREER DEVELOPMENT PROGRAMK12HD001441 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BOGGESS, KIM A · 2000 to 2019
$9.3M
UNC-CH TRAINING PROGRAM IN HEALTH SERVICES RESEARCHT32HS000032 · AHRQ · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HOLMES, GEORGE M · 1989 to 2024
$8.2M
Research Training:Health Care Quality &Patient OutcomesT32NR008856 · NINR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MARK, BARBARA A · 2004 to 2013
$2.7M
AHRQ HHS 5T32 HS000032AHRQ HHS T32 HS000032NCATS NIH HHS UL1 TR001111NCATS NIH HHS UL1TR001111NICHD NIH HHS K12 HD001441NINR NIH HHS T32 NR008856
6 · The paper itself

Abstract

aimsThe purpose of this study was to describe how washout period duration affects the size and accuracy of retrospective incident user cohorts. MATERIALS &

methodsMarketScan commercial claims data from 2007 to 2010 were used and included adults with an antihyperlipidemic, antidiabetic or antidepressant claim in 2010. Incident user cohorts using 3-, 6-, 12-, 24- and 36-month washouts were created and changes in sample size and incident user misclassification were described. RESULTS &

conclusionThe 6- and 12-month washouts excluded 75 and 85% of the samples, respectively. Half of subjects in the 6-month washout cohorts were actually prevalent users, and the 12-month washout period resulted in 30% misclassified. Using common washout periods of 6-12 months may insufficiently address prevalent user bias in large commercial claims databases.

Indexed as

Comparative Effectiveness ResearchInsurance Claim ReviewResearch DesignAdolescentAdultAntidepressive AgentsDatabases, FactualFemaleHumansHypoglycemic AgentsHypolipidemic AgentsMaleMiddle AgedPharmacoepidemiologyTime FactorsAntidepressive AgentsHypoglycemic AgentsHypolipidemic Agentscomparative effectiveness researchincident user designmethodspharmacoepidemiologyresearch designsecondary databasesselection bias

Identifiers

PMID25565067
PMCPMC4410733

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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.