Evidence map›Paper›PMID 26199381›Full record

ArticleAmerican journal of epidemiology2015

Invited Commentary: A-P-C... It's Easy as 1-2-3!

Sam Harper

Abstract readComment
PubMed Publisher
In one paragraph

Article in American journal of epidemiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
11.2field-weighted citation impact, top 2% of its field
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

13 citing papers in PubMed, 15 citations in OpenAlex.

  1. Collaboratively building teaching resources for EDI in epidemiology and biostatistics.Canadian journal of public health = Revue canadienne de sante publique · 2026
    Article
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  4. Ovarian Cancer Incidence in the Multi-Ethnic Asian City-State of Singapore 1968-2012.Asian Pacific journal of cancer prevention : APJCP · 2019
    Article
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  13. Kramer and Casper Respond to "A-P-C... It's Easy as 1-2-3!".American journal of epidemiology · 2015
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author.

Sam Harper

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Investigations of age, period, and cohort effects are difficult because the 3 factors are linearly dependent. In a novel application, Kramer et al. (Am J Epidemiol. 2015;182(4):302-312) have used graphical analysis and statistical models to estimate the impact that age, period, and cohort effects have had on trends in black-white inequalities in heart disease mortality. Using a constrained regression approach (with the first 2 periods' effects constrained to zero), Kramer et al. find evidence that age and cohort effects figure more prominently than do period effects in contributing to relative black-white mortality differences, and they argue that early-life exposures should be given greater consideration for mitigation of racial differences in heart disease. In this invited commentary, I argue that the utility of age-period-cohort models for understanding health inequalities depends on the plausibility of the assumptions used to break the link between the 3 factors. Based on the existing age-period-cohort literature, alternative assumptions seem likely to produce substantially different results. I also argue that interpretations of the impacts of age, period, and cohort effects on racial inequalities in heart disease mortality may depend on whether inequalities are assessed on the absolute scale or the relative scale.

Indexed as

Health Status DisparitiesBlack or African AmericanFemaleHeart DiseasesHumansMaleWhite Peopleage-period-cohort modelscohort effectshealth disparitiesheart diseaseracial inequality

Identifiers

PMID26199381
OpenAlexW1931147560

What OpenQuestion holds

Textmetadata
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.