Evidence map›Paper›PMID 28460857›Full record

ReviewJournal of clinical epidemiology2017

Adjusting for unmeasured confounding in nonrandomized longitudinal studies: a methodological review.

Adam J Streeter, Nan Xuan Lin, Louise Crathorne, Marcela Haasova, Christopher Hyde, David Melzer, William E Henley

Abstract readReview
In one paragraph

Review in Journal of clinical epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 4 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, 4 syntheses or guidelines pooled it.

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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

7 authors.

Adam J StreeterHealth Statistics Group, Institute of Health Research, University of Exeter Medical School, University of Exeter, St. Luke's Campus, Exeter EX1 2LU, United Kingdom; Medical Statistics, Institute of Translational and Stratified Medicine, Plymouth University Peninsula School of Medicine & Dentistry, University of Plymouth, Plymouth Science Park, Derriford, Plymouth PL6 8BX, United Kingdom.
Nan Xuan LinHealth Statistics Group, Institute of Health Research, University of Exeter Medical School, University of Exeter, St. Luke's Campus, Exeter EX1 2LU, United Kingdom; Mathematics, Physics & Electrical Engineering, Northumbria University, Sutherland Building, Newcastle upon Tyne NE1 8ST, United Kingdom.
Louise CrathorneHealth Economics, Institute of Health Research, University of Exeter Medical School, University of Exeter, St. Luke's Campus, Exeter EX1 2LU, United Kingdom.
Marcela HaasovaEvidence Synthesis & Modelling for Health Improvement, Institute of Health Research, University of Exeter Medical School, University of Exeter, St. Luke's Campus, Exeter EX1 2LU, United Kingdom.
Christopher HydePeninsula Technology Assessment Group, Institute of Health Research, University of Exeter Medical School, University of Exeter, St. Luke's Campus, Exeter EX1 2LU, United Kingdom.
David MelzerEpidemiology & Public Health, RD&E Hospital Wonford, University of Exeter Medical School, RILD Building, Barrack Road, Exeter EX2 5DW, United Kingdom.
William E HenleyHealth Statistics Group, Institute of Health Research, University of Exeter Medical School, University of Exeter, St. Luke's Campus, Exeter EX1 2LU, United Kingdom. Electronic address: w.e.henley@exeter.ac.uk.

Funding

Medical Research Council G0902158
6 · The paper itself

Abstract

objectivesMotivated by recent calls to use electronic health records for research, we reviewed the application and development of methods for addressing the bias from unmeasured confounding in longitudinal data. STUDY DESIGN AND

settingMethodological review of existing literature. We searched MEDLINE and EMBASE for articles addressing the threat to causal inference from unmeasured confounding in nonrandomized longitudinal health data through quasi-experimental analysis.

resultsAmong the 121 studies included for review, 84 used instrumental variable analysis (IVA), of which 36 used lagged or historical instruments. Difference-in-differences (DiD) and fixed effects (FE) models were found in 29 studies. Five of these combined IVA with DiD or FE to try to mitigate for time-dependent confounding. Other less frequently used methods included prior event rate ratio adjustment, regression discontinuity nested within pre-post studies, propensity score calibration, perturbation analysis, and negative control outcomes.

conclusionWell-established econometric methods such as DiD and IVA are commonly used to address unmeasured confounding in nonrandomized longitudinal studies, but researchers often fail to take full advantage of available longitudinal information. A range of promising new methods have been developed, but further studies are needed to understand their relative performance in different contexts before they can be recommended for widespread use.

Indexed as

Confounding Factors, EpidemiologicLongitudinal StudiesBiasElectronic Health RecordsHumansPropensity ScoreElectronic health recordsLongitudinalMethod reviewObservational dataUnmeasured confoundingUnobserved confounding

Identifiers

PMID28460857
PMCPMC5589113

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.