Evidence map›Paper›PMID 31092212›Full record

Observational studyBMC medical research methodology2019

The utility of multivariate outlier detection techniques for data quality evaluation in large studies: an application within the ONDRI project.

Kelly M Sunderland, Derek Beaton, Julia Fraser, Donna Kwan, Paula M McLaughlin, Manuel Montero-Odasso, Alicia J Peltsch, Frederico Pieruccini-Faria, Demetrios J Sahlas, Richard H Swartz and 3 more

Abstract readObservational Study
In one paragraph

Observational study in BMC medical research methodology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed.

  1. Trial
  2. Article
  3. Flexible outlier detection in multicenter clinical trials.Journal of clinical and translational science · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Perivascular spaces, plasma GFAP, and speeded executive function in neurodegenerative diseases.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  9. Article
  10. Data Quality in Health Research: Integrative Literature Review.Journal of medical Internet research · 2023
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
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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

13 authors.

Kelly M SunderlandRotman Research Institute, Baycrest Health Sciences, 3560 Bathurst St, Toronto, Ontario, M6A 2E1, Canada. ksunderland@research.baycrest.org.
Derek BeatonRotman Research Institute, Baycrest Health Sciences, 3560 Bathurst St, Toronto, Ontario, M6A 2E1, Canada.
Julia FraserDepartment of Kinesiology, University of Waterloo, 200 University Ave W, Waterloo, Ontario, N2L 3G1, Canada.
Donna KwanSchulich School of Medicine and Dentistry, University of Western Ontario, 1151 Richmond St, London, Ontario, N6A 5C1, Canada.
Paula M McLaughlinSchulich School of Medicine and Dentistry, University of Western Ontario, 1151 Richmond St, London, Ontario, N6A 5C1, Canada.
Manuel Montero-OdassoSchulich School of Medicine and Dentistry, University of Western Ontario, 1151 Richmond St, London, Ontario, N6A 5C1, Canada.
Alicia J PeltschSchulich School of Medicine and Dentistry, University of Western Ontario, 1151 Richmond St, London, Ontario, N6A 5C1, Canada.
Frederico Pieruccini-FariaSchulich School of Medicine and Dentistry, University of Western Ontario, 1151 Richmond St, London, Ontario, N6A 5C1, Canada.
Demetrios J SahlasDepartment of Medicine, McMaster University, 1280 Main St W, Hamilton, Ontario, L8S 4L8, Canada.
Richard H SwartzDepartment of Medicine (Neurology), Sunnybrook Health Sciences Centre, 2075 Bayview Ave, Toronto, Ontario, M4N 3M5, Canada.
ONDRI Investigators
Stephen C StrotherRotman Research Institute, Baycrest Health Sciences, 3560 Bathurst St, Toronto, Ontario, M6A 2E1, Canada.
Malcolm A BinnsRotman Research Institute, Baycrest Health Sciences, 3560 Bathurst St, Toronto, Ontario, M6A 2E1, Canada.

Funding

Canadian Institutes of Health Research (CA) MOP 201403CIHR PJT 153100
6 · The paper itself

Abstract

backgroundLarge and complex studies are now routine, and quality assurance and quality control (QC) procedures ensure reliable results and conclusions. Standard procedures may comprise manual verification and double entry, but these labour-intensive methods often leave errors undetected. Outlier detection uses a data-driven approach to identify patterns exhibited by the majority of the data and highlights data points that deviate from these patterns. Univariate methods consider each variable independently, so observations that appear odd only when two or more variables are considered simultaneously remain undetected. We propose a data quality evaluation process that emphasizes the use of multivariate outlier detection for identifying errors, and show that univariate approaches alone are insufficient. Further, we establish an iterative process that uses multiple multivariate approaches, communication between teams, and visualization for other large-scale projects to follow.

methodsWe illustrate this process with preliminary neuropsychology and gait data for the vascular cognitive impairment cohort from the Ontario Neurodegenerative Disease Research Initiative, a multi-cohort observational study that aims to characterize biomarkers within and between five neurodegenerative diseases. Each dataset was evaluated four times: with and without covariate adjustment using two validated multivariate methods - Minimum Covariance Determinant (MCD) and Candès' Robust Principal Component Analysis (RPCA) - and results were assessed in relation to two univariate methods. Outlying participants identified by multiple multivariate analyses were compiled and communicated to the data teams for verification.

resultsOf 161 and 148 participants in the neuropsychology and gait data, 44 and 43 were flagged by one or both multivariate methods and errors were identified for 8 and 5 participants, respectively. MCD identified all participants with errors, while RPCA identified 6/8 and 3/5 for the neuropsychology and gait data, respectively. Both outperformed univariate approaches. Adjusting for covariates had a minor effect on the participants identified as outliers, though did affect error detection.

conclusionsManual QC procedures are insufficient for large studies as many errors remain undetected. In these data, the MCD outperforms the RPCA for identifying errors, and both are more successful than univariate approaches. Therefore, data-driven multivariate outlier techniques are essential tools for QC as data become more complex.

Indexed as

Data AccuracyData Interpretation, StatisticalDatasets as TopicCognitive DysfunctionDementia, VascularGaitGait AnalysisHumansModels, StatisticalMultivariate AnalysisNeurodegenerative DiseasesOntarioPrincipal Component AnalysisQuality ControlMinimum covariance determinantMultivariate outliersPrincipal component analysisQuality controlVisualization

Identifiers

PMID31092212
PMCPMC6521365

What OpenQuestion holds

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LicenceCC BY
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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.