Evidence map›Paper›PMID 33367288›Full record

ArticleHarvard data science review2020

How Confident Are We about Observational Findings in Healthcare: A Benchmark Study.

Martijn J Schuemie, M Soledad Cepeda, Marc A Suchard, Jianxiao Yang, Yuxi Tian, Alejandro Schuler, Patrick B Ryan, David Madigan, George Hripcsak

Open access · bronzeAbstract read
In one paragraph

Article in Harvard data science review, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
9.0field-weighted citation impact, top 1% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Evaluating large-scale propensity score adjustment when sample size is small.Journal of the American Medical Informatics Association : JAMIA · 2026
    Article
  3. Negative controls and how to use them: a guidance paper.International journal of epidemiology · 2026
    Article
  4. Article
  5. When evidence meets artificial intelligence.Lancet regional health. Americas · 2026
    Review
  6. Article
  7. Article
  8. Semaglutide and diabetic retinopathy: an OHDSI network study.BMJ open diabetes research & care · 2025 · on this map
    Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

9 authors at 5 institutions in 3 countries.

Martijn J SchuemieObservational Health Data Sciences and Informatics.
M Soledad CepedaObservational Health Data Sciences and Informatics.
Marc A SuchardObservational Health Data Sciences and Informatics.
Jianxiao YangObservational Health Data Sciences and Informatics.
Yuxi TianObservational Health Data Sciences and Informatics.
Alejandro SchulerObservational Health Data Sciences and Informatics.
Patrick B RyanObservational Health Data Sciences and Informatics.
David MadiganObservational Health Data Sciences and Informatics.
George HripcsakObservational Health Data Sciences and Informatics.
Janssen (Belgium) · BEColumbia University · USHealth Data Research UK · GBNewYork–Presbyterian Hospital · USUniversity of California, Los Angeles · US

Funding

POSTDOCTORAL TRAINING IN MEDICAL INFORMATION SCIENCEST15LM007033 · NLM · STANFORD UNIVERSITY · PI SYLVIA KATINA PLEVRITIS · 1985 to 2026
$25.5M
DISCOVERING AND APPLYING KNOWLEDGE IN CLINICAL DATABASESR01LM006910 · NLM · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HRIPCSAK, GEORGE M · 2000 to 2023
$10.6M
Cancer Systems Biology Scholars ProgramR25CA180993 · NCI · STANFORD UNIVERSITY · PI PLEVRITIS, SYLVIA KATINA · 2014 to 2018
$2.2M
Large Scale Observational Analytics for Health InformaticsF31LM012636 · NLM · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI TIAN, YUXI · 2017 to 2019
$127k
NCI NIH HHS R25 CA180993NLM NIH HHS F31 LM012636NLM NIH HHS R01 LM006910NLM NIH HHS T15 LM007033
6 · The paper itself

Abstract

Healthcare professionals increasingly rely on observational healthcare data, such as administrative claims and electronic health records, to estimate the causal effects of interventions. However, limited prior studies raise concerns about the real-world performance of the statistical and epidemiological methods that are used. We present the "OHDSI Methods Benchmark" that aims to evaluate the performance of effect estimation methods on real data. The benchmark comprises a gold standard, a set of metrics, and a set of open source software tools. The gold standard is a collection of real negative controls (drug-outcome pairs where no causal effect appears to exist) and synthetic positive controls (drug-outcome pairs that augment negative controls with simulated causal effects). We apply the benchmark using four large healthcare databases to evaluate methods commonly used in practice: the new-user cohort, self-controlled cohort, case-control, case-crossover, and self-controlled case series designs. The results confirm the concerns about these methods, showing that for most methods the operating characteristics deviate considerably from nominal levels. For example, in most contexts, only half of the 95% confidence intervals we calculated contain the corresponding true effect size. We previously developed an "empirical calibration" procedure to restore these characteristics and we also evaluate this procedure. While no one method dominates, self-controlled methods such as the empirically calibrated self-controlled case series perform well across a wide range of scenarios.

Indexed as

causal effect estimationevaluationmethodsobservational research

Identifiers

PMID33367288
PMCPMC7755157
OpenAlexW3003821248

What OpenQuestion holds

Textmetadata
LicenceTDM
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.