Evidence map›Paper›PMID 35520277›Full record

ArticleClinical epidemiology2022

A Framework for Visualizing Study Designs and Data Observability in Electronic Health Record Data.

Shirley V Wang, Sebastian Schneeweiss

Abstract read
In one paragraph

Article in Clinical epidemiology, 2022. 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
–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

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Real-world evidence: state-of-the-art and future perspectives.Journal of comparative effectiveness research · 2025
    Review
  6. Article
  7. Article
  8. Core Concepts: Self-Controlled Designs in Pharmacoepidemiology.Pharmacoepidemiology and drug safety · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
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

2 authors.

Shirley V WangBrigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-7761-7090
Sebastian SchneeweissBrigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-2575-467X

Funding

Randomized Cardiovascular Trials Duplicated Using Prospective Longitudinal Insurance Claims: Applying Techniques of Epidemiology (RCT DUPLICATE)R01HL141505 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SCHNEEWEISS, SEBASTIAN G., WANG, SHIRLEY · 2019 to 2023
$3.6M
Generalizing data from randomized trials to predict long-term treatment outcomes in older populationsR01AG060163 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI WANG, SHIRLEY · 2018 to 2022
$2.5M
Understanding effectiveness of new drugs in older adults shortly after market entryR01AG053302 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI WANG, SHIRLEY · 2018 to 2021
$2.0M
NHLBI NIH HHS R01 HL141505NIA NIH HHS R01 AG053302
6 · The paper itself

Abstract

Background: There is growing interest in using evidence generated from clinical practice data to support regulatory, coverage and other healthcare decision-making. A graphical framework for depicting longitudinal study designs to mitigate this barrier was introduced and has found wide acceptance. We sought to enhance the framework to contain information that helps readers assess the appropriateness of the source data in which the study design was applied. Methods: For the enhanced graphical framework, we added a simple visualization of data type and observability to capture differences between electronic health record (EHR) and other registry data that may have limited data continuity and insurance claims data that have enrollment files. Results: We illustrate the revised graphical framework with 2 example studies conducted using different data sources, including administrative claims only, EHR only, linked claims and EHR, as well as specialty community based EHRs with and without external linkages. Conclusion: The enhanced visualization framework is important because evaluation of study validity needs to consider the triad of study question, design, and data together. Any given data source or study design may be appropriate for some questions but not others.

Indexed as

biasmethodsreal world datareal world evidencestudy designvisualization

Identifiers

PMID35520277
PMCPMC9063805

What OpenQuestion holds

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LicenceCC BY-NC
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.