Evidence map›Paper›PMID 35729705›Full record

ReviewPharmacoepidemiology and drug safety2022

Machine learning for improving high-dimensional proxy confounder adjustment in healthcare database studies: An overview of the current literature.

Richard Wyss, Chen Yanover, Tal El-Hay, Dimitri Bennett, Robert W Platt, Andrew R Zullo, Grammati Sari, Xuerong Wen, Yizhou Ye, Hongbo Yuan and 3 more

Abstract readReview
In one paragraph

Review in Pharmacoepidemiology and drug safety, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Efficacy and safety ofBMJ open · 2025
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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.

Richard WyssDivision of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Chen YanoverKI Research Institute, Kfar Malal, Israel.
Tal El-HayKI Research Institute, Kfar Malal, Israel.
Dimitri BennettGlobal Evidence and Outcomes, Takeda Pharmaceutical Company Ltd., Cambridge, Massachusetts, USA.ORCID 0000-0002-8387-9342
Robert W PlattDepartment of Epidemiology, Biostatistics, and Occupational Health, McGIl University, Montreal, Canada.ORCID 0000-0002-5981-8443
Andrew R ZulloDepartment of Health Services, Policy, and Practice, Brown University School of Public Health and Center of Innovation in Long-Term Services and Supports, Providence Veterans Affairs Medical Center, Providence, Rhode Island, USA.ORCID 0000-0003-1673-4570
Grammati SariReal World Evidence Strategy Lead, Visible Analytics Ltd, Oxford, UK.
Xuerong WenHealth Outcomes, Pharmacy Practice, College of Pharmacy, University of Rhode Island, Kingston, Rhode Island, USA.ORCID 0000-0002-4803-7895
Yizhou YeGlobal Epidemiology, AbbVie Inc., Illinois, USA.
Hongbo YuanCanadian Agency for Drugs and Technologies in Health, Ottawa, Canada.
Mugdha GokhalePharmacoepidemiology, Center for Observational and Real-world Evidence, Merck, Pennsylvania, USA.
Elisabetta PatornoDivision of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Kueiyu Joshua LinDivision of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Funding

Medications and the Risk of Motor Vehicle Crashes in Older AdultsR01AG065722 · NIA · BROWN UNIVERSITY · PI ZULLO, ANDREW REIS · 2020 to 2023
$2.1M
NIA NIH HHS R01 AG065722
6 · The paper itself

Abstract

purposeSupplementing investigator-specified variables with large numbers of empirically identified features that collectively serve as 'proxies' for unspecified or unmeasured factors can often improve confounding control in studies utilizing administrative healthcare databases. Consequently, there has been a recent focus on the development of data-driven methods for high-dimensional proxy confounder adjustment in pharmacoepidemiologic research. In this paper, we survey current approaches and recent advancements for high-dimensional proxy confounder adjustment in healthcare database studies.

methodsWe discuss considerations underpinning three areas for high-dimensional proxy confounder adjustment: (1) feature generation-transforming raw data into covariates (or features) to be used for proxy adjustment; (2) covariate prioritization, selection, and adjustment; and (3) diagnostic assessment. We discuss challenges and avenues of future development within each area.

resultsThere is a large literature on methods for high-dimensional confounder prioritization/selection, but relatively little has been written on best practices for feature generation and diagnostic assessment. Consequently, these areas have particular limitations and challenges.

conclusionsThere is a growing body of evidence showing that machine-learning algorithms for high-dimensional proxy-confounder adjustment can supplement investigator-specified variables to improve confounding control compared to adjustment based on investigator-specified variables alone. However, more research is needed on best practices for feature generation and diagnostic assessment when applying methods for high-dimensional proxy confounder adjustment in pharmacoepidemiologic studies.

Indexed as

Machine LearningPharmacoepidemiologyConfounding Factors, EpidemiologicDatabases, FactualDelivery of Health CareHumanscausal inferenceconfoundingmachine learning

Identifiers

PMID35729705
PMCPMC9541861

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.