Evidence map›Paper›PMID 36333542›Full record

ArticleEuropean journal of epidemiology2022

Biases arising from linked administrative data for epidemiological research: a conceptual framework from registration to analyses.

Richard J Shaw, Katie L Harron, Julia M Pescarini, Elzo Pereira Pinto Junior, Mirjam Allik, Andressa N Siroky, Desmond Campbell, Ruth Dundas, Maria Yury Ichihara, Alastair H Leyland and 2 more

Abstract read
In one paragraph

Article in European journal of epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  11. Mapping social determinants of cognitive health in Canada: a scoping review.Health promotion and chronic disease prevention in Canada : research, policy and practice · 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

12 authors.

Richard J ShawMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Berkeley Square, 99 Berkeley Street, Glasgow, G3 7HR, UK. richard.shaw@glasgow.ac.uk.ORCID http://orcid.org/0000-0002-7906-6066
Katie L HarronUCL Great Ormond Street Institute of Child Health, UCL, London, UK.ORCID http://orcid.org/0000-0002-3418-2856
Julia M PescariniCentro de Integração de Dados e Conhecimentos para Saúde (Cidacs), Fundação Oswaldo Cruz, Salvador, Brazil.ORCID http://orcid.org/0000-0001-8711-9589
Elzo Pereira Pinto JuniorCentro de Integração de Dados e Conhecimentos para Saúde (Cidacs), Fundação Oswaldo Cruz, Salvador, Brazil.ORCID http://orcid.org/0000-0002-6977-2071
Mirjam AllikMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Berkeley Square, 99 Berkeley Street, Glasgow, G3 7HR, UK.ORCID http://orcid.org/0000-0003-1674-3469
Andressa N SirokyCentro de Integração de Dados e Conhecimentos para Saúde (Cidacs), Fundação Oswaldo Cruz, Salvador, Brazil.ORCID http://orcid.org/0000-0002-9706-5374
Desmond CampbellMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Berkeley Square, 99 Berkeley Street, Glasgow, G3 7HR, UK.ORCID http://orcid.org/0000-0003-1085-714X
Ruth DundasMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Berkeley Square, 99 Berkeley Street, Glasgow, G3 7HR, UK.ORCID http://orcid.org/0000-0002-3836-4286
Maria Yury IchiharaCentro de Integração de Dados e Conhecimentos para Saúde (Cidacs), Fundação Oswaldo Cruz, Salvador, Brazil.ORCID http://orcid.org/0000-0001-8590-6212
Alastair H LeylandMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Berkeley Square, 99 Berkeley Street, Glasgow, G3 7HR, UK.ORCID http://orcid.org/0000-0003-3741-7099
Mauricio L BarretoCentro de Integração de Dados e Conhecimentos para Saúde (Cidacs), Fundação Oswaldo Cruz, Salvador, Brazil.ORCID http://orcid.org/0000-0002-0215-4930
Srinivasa Vittal KatikireddiMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Berkeley Square, 99 Berkeley Street, Glasgow, G3 7HR, UK.ORCID http://orcid.org/0000-0001-6593-9092

Funding

Bill and Melinda Gates Foundation 401739/2015-5Chief Scientist Office SCAF/15/02Chief Scientist Office SPHSU17Economic and Social Research Council ES/T0000120/1Health Data Research UK SS005Medical Research Council MC_UU_00022/2National Institute for Health Research GHRG /16/137/99NHS Research Scotland SCAF/15/02Wellcome TrustWellcome Trust 202912/Z/16/Z).Wellcome Trust 212953/Z/18/Z
6 · The paper itself

Abstract

Linked administrative data offer a rich source of information that can be harnessed to describe patterns of disease, understand their causes and evaluate interventions. However, administrative data are primarily collected for operational reasons such as recording vital events for legal purposes, and planning, provision and monitoring of services. The processes involved in generating and linking administrative datasets may generate sources of bias that are often not adequately considered by researchers. We provide a framework describing these biases, drawing on our experiences of using the 100 Million Brazilian Cohort (100MCohort) which contains records of more than 131 million people whose families applied for social assistance between 2001 and 2018. Datasets for epidemiological research were derived by linking the 100MCohort to health-related databases such as the Mortality Information System and the Hospital Information System. Using the framework, we demonstrate how selection and misclassification biases may be introduced in three different stages: registering and recording of people's life events and use of services, linkage across administrative databases, and cleaning and coding of variables from derived datasets. Finally, we suggest eight recommendations which may reduce biases when analysing data from administrative sources.

Indexed as

Medical Record LinkageBiasBrazilDatabases, FactualEpidemiologic StudiesHumansAdministrative dataData linkageEpidemiological biasesLinkage errorRecord linkage

Identifiers

PMID36333542
PMCPMC9792414

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.