Evidence map›Paper›PMID 36456923›Full record

ReviewBMC medical research methodology2022

Case study research and causal inference.

Judith Green, Benjamin Hanckel, Mark Petticrew, Sara Paparini, Sara Shaw

Abstract readReview
In one paragraph

Review in BMC medical research methodology, 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
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. 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

5 authors.

Judith GreenWellcome Centre for Cultures & Environments of Health, University of Exeter, Exeter, UK. j.m.green@exeter.ac.uk.ORCID 0000-0002-2315-5326
Benjamin HanckelInstitute for Culture and Society, Western Sydney University, Sydney, Australia.
Mark PetticrewDepartment of Public Health, Environments & Society, London School of Hygiene & Tropical Medicine, London, UK.
Sara PapariniWolfson Institute of Population Health, Queen Mary University of London, London, UK.
Sara ShawNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.

Funding

Medical Research Council MR/S014632/1Wellcome Trust 221457/Z/20/ZWellcome Trust WT104830MAWellcome Trust WT203109/Z/16/Z
6 · The paper itself

Abstract

Case study methodology is widely used in health research, but has had a marginal role in evaluative studies, given it is often assumed that case studies offer little for making causal inferences. We undertook a narrative review of examples of case study research from public health and health services evaluations, with a focus on interventions addressing health inequalities. We identified five types of contribution these case studies made to evidence for causal relationships. These contributions relate to: (1) evidence about system actors' own theories of causality; (2) demonstrative examples of causal relationships; (3) evidence about causal mechanisms; (4) evidence about the conditions under which causal mechanisms operate; and (5) inference about causality in complex systems. Case studies can and do contribute to understanding causal relationships. More transparency in the reporting of case studies would enhance their discoverability, and aid the development of a robust and pluralistic evidence base for public health and health services interventions. To strengthen the contribution that case studies make to that evidence base, researchers could: draw on wider methods from the political and social sciences, in particular on methods for robust analysis; carefully consider what population their case is a case 'of'; and explicate the rationale used for making causal inferences.

Indexed as

Cultural DiversityHealth Services ResearchCausalityHumansPublic HealthResearch PersonnelCase studyCausal inferenceEvaluationHealth services researchInequalityPublic health

Identifiers

PMID36456923
PMCPMC9714179

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.