Evidence map›Paper›PMID 41221709›Full record

ArticleClinical and translational science2025

Evaluation of Methods Adjusting for Unmeasured Confounding Using Large Healthcare Databases: An Empirical Study Concerning Drugs Inducing Prematurity.

Chi-Hong Duong, Sylvie Escolano, Romain Demailly, Anne Thiebaut, Jonathan Cottenet, Catherine Quantin, Pascale Tubert-Bitter, Ismaïl Ahmed

Abstract read
In one paragraph

Article in Clinical and translational science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Chi-Hong DuongHigh-Dimensional Biostatistics for Drug Safety and Genomics, CESP, Université Paris-Saclay, UVSQ, Université Paris-Sud, Inserm, Villejuif, France.
Sylvie EscolanoHigh-Dimensional Biostatistics for Drug Safety and Genomics, CESP, Université Paris-Saclay, UVSQ, Université Paris-Sud, Inserm, Villejuif, France.
Romain DemaillyHigh-Dimensional Biostatistics for Drug Safety and Genomics, CESP, Université Paris-Saclay, UVSQ, Université Paris-Sud, Inserm, Villejuif, France.
Anne ThiebautHigh-Dimensional Biostatistics for Drug Safety and Genomics, CESP, Université Paris-Saclay, UVSQ, Université Paris-Sud, Inserm, Villejuif, France.
Jonathan CottenetBiostatistics and Bioinformatics (DIM), Dijon University Hospital, Dijon, France.
Catherine QuantinHigh-Dimensional Biostatistics for Drug Safety and Genomics, CESP, Université Paris-Saclay, UVSQ, Université Paris-Sud, Inserm, Villejuif, France.
Pascale Tubert-BitterHigh-Dimensional Biostatistics for Drug Safety and Genomics, CESP, Université Paris-Saclay, UVSQ, Université Paris-Sud, Inserm, Villejuif, France.
Ismaïl AhmedHigh-Dimensional Biostatistics for Drug Safety and Genomics, CESP, Université Paris-Saclay, UVSQ, Université Paris-Sud, Inserm, Villejuif, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With the growing availability of large healthcare databases for clinical science, mitigating unmeasured confounding has emerged as a major issue in pharmacoepidemiologic studies. Extensions of causal inference methods to high-dimensional settings could help address this problem, but studies comparing their performance in real-world databases are still lacking. This study aims to compare the ability to reduce the measured and indirectly measured confounding of three causal inference methods adapted to a real-world high-dimensional database using a machine learning LASSO algorithm: G-computation (GC), Targeted Maximum Likelihood estimation (TMLE) and Propensity Score with overlap or stabilized inverse probability treatment weighting. This large-scale empirical study was based on the French National Healthcare Claims Database (SNDS), consisting of 2,172,702 pregnancies

Indexed as

Databases, FactualPharmacoepidemiologyPremature BirthAlgorithmsConfounding Factors, EpidemiologicFemaleFranceHumansInfant, NewbornLikelihood FunctionsMachine LearningPregnancyPropensity Scoreg‐computationmachine learningpreterm deliverypropensity scoretargeted learningunmeasured confounders

Identifiers

PMID41221709
PMCPMC12606032

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.