Evidence map›Paper›PMID 41793097›Full record

ArticleJournal of periodontal research2026

Target Trial Emulation in Observational Research-Strengths, Limitations, and Methodological Considerations.

Sebastian-Edgar Baumeister, Ignacio Leiva-Escobar, Ryan T Demmer, Panos N Papapanou, Thomas Kocher, Birte Holtfreter, Michael Nolde

Abstract read
In one paragraph

Article in Journal of periodontal research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Causal Inference in Clinical Research: A Primer.Journal of periodontal research · 2026
    Review
  4. 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

7 authors.

Sebastian-Edgar BaumeisterInstitute of Health Services Research in Dentistry, University of Münster, Münster, Germany.ORCID https://orcid.org/0000-0002-9391-6602
Ignacio Leiva-EscobarInstitute of Health Services Research in Dentistry, University of Münster, Münster, Germany.ORCID https://orcid.org/0009-0008-9788-0118
Ryan T DemmerDivision of Epidemiology, Department of Quantitative Health Sciences, Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA.ORCID https://orcid.org/0000-0003-3429-0379
Panos N PapapanouDivision of Periodontics, Section of Oral, Diagnostic and Rehabilitation Sciences, College of Dental Medicine, Columbia University, New York, New York, USA.
Thomas KocherDepartment of Restorative Dentistry, Periodontology, and Endodontology, University Medicine Greifswald, Greifswald, Germany.
Birte HoltfreterDepartment of Restorative Dentistry, Periodontology, and Endodontology, University Medicine Greifswald, Greifswald, Germany.ORCID https://orcid.org/0000-0002-6541-3127
Michael NoldeInstitute of Health Services Research in Dentistry, University of Münster, Münster, Germany.ORCID https://orcid.org/0000-0001-6893-7367

Funding

Deutsche Forschungsgemeinschaft 552087827
6 · The paper itself

Abstract

Cohort studies are vulnerable to confounding and time-related biases. Recent advances emphasize the importance of emulating a hypothetical target trial to minimize several of these biases. The target trial framework is a critical tool for designing cohort studies. It requires explicit specification of protocol components: eligibility criteria, treatment strategies, outcomes, timing of follow-up (time zero), and the causal contrast to be estimated. Critical to this framework is defining "time zero" when treatment assignment takes place and follow-up begins, which prevents prevalent user and immortal time bias and ensures proper temporal sequencing of confounders, exposure, and outcome. By guiding design, data collection, and analysis, the target trial framework helps align observational studies with the principles of randomized trials, improving the validity and interpretability of their findings. While it cannot eliminate unmeasured confounding, this approach promotes transparent, bias-conscious cohort design, minimizes time-related bias, and supports more robust causal inference with observational data.

Indexed as

Observational Studies as TopicResearch DesignBiasCohort StudiesConfounding Factors, EpidemiologicHumanscohort studyepidemiologylongitudinal studyobservational studystudy designtarget trial emulation

Identifiers

PMID41793097
PMCPMC13665649

What OpenQuestion holds

Textmetadata
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.