Evidence map›Paper›PMID 42044986›Full record

ArticleStatistics in medicine2026

Delayed Exposures and Pre-Exposure Periods in Self-Controlled Case Series Studies.

Heather Whitaker, Yonas Ghebremichael Weldeselassie, Paddy Farrington

Abstract read
In one paragraph

Article in Statistics in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Heather WhitakerModelling Division, UK Health Security Agency, London, UK.ORCID https://orcid.org/0000-0001-5833-1863
Yonas Ghebremichael WeldeselassieSchool of Mathematics and Statistics, The Open University, Milton Keynes, UK.ORCID https://orcid.org/0000-0003-4961-5041
Paddy FarringtonSchool of Mathematics and Statistics, The Open University, Milton Keynes, UK.ORCID https://orcid.org/0000-0002-7148-2612

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A key assumption of the self-controlled case series (SCCS) method is that exposures should not depend on the event of interest. However, treatments such as vaccines may be deferred after an adverse health event. One suggestion to handle such delayed exposures is to include a pre-exposure window in the SCCS model. We study the impact of such adjustments and of exposure deferment on the SCCS relative incidence estimates. We obtain explicit results in a simplified setting, and investigate more realistic scenarios by simulation. We develop some practical recommendations for sensitivity analyses: when the delayed exposures remain within the observation period, no adjustment is needed. When exposures are delayed beyond the end of the observation period, an adjustment may be required. In some circumstances the SCCS model for event-dependent exposures should be used rather than the standard SCCS model. These options are illustrated with three practical examples.

Indexed as

Models, StatisticalCase-Control StudiesComputer SimulationHumansIncidenceTime FactorsVaccinesVaccinesadverse eventbiasexposure delaypre‐exposure periodself‐controlled case seriesvaccine

Identifiers

PMID42044986
PMCPMC13120864

What OpenQuestion holds

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LicenceCC BY
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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.