ArticleStatistics in medicine2026
Fixed or Random Effects: Analysis of Clustered Data.
Article in Statistics in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
In analyzing clustered data, random effects (RE) and fixed effects (FE) models are two primary approaches. The RE model assumes that the cluster-specific effects are random and uncorrelated with individual characteristics. If this assumption is violated, the RE approach can lead to biased estimates of the coefficients of individual covariates and cluster effects. In contrast, the FE approach, which models cluster effects as fixed effects, yields unbiased estimates even if the cluster effects are correlated with individual covariates. Numerous studies have compared the FE and RE approaches. However, the practical importance of the biases observed in RE-based methods remains unclear. Some studies have demonstrated significant biases in RE models when the assumption of no correlation is violated, whereas others have found these biases to be negligible. These differences may be due to variations in study design, with some evaluations focusing on settings that may not reflect realistic data scenarios. In this paper, we compare FE and RE models through theoretical evaluation, simulation studies, and real-data applications. Specifically, we derive an approximate formula to quantify the asymptotic bias in the RE model and verify its accuracy through simulations. These results help to explain the different conclusions reached in the existing literature. Our goal is not to propose a new estimator or a fundamentally new inferential framework, but to provide an analytical clarification and practical quantification of the bias incurred by the standard RE estimator under a specific, interpretable dependence model, and to clarify how this bias relates to fixed-effects and correlated random-effects/between-within specifications.
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What OpenQuestion holds
Registered trials
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.