Cited by 212Advanced Causal Inference TechniquesStatistical Methods in EpidemiologyMeta-analysis and systematic reviews

Making inferences on treatment effects from real world data: propensity scores, confounding by indication, and other perils for the unwary in observational research

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Freemantle, N., Marston, L., Walters, K., Wood, J., Reynolds, M. R., Petersen, I.·2013·BMJ

Abstract

Propensity score based methods are used increasingly to evaluate the effectiveness of treatments when evidence from randomised trials is not available. However, users need to be aware of their strengths and limitations

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  • The prognosis of those receiving the (drug) treatment may be better or worse than those who are not, but information on prognosis and/or severity of the underlying illness may not be available in the data.

    “Hence, the prognosis of those receiving the (drug) treatment may be better or worse than those who are not, but information on prognosis and/or severity of the underlying illness may not be available in the data [72].”
  • Confounding by indication is often an issue when examining effectiveness and safety of (drug) treatments using routinely collected data.

    “A particular type of unmeasured confounding is confounding by indication; this is often an issue when examining effectiveness and safety of (drug) treatments using routinely collected data.”

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Research works printed but not linked: 2

  1. For personal use only: See rights and reprints http://www.bmj.com/permissions Subscribe: http://www.bmj.com/subscribe RESEARCH METHODS & REPORTING on 5 November 2023 by guest. Protected by copyright. http://www.bmj.com/ BMJ: first published as 10.1136/bmj.f6409 on 11 November 2013. Downloaded from 9 Trends in the characteristics, treatment and prognosis of people with symptomatic heart failure and the use of aldosterone antagonists: analysis plan. www.ucl.ac.uk/priment/ documents/Heart-Failure-Analysis-Plan.
  2. Saksena S, Slee A, Waldo AL, Freemantle N, Reynolds M, Rosenberg Y, et al. Cardiovascular outcomes in the AFFIRM trial: an assessment of individual antiarrhythmic drug therapies compared to rate control using propensity score matched analyses. J Am Clin Cardiol 2011;19:1975-85.

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Authors
Freemantle, N., Marston, L., Walters, K., Wood, J., Reynolds, M. R., & Petersen, I.
Affiliations
  • The Royal Free Hospital (GB)
  • Lahey Hospital and Medical Center (US)
Venue
BMJ
Publisher
BMJ
Published
2013-11-11
Volume
347
Issue
nov11 3
Pages
f6409-f6409
ISSN
1756-1833 (ISSN-L)
OpenAlex
W1989803330
Cited by
211
References
20
Citations by year
2026: 5 · 2025: 10 · 2024: 7 · 2023: 18 · 2022: 23 · 2021: 14 · 2020: 26 · 2019: 15 · 2018: 28 · 2017: 22 · 2016: 23 · 2015: 15 · 2014: 5
FWCI
12.61
Type
journal article
Language
en
Open access
Locations
  • BMJ (publishedVersion)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
Topics
  • Physical Sciences › Mathematics › Statistics and Probability › Advanced Causal Inference Techniques
  • Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Epidemiology
  • Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
Keywords
propensity score, confounding by indication, real-world data, observational studies, treatment effect estimation, causal inference, effectiveness evaluation
MeSH terms
Humans, Research, Research Design, Reproducibility of Results, Bias, Confounding Factors, Epidemiologic, Randomized Controlled Trials as Topic, Treatment Outcome, Propensity Score, Observational Studies as Topic

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