Methodological challenges using routine clinical care data for real-world evidence: a rapid review utilizing a systematic literature search and focus group discussion

M Pfaffenlehner, M Behrens, D Zöller… - BMC Medical Research …, 2025 - Springer
Background The integration of real-world evidence (RWE) from real-world data (RWD) in
clinical research is crucial for bridging the gap between clinical trial results and real-world …

Core Concepts: Self‐Controlled Designs in Pharmacoepidemiology

SH Bots, J Brown, AYS Wong, I Martin… - … and Drug Safety, 2025 - Wiley Online Library
One of the key challenges in pharmacoepidemiological studies is that of uncontrolled
confounding, which occurs when confounders are poorly measured, unmeasured or …

Effectiveness and safety of direct Oral anticoagulants versus warfarin in patients with atrial fibrillation and cancer: a target trial emulation from SEER-Medicare …

B Truong, L Hornsby, B Fox, C Chou, J Zheng… - … Drugs and Therapy, 2024 - Springer
Abstract Background Direct oral anticoagulants (DOACs) are preferred over warfarin in
patients with atrial fibrillation (AFib). However, their safety and effectiveness in patients with …

Differences in target estimands between different propensity score‐based weights

PC Austin - Pharmacoepidemiology and Drug Safety, 2023 - Wiley Online Library
Purpose Propensity score weighting is a popular approach for estimating treatment effects
using observational data. Different sets of propensity score‐based weights have been …

Visualizing the target estimand in comparative effectiveness studies with multiple treatments

G Simoneau, M Mitroiu, TPA Debray… - Journal of …, 2024 - becarispublishing.com
Aim: Comparative effectiveness research using real-world data often involves pairwise
propensity score matching to adjust for confounding bias. We show that corresponding …

Directed Acyclic Graphs in Decision-Analytic Modeling: Bridging Causal Inference and Effective Model Design in Medical Decision Making

SW Dijk, M Korf, JA Labrecque… - Medical Decision …, 2025 - journals.sagepub.com
Decision-analytic models (DAMs) are essentially informative yet complex tools for solving
questions in medical decision making. When their complexity grows, the need for causal …

[HTML][HTML] Tailored guidance to apply the Estimand framework to Trials within Cohorts (TwiCs) studies

R Gal, R Kessels, K Luijken, LA Daamen… - Global …, 2024 - Elsevier
Objective: The estimand framework offers a structured approach to define the treatment
effect to be estimated in a clinical study. Defining the estimand upfront helps formulating the …

Confounding adjustment in observational studies on cardiothoracic interventions: a systematic review of methodological practice

BJJ Velders, JWT Boltje, MD Vriesendorp… - European Journal of …, 2023 - academic.oup.com
OBJECTIVES It is unknown which confounding adjustment methods are currently used in
the field of cardiothoracic surgery and whether these are appropriately applied. The aim of …

Causal Reasoning and Inference in Epidemiology

V Didelez - Handbook of Epidemiology, 2025 - Springer
The chapter gives an introduction to basic concepts of causal reasoning and to key methods
for causal inference as developed and used in epidemiology over the last two decades. It …

Letter by Velders et al Regarding Article “Predictors of Major Adverse Cardiovascular Events in Patients With Moderate Aortic Stenosis: Implications for Aortic Valve …

BJJ Velders, MD Vriesendorp… - Circulation …, 2023 - ahajournals.org
We congratulate Howard and colleagues1 with their important contribution to current
knowledge on the prognosis of moderate aortic stenosis regarding major adverse …