Literature DB >> 18520319

Addressing the unit of analysis in medical care studies: a systematic review.

Aaron W Calhoun1, Gordon H Guyatt, Michael D Cabana, Downing Lu, David A Turner, Stacey Valentine, Adrienne G Randolph.   

Abstract

OBJECTIVE: We assessed the frequency that patients are incorrectly used as the unit of analysis among studies of physicians' patient care behavior in articles published in high impact journals.
METHODS: We surveyed 30 high-impact journals across 6 medical fields for articles susceptible to unit of analysis errors published from 1994 to 2005. Three reviewers independently abstracted articles using previously published criteria to determine the presence of analytic errors.
RESULTS: One hundred fourteen susceptible articles were found published in 15 journals, 4 journals published the majority (71 of 114 or 62.3%) of studies, 40 were intervention studies, and 74 were noninterventional studies. The unit of analysis error was present in 19 (48%) of the intervention studies and 31 (42%) of the noninterventional studies (overall error rate 44%). The frequency of the error decreased between 1994-1999 (N = 38; 65% error) and 2000-2005 (N = 76; 33% error) (P = 0.001).
CONCLUSIONS: Although the frequency of the error in published studies is decreasing, further improvement remains desirable.

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Year:  2008        PMID: 18520319     DOI: 10.1097/MLR.0b013e3181649412

Source DB:  PubMed          Journal:  Med Care        ISSN: 0025-7079            Impact factor:   2.983


  5 in total

Review 1.  Patient outcomes in simulation-based medical education: a systematic review.

Authors:  Benjamin Zendejas; Ryan Brydges; Amy T Wang; David A Cook
Journal:  J Gen Intern Med       Date:  2013-08       Impact factor: 5.128

Review 2.  Do school-based asthma education programs improve self-management and health outcomes?

Authors:  Janet M Coffman; Michael D Cabana; Edward H Yelin
Journal:  Pediatrics       Date:  2009-07-27       Impact factor: 7.124

3.  Unit of analysis issues in laboratory-based research.

Authors:  Nick R Parsons; M Dawn Teare; Alice J Sitch
Journal:  Elife       Date:  2018-01-10       Impact factor: 8.140

4.  A systematic review of trials evaluating success factors of interventions with computerised clinical decision support.

Authors:  Stijn Van de Velde; Annemie Heselmans; Nicolas Delvaux; Linn Brandt; Luis Marco-Ruiz; David Spitaels; Hanne Cloetens; Tiina Kortteisto; Pavel Roshanov; Ilkka Kunnamo; Bert Aertgeerts; Per Olav Vandvik; Signe Flottorp
Journal:  Implement Sci       Date:  2018-08-20       Impact factor: 7.327

5.  Evaluation of modernisation of adult critical care services in England: time series and cost effectiveness analysis.

Authors:  Andrew Hutchings; Mary Alison Durand; Richard Grieve; David Harrison; Kathy Rowan; Judith Green; John Cairns; Nick Black
Journal:  BMJ       Date:  2009-11-11
  5 in total

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