Multivariate graphical methods provide an insightful way to formulate explanatory hypotheses from limited categorical data.

Abstract:

OBJECTIVE:Graphical methods for generating explanatory hypotheses from limited categorical data are described and illustrated. STUDY DESIGN AND SETTING:Univariate, bivariate, multivariate, and multiplicative graphical methods were applied to clinical data regarding very ill older persons. The data to which these methods were applied were limited as to their nature (e.g., nominal categorical data) or quality (e.g., data subject to measurement error and missing values). Such limitations make confirmatory inference problematic but might still allow for meaningful generation of new explanatory hypotheses in some cases. RESULTS:A striking feature of the graphical results from this study's major illustrative application was that posttraumatic stress disorder (PTSD) after intensive care unit discharge occurred rarely and nearly always co-occurred with two or more other mental health conditions. These results suggest the explanatory hypothesis that PTSD in this context is less attributable to single traumatic causes than to acute illnesses contributing to a cascade of mental health decrements. CONCLUSION:Illustrative applications of a sequence of graphical procedures yield more informative and less abstract representations of limited data than do descriptive statistics alone, and by doing so, they aid in the formulation of explanatory hypotheses.

journal_name

J Clin Epidemiol

authors

Van Ness PH,Murphy TE,Araujo KL,Pisani MA

doi

10.1016/j.jclinepi.2011.06.007

subject

Has Abstract

pub_date

2012-02-01 00:00:00

pages

179-88

issue

2

eissn

0895-4356

issn

1878-5921

pii

S0895-4356(11)00187-9

journal_volume

65

pub_type

杂志文章
  • Are public library books contaminated by bacteria?

    abstract::The microbial flora on the surfaces of 15 books obtained from a public library and from 15 books obtained from a family household were studied. Staphylococcus epidermidis was recovered from 4 of the library books and 3 of the family household books. The number of organisms per page was between one to four. This data i...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/0895-4356(94)90103-1

    authors: Brook SJ,Brook I

    更新日期:1994-10-01 00:00:00

  • Estimating risk difference from relative association measures in meta-analysis can infrequently pose interpretational challenges.

    abstract:OBJECTIVE:Risk difference (RD) is often estimated from relative association measures generated by meta-analysis and a particular group's baseline risk. We describe a problematic situation in using this approach. STUDY DESIGN AND SETTING:We encountered a meta-analysis in which a confidence interval (CI) of relative ris...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2008.11.005

    authors: Murad MH,Montori VM,Walter SD,Guyatt GH

    更新日期:2009-08-01 00:00:00

  • Prevalence of iron deficiency and iron overload in the adult Icelandic population.

    abstract::The aim of this cross-sectional study was to estimate the prevalence of iron deficiency and overload in the adult population in Iceland, a developed Scandinavian country. The study population consisted of 4240 individuals aged 25-74 years randomly selected from the national roster. Basic hematological, S-iron, S-total...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/0895-4356(91)90090-v

    authors: Jonsson JJ,Johannesson GM,Sigfusson N,Magnusson B,Thjodleifsson B,Magnusson S

    更新日期:1991-01-01 00:00:00

  • Relationship of domain-specific measures of health to perceived overall health among older subjects.

    abstract::The associations between nine domain-specific measures of health (e.g., depressive symptoms, psychological distress, mental health, physical functioning, role functioning, social functioning, bodily pain, somatic symptoms, and chronic medical morbidity) and a single-item measure for perceived overall health were studi...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/s0895-4356(97)00234-5

    authors: Kempen GI,Miedema I,van den Bos GA,Ormel J

    更新日期:1998-01-01 00:00:00

  • Analysis of menstrual diary data across the reproductive life span applicability of the bipartite model approach and the importance of within-woman variance.

    abstract::The nature of variability in menstrual function has not been adequately described or quantified across the reproductive life span. This article evaluates the applicability of the bipartite model approach to the analysis of menstrual data and the relative importance of within-woman variability across the reproductive l...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/s0895-4356(99)00202-4

    authors: Harlow SD,Lin X,Ho MJ

    更新日期:2000-07-01 00:00:00

  • Cardiovascular disease in Edinburgh and north Glasgow--a tale of two cities.

    abstract::Scotland has one of the highest mortality rates from coronary heart disease for both men and women. However within Scotland there are major geographical differences in the mortality rates, exemplified by the differences between the two largest Scottish cities. Glasgow on the west has a much higher mortality rate for c...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/0895-4356(90)90033-l

    authors: Smith WC,Shewry MC,Tunstall-Pedoe H,Crombie IK,Tavendale R

    更新日期:1990-01-01 00:00:00

  • Health status measurement in Toxic Oil Syndrome.

    abstract::Toxic Oil Syndrome (TOS) is a previously unreported condition which affected more than 20,000 people in Spain in 1981 and whose natural history is unknown. In 1993-94, a stratified random sample of 1400 survivors was drawn to measure their health status through clinical examination and their self-perception of well-be...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/s0895-4356(98)00062-6

    authors: Gómez de la Cámara A,Posada de la Paz M,Abaitua Borda I,Barainca Oyagüe MT,Abraira Santos V,Ruiz-Navarro MD,Terracini B

    更新日期:1998-10-01 00:00:00

  • Priority-based initiative for updating existing evidence-based clinical practice guidelines: the results of two iterations.

    abstract:OBJECTIVES:New evidence continues to emerge and requires attention after the release of a clinical practice guideline (CPG). The objective of this article is to describe the Document Assessment and Review (DAR) strategy designed to ensue that the CPGs remain current and their quality maintained and to present the resul...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2014.06.013

    authors: Agbassi C,Messersmith H,McNair S,Brouwers M

    更新日期:2014-12-01 00:00:00

  • Methods to evaluate risks for composite end points and their individual components.

    abstract:OBJECTIVE:Both randomized and observational studies commonly examine composite end points, but the literature on model development and criticism in this setting is limited. STUDY DESIGN AND SETTING:We examined approaches for evaluating heterogeneity in the effects of risk factors for different components of the end po...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2003.02.001

    authors: Glynn RJ,Rosner B

    更新日期:2004-02-01 00:00:00

  • The use of clinical information in diagnosing chronic heart failure: a comparison between general practitioners, cardiologists, and students.

    abstract::In a clinical judgement analysis study, 27 general practitioners, 22 cardiologists, and 21 medical students assessed 40 case vignettes with regard to the probability of heart failure, in order to study the weights of different kinds of information (cues) measured by the regression coefficients in a multiple regression...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/s0895-4356(00)00241-9

    authors: Skånér Y,Bring J,Ullman B,Strender LE

    更新日期:2000-11-01 00:00:00

  • The Internet is valid and reliable for child-report: an example using the Activities Scale for Kids (ASK) and the Pediatric Quality of Life Inventory (PedsQL).

    abstract:OBJECTIVE:This study tested the impact of web administration on well-established measures of children's physical function and quality of life. STUDY DESIGN AND SETTING:Participants were recruited from clinics at six hospitals. They completed the Activities Scale for Kids (ASK) and the Pediatric Quality of Life Invento...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jclinepi.2008.06.011

    authors: Young NL,Varni JW,Snider L,McCormick A,Sawatzky B,Scott M,King G,Hetherington R,Sears E,Nicholas D

    更新日期:2009-03-01 00:00:00

  • Epidemiology of Dupuytren's disease: clinical, serological, and social assessment. The Reykjavik Study.

    abstract::Dupuytren's disease or palmar fibromatosis is a common disabling hand disorder, mainly confined to Caucasians of northwestern European origin. The prevalence of Dupuytren's disease and possible risk factors related to the disease were evaluated in a random sample of 1297 males and 868 females, aged 46 to 74 years. Blo...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/s0895-4356(99)00145-6

    authors: Gudmundsson KG,Arngrímsson R,Sigfússon N,Björnsson A,Jónsson T

    更新日期:2000-03-01 00:00:00

  • Bias in estimates of confidence intervals for health outcome report cards.

    abstract::Health researchers commonly use logistic regression when profiling health providers. Data from the patients treated by the providers are used to construct models predicting the expected number of outcomes for providers and the ratio of observed to expected outcomes (O/E ratio) used as a risk-adjusted measure of provid...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/s0895-4356(03)00048-9

    authors: Faris PD,Ghali WA,Brant R

    更新日期:2003-06-01 00:00:00

  • Plasma fibrinogen and coronary risk factors: the Scottish Heart Health Study.

    abstract::Plasma fibrinogen was measured in a sample of 8824 men and women aged 40-59 years participating in the Scottish Heart Health Study, and related to cardiovascular risk factors. Women had higher fibrinogen levels than men. In both sexes, multivariate analysis showed that fibrinogen was positively associated with age, sm...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/0895-4356(90)90075-z

    authors: Lee AJ,Smith WC,Lowe GD,Tunstall-Pedoe H

    更新日期:1990-01-01 00:00:00

  • Clinical practice guidelines were adapted and implemented meeting country-specific requirements--the example of Kazakhstan.

    abstract:OBJECTIVES:In a twinning partnership between the Canadian Society for International Health and Kazakhstan's Ministry of Health, a project to build capacity and a process for the adaptation and implementation of international clinical practice guidelines (CPGs) was undertaken. STUDY DESIGN AND SETTING:A pragmatic CPG a...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2015.05.001

    authors: McGowan J,Muratov S,Tsepke A,Issina A,Slawecki E,Lang ES

    更新日期:2016-01-01 00:00:00

  • Weight and mortality in Finnish men.

    abstract::Mortality rates of 22,995 Finnish men aged 25 and over followed up for a median of 12 years were analyzed in relation to body mass index (BMI) at the initial examination. All-cause mortality followed a "U"-shaped distribution, being greatest for the thinnest and fattest men at all ages, or about 1.5-fold for those wit...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/0895-4356(89)90076-0

    authors: Rissanen A,Heliövaara M,Knekt P,Aromaa A,Reunanen A,Maatela J

    更新日期:1989-01-01 00:00:00

  • Different methods to assess quality of life from multiple follow-ups in a longitudinal asthma study.

    abstract:BACKGROUND AND OBJECTIVE:Serial measurements obtained during observational longitudinal studies offer the opportunity to describe the effects of chronic diseases on patient-centered outcomes such as quality of life. The purpose of this study was to assess serial Asthma Quality of Life Questionnaire (AQLQ) and SF-36 sco...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/S0895-4356(03)00248-8

    authors: Mancuso CA,Peterson MG

    更新日期:2004-01-01 00:00:00

  • Item response theory detected differential item functioning between healthy and ill children in quality-of-life measures.

    abstract:OBJECTIVE:To demonstrate the value of item response theory (IRT) and differential item functioning (DIF) methods in examining a health-related quality-of-life measure in children and adolescents. STUDY DESIGN AND SETTING:This illustration uses data from 5,429 children using the four subscales of the PedsQL 4.0 Generic...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2007.05.002

    authors: Langer MM,Hill CD,Thissen D,Burwinkle TM,Varni JW,DeWalt DA

    更新日期:2008-03-01 00:00:00

  • Cochrane Qualitative and Implementation Methods Group guidance series-paper 3: methods for assessing methodological limitations, data extraction and synthesis, and confidence in synthesized qualitative findings.

    abstract::The Cochrane Qualitative and Implementation Methods Group develops and publishes guidance on the synthesis of qualitative and mixed-method implementation evidence. Choice of appropriate methodologies, methods, and tools is essential when developing a rigorous protocol and conducting the synthesis. Cochrane authors who...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2017.06.020

    authors: Noyes J,Booth A,Flemming K,Garside R,Harden A,Lewin S,Pantoja T,Hannes K,Cargo M,Thomas J

    更新日期:2018-05-01 00:00:00

  • Primary Outcomes Reporting in Trials (PORTal): a systematic review of inadequate reporting in pediatric randomized controlled trials.

    abstract:OBJECTIVE:Conduct a systematic review of pediatric randomized controlled trials (RCTs) published in high-impact journals to assess the reporting of primary outcomes and the psychometric properties of their measures. STUDY DESIGN AND SETTING:Systematic review with screening and simultaneous data extraction conducted by...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jclinepi.2016.09.003

    authors: Bhaloo Z,Adams D,Liu Y,Hansraj N,Hartling L,Terwee CB,Vohra S

    更新日期:2017-01-01 00:00:00

  • Socioeconomic and demographic factors that predict where children receive cancer care in Florida.

    abstract::Socioeconomic and demographic factors associated with type of facility (cancer center vs non-cancer center) at which a child with cancer is seen were identified to suggest interventions to increase access to state-of-the-art care. The 2268 children with cancer in Florida (1981-1986) were classified as ever having been...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/0895-4356(93)90126-l

    authors: Roush SW,Krischer JP,Cox MW,Pollock BH

    更新日期:1993-06-01 00:00:00

  • Patients' sibling history was sensitive for hypertension and specific for diabetes.

    abstract:OBJECTIVE:We examined the analytic validity of reported family history of hypertension and diabetes among siblings in the Seychelles. STUDY DESIGN AND SETTING:Four hundred four siblings from 73 families with at least two hypertensive persons were identified through a national hypertension register. Two gold standards ...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2003.10.008

    authors: Bochud M,Burnier M,Paccaud F,Falconnet C,Mooser V,Both N,Bovet P

    更新日期:2004-05-01 00:00:00

  • Female specialists were more likely to respond to a postal questionnaire about drug treatments for Alzheimer disease.

    abstract:OBJECTIVE:To assess demographic predictors of response for specialists who were mailed a postal questionnaire on drug treatments for Alzheimer disease. STUDY DESIGN AND SETTING:The questionnaire was sent to 317 specialists in Quebec, Canada. Demographic variables included specialty, urban/rural practice, language, sex...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2003.11.008

    authors: Oremus M,Wolfson C

    更新日期:2004-06-01 00:00:00

  • Most overviews of Cochrane reviews neglected potential biases from dual authorship.

    abstract:OBJECTIVE:Some authors of Cochrane overviews have also (co-)authored one or more of the underlying reviews. We examined the extent of dual (co-)authorship in Cochrane overviews, how it is dealt with, and whether the issue is raised in protocols. STUDY DESIGN:The Cochrane Library was searched for overviews and protocol...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2016.04.008

    authors: Büchter RB,Pieper D

    更新日期:2016-09-01 00:00:00

  • Screening for coronary heart disease in elderly men based on current and past cholesterol levels.

    abstract::Efficient use of cholesterol measurements to screen for coronary heart disease in the elderly is not well defined. The purpose of this report is to examine such screening based on national guidelines in a sample of older men. Since relations between cholesterol and coronary heart disease are better established in thos...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/s0895-4356(99)00130-4

    authors: Hakim AA,Curb JD,Burchfiel CM,Rodriguez BL,Sharp DS,Yano K,Abbott RD

    更新日期:1999-12-01 00:00:00

  • Mapping the expanded often inappropriate use of the Framingham Risk Score in the medical literature.

    abstract:OBJECTIVES:To systematically evaluate the use of Framingham Risk Score (FRS) in the medical literature and specifically examine the use of FRS in different populations and settings and for different outcomes than the ones originally developed for. STUDY DESIGN AND SETTING:We identified all the citations to the article...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2013.10.021

    authors: Tzoulaki I,Seretis A,Ntzani EE,Ioannidis JP

    更新日期:2014-05-01 00:00:00

  • An international survey and modified Delphi approach revealed numerous rapid review methods.

    abstract:OBJECTIVES:To solicit experiences with and perceptions of rapid reviews from stakeholders, including researchers, policy makers, industry, journal editors, and health care providers. STUDY DESIGN AND SETTING:An international survey of rapid review producers and modified Delphi. RESULTS:Forty rapid review producers re...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2015.08.012

    authors: Tricco AC,Zarin W,Antony J,Hutton B,Moher D,Sherifali D,Straus SE

    更新日期:2016-02-01 00:00:00

  • Optimal survey design for community intervention evaluations: cohort or cross-sectional?

    abstract::Community intervention evaluations that measure changes over time may conduct repeated cross-sectional surveys, follow a cohort of residents over time, or (often) use both designs. Each survey design has implications for precision and cost. To explore these issues, we assume that two waves of surveys are conducted, an...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/0895-4356(95)00055-0

    authors: Diehr P,Martin DC,Koepsell T,Cheadle A,Psaty BM,Wagner EH

    更新日期:1995-12-01 00:00:00

  • A novel research design can aid disinvestment from existing health technologies with uncertain effectiveness, cost-effectiveness, and/or safety.

    abstract:OBJECTIVES:Disinvestment is critical for ensuring the long-term sustainability of health-care services. Key barriers to disinvestment are heterogeneity between research and clinical settings, absence of evidence of effectiveness of some health technologies, and exposure of patients and organizations to risks and poor o...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jclinepi.2013.08.014

    authors: Haines T,O'Brien L,McDermott F,Markham D,Mitchell D,Watterson D,Skinner E

    更新日期:2014-02-01 00:00:00

  • An observational study showed that explaining randomization using gambling-related metaphors and computer-agency descriptions impeded randomized clinical trial recruitment.

    abstract:OBJECTIVES:To explore how the concept of randomization is described by clinicians and understood by patients in randomized controlled trials (RCTs) and how it contributes to patient understanding and recruitment. STUDY DESIGN AND SETTING:Qualitative analysis of 73 audio recordings of recruitment consultations from fiv...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jclinepi.2018.02.018

    authors: Jepson M,Elliott D,Conefrey C,Wade J,Rooshenas L,Wilson C,Beard D,Blazeby JM,Birtle A,Halliday A,Stein R,Donovan JL,CSAW study group.,Chemorad study group.,POUT study group.,ACST-2 study group.,OPTIMA prelim study group.

    更新日期:2018-07-01 00:00:00