Secondary outcomes: HBV-related hepatitis, interrupted chemotherapy, acute liver failure, mortality
Abbreviations : AABs antibodies against biologic agents, ACEIs , angiotensin converting enzyme inhibitors, Ann Intern Med Annals of Internal Medicine , ARBs angiotensin receptor blockers, BMJ British Medical Journal , DPP-4 Dipeptidyl Peptidase-4, GLP-1 glucagon like peptide-1, JAMA Journal of the American Medical Association , MIC minimum inhibitory concentration, NSAIDs non-steroidal anti-inflammatory drugs, SGLT-2 sodium–glucose cotransporter 2, SSRIs selective serotonin reuptake inhibitors
Table Table2 2 summarizes the evidence regarding the type of data source included in each meta-analysis, according to the information presented in the data extraction tables of the article. The information was evaluated taking the study design into account. Only eight meta-analyses [ 21 , 24 , 26 , 31 , 32 , 34 , 38 , 41 ] reported the source of data, three of them [ 31 , 34 , 38 ] reporting mixed sources for both the exposure and outcome assessment. Five meta-analyses [ 21 , 24 , 26 , 32 , 41 ] reported only secondary sources for the exposure assessment, three of them [ 21 , 24 , 41 ] reporting as well only secondary sources for the outcome assessment, while in the other two [ 26 , 32 ] only primary and mixed sources for the outcome assessment were reported respectively.
Reporting of the data source in the data extraction tables of the included meta-analyses
Meta-analysis (MA) | Exposure assessment | Outcome assessment | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Data source presented in MA | Cohort studies (n) | Case-control studies (n) | Data source presented in MA | Cohort studies (n) | Case-control studies (n) | |||||||||
1ry | 2ry | NR | 1ry | 2ry | NR | 1ry | 2ry | NR | 1ry | 2ry | NR | |||
Weiss J [ ] Harms outcomes | No | . | . | . | . | . | . | No | . | . | . | . | . | . |
Bally M [ ] | Yes | 0 | 3 | 0 | 0 | 1 | 0 | Yes | 0 | 3 | 0 | 0 | 1 | 0 |
Sordo L [ ] | No | . | . | . | . | . | . | No | . | . | . | . | . | . |
Tariq R [ ] | No | . | . | . | . | . | . | No | . | . | . | . | . | . |
Maruthur NM [ ] | Yes | 0 | 3 | 0 | . | . | . | Yes | 0 | 3 | 0 | . | . | . |
Paul S [ ] | No | . | . | . | . | . | . | No | . | . | . | . | . | . |
Li L [ ] Heart failure | Yes | 0 | 1 | 2 | 0 | 0 | 1 | Yes | 1 | 0 | 2 | 0 | 0 | 1 |
Li L [ ] Hospital admissions for heart failure | Yes | 0 | 0 | 6 | 0 | 0 | 2 | Yes | 3 | 0 | 3 | 0 | 0 | 2 |
Molnar AO [ ] | No | . | . | . | . | . | . | No | . | . | . | . | . | . |
Ziff OJ [ ] | No | . | . | . | . | . | . | No | . | . | . | . | . | . |
CGESOC [ ] | No | . | . | . | . | . | . | No | . | . | . | . | . | . |
Bellemain-Appaix A [ ] | No | . | . | . | . | . | . | No | . | . | . | . | . | . |
Grigoriadis S [ ] | Yes | 2 | 3 | 0 | 1 | 1 | 0 | Yes | 4 | 1 | 0 | 2 | 0 | 0 |
Li L [ ] | Yes | 0 | 1 | 2 | 0 | 1 | 1 | Yes | 1 | 2 | 0 | 0 | 0 | 2 |
Kalil AC [ ] | No | . | . | . | . | . | . | No | . | . | . | . | . | . |
Stegeman BH [ ] | Yes | 0 | 9 | 0 | 8 | 8 | 1 | Yes | 4 | 5 | 0 | 5 | 12 | 0 |
Maneiro JR [ ] | No | . | . | . | . | . | . | No | . | . | . | . | . | . |
Hartling L [ ] | No | . | . | . | . | . | . | No | . | . | . | . | . | . |
Hsu J [ ] | No | . | . | . | . | . | . | No | . | . | . | . | . | . |
Caldeira D [ ] | Yes | 2 | 2 | 7 | 0 | 7 | 1 | Yes | 0 | 1 | 10 | 3 | 1 | 4 |
MacArthur GJ [ ] | No | . | . | . | . | . | . | No | . | . | . | . | . | . |
Mantha S [ ] | No | . | . | . | . | . | . | No | . | . | . | . | . | . |
Silvain J [ ] | Yes | 0 | 7 | 0 | . | . | . | Yes | 0 | 7 | 0 | . | . | . |
McKnight RF [ ] | No | . | . | . | . | . | . | No | . | . | . | . | . | . |
Abbreviations : 1ry number of individual studies in each MA based on primary data sources, 2ry number of individual studies in each MA based on secondary data sources, NR number of individual studies in each MA with not reported data source
a Although the meta-analysis shows the results of methodological quality assessment based on a standardized scale, it does not indicate the type of data source used for each individual observational study included in the meta-analysis
b Cohort with nested case-control analysis
c The meta-analysis reports that most of the included observational studies assessed medication exposure through a review of medical records
d The meta-analysis reports only data from high-quality observational studies
All but two [ 20 , 42 ] of the meta-analyses performed subgroup and/or sensitivity analyses. Although three of them [ 23 , 34 , 36 ] considered the methods of outcome assessment – type of diagnostic assay used for Clostridium difficile infection, method of venous thrombosis diagnosis confirmation, and type of scale for psychosis symptoms assessment respectively– as stratification variables, only the second referred to the origin of the data. Only five meta-analyses [ 22 , 28 , 33 , 35 , 39 ] included meta-regression analyses to describe heterogeneity, none of which considered the source of data as an explanatory variable. Other findings for the inclusion of the data source as a variable in the analysis of heterogeneity are presented in Table Table3 3 .
Inclusion of the data source as a variable in the analysis of heterogeneity of the included meta-analyses
Meta-analysis | Subgroup/ sensitivity analysis | Meta-regression analysis | ||||||
---|---|---|---|---|---|---|---|---|
Exposure-related variables | Outcome-related variables | Other variables | Type of data source included | Exposure-related variables | Outcome-related variables | Other variables | Type of data source included | |
Weiss J [ ] Harms outcomes | . | . | . | No | . | . | . | No |
Bally M [ ] | Timing of exposure to NSAIDs, dosage and duration of treatment, concomitant drug treatment | Comorbidities | Alternative statistical model, reason for exclusion | No | . | . | . | No |
Sordo L [ ] | Time interval in and out of opioid substitution treatment | . | Alternative statistical model | No | Treatment provider, prevalence of opioid injection, average methadone dose | . | Mean age, percentage of men, location, percentage of inpatient induction, percentage loss to follow-up, midpoint follow-up period | No |
Tariq R [ ] | Type of gastric acid suppressant (PPI and H2B reported together, PPI alone, or H2B alone) | Case definition (time interval of recurrence: within 60 days vs within 90 days), type of diagnostic assay used for infection | Study design, study setting (inpatients vs outpatients), data adjustment | No | . | . | . | No |
Maruthur NM [ ] | Mode of therapy | . | . | No | . | . | . | No |
Paul S [ ] Primary outcome | . | Chronic or resolved hepatitis B virus infection | Tumor and chemotherapy subtype, alternative statistical model, quality of design | No | . | . | . | No |
Paul S [ ] Secondary outcomes | . | . | Alternative statistical model, quality of design | No | . | . | . | No |
Li L [ ] | Type of control, mode of therapy, individual drugs | . | Length of follow up, type of design | No | . | . | . | No |
Molnar AO [ ] | . | . | Type of design | No | . | . | . | No |
Ziff OJ [ ] Primary outcome | . | . | Data adjustment, population type | No | Difference between digoxin and control arms at baseline: Diabetes, hypertension, diuretics, anti-arrhythmic drugs | . | Summary bias score, baseline study level variable: Year of publication, age, sex, previous myocardial infarction | No |
Ziff OJ [ ] Secondary outcomes | . | . | . | No | . | . | . | No |
CGESOC [ ] | Duration of use in current and past users of hormone therapy, types of hormone therapy | Tumour histology and malignant potential of the tumour | Study design, geographical region, age at first use of hormone therapy, age at menarche, parity, oral contraceptive use, height, bosy mass index, alcohol use, tobacco use, mother or sister with ovarian/breast cancer, histerectomy | No | . | . | . | No |
Bellemain-Appaix A [ ] | Clopidogrel dose | Types of percutaneous coronary intervention | Type of design | No | . | . | . | No |
Grigoriadis S [ ] | Timing of exposure to SSRIs | . | Study design, congenital malformations, control, meconium aspiration | No | . | . | . | No |
Li L [ ] | Type of incretin agents, type of control, mode of therapy, individual incretin agents | . | Length of follow-up, alternative effect measure, alternative statistical model | No | . | . | . | No |
Kalil AC [ ] | Different MIC cutoffs, assay type | Hospital or 30-d mortality | Publication year, quality of design | No | Vancomycin MIC cut-off, vancomycin exposure in the previous 6 months, vancomycin trough levels, proportion of patients who received vancomycin treatment | Control mortality, APACHE II score, Charlson score, duration of bacteremia, proportion of patients with endocarditis, proportion of patients located in the intensive care unit | Age | No |
Stegeman BH [ ] | Generation of progestogen used in combined oral contraceptives, combined oral contraceptive pill | Method of diagnosis confirmation | Funding source, study design | Yes (outcome) | . | . | . | No |
Maneiro JR [ ] | Type of biologic agent, concomitant treatment (monotherapy vs combined therapy), prior use of TNF inhibitors | Type of disease | Length of follow-up, data quality, study design, level of evidence of studies | No | Type of biologic agent, prior use of TNF inhibitors, method of measurement of antibodies, type of the anti-TNF monoclonal antibody | Type of disease, time of disease duration, time to assess response | Age and sex of patients, number of participants, length of follow-up, data quality, study design, level of evidence of studies | No |
Hartling L [ ] Primary outcomes | Type of drug-comparison | Type of scale for the assessment of symptoms and quality of life | . | No | . | . | . | No |
Hartling L [ ] Secondary outcomes | . | . | . | No | . | . | . | No |
Hsu J [ ] | Individual drugs, dosage of antiviral, timing of treatment | . | Data adjustment, confirmed influenza, type of influenza A vs B, pandemic versus seasonal influenza, severity of influenza, age, pregnancy, baseline risk (e.g. immune-compromised), setting, funding conflict | No | . | . | . | No |
Caldeira D [ ] Incidence of pneumonia | . | . | Study design, previous stroke, heart failure, chronic kidney disease, non-Asian patients | No | . | . | . | No |
Caldeira D [ ] Pneumonia related mortality | . | . | Study design | No | . | . | . | No |
MacArthur GJ [ ] | Duration of exposure to opiate substitution treatment | . | Data adjustment, geographical region, site of recruitment, monetary incentives, percentage of female participants, percentage of individuals from ethnic minorities | No | Exposure to methadone maintenance treatment at baseline only | . | Inclusion only of studies at lower risk of bias, inclusion only of studies that measured an incidence rate ratio, exclusion of studies that did not adjust for confounders | No |
Mantha S [ ] | Route of administration | . | Data adjustment | No | . | . | . | No |
Silvain J [ ] | Route of administration | . | Types of percutaneous coronary intervention, study publication, study size, quality of design | No | . | . | . | No |
McKnight RF [ ] | . | . | . | No | . | . | . | No |
Abbreviations : APACHE acute physiology and chronic health evaluation, MIC minimum inhibitory concentration, SSRIs selective serotonin reuptake inhibitors, TNF tumor necrosis factor
We finally assessed if the influence of the data origin on the conclusions of the meta-analyses was discussed by their respective authors. We found that only four meta-analyses [ 21 , 31 , 32 , 34 ] noted limitations derived from the type of data source used.
The findings of this research suggest that the origin of the data, either primary or secondary, is underexplored as a source of heterogeneity and an effect modifier in meta-analyses of drug effects published in general medicine journals with high impact. Few meta-analyses reported the source of data and only one [ 34 ] of the articles included in our survey compared and discussed the meta-analysis results considering the different sources of data.
Although it is usual to consider the design of the individual studies (i.e. case-control, cohort or experimental studies) in the analysis of the heterogeneity of a meta-analysis [ 43 , 44 ], the type of data source (primary vs secondary) is still rarely used for this purpose [ 9 , 45 ]. In fact, the current reporting guidelines for meta-analyses, such as MOOSE (Meta-analysis Of Observational Studies in Epidemiology) [ 18 ] or PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) [ 46 , 47 ], do not recommend that authors specifically report the origin of the data. This is probably due to the close relationship that exists between the study design and the type of data source used, despite the fact that each criterion has its own basis. Performing this additional analysis is a simple task that involves no additional cost. Failure to do so may lead to diverging conclusions [ 8 ].
Conclusions about the effects of a drug that are derived from studies based exclusively on data from secondary sources may be dicey, among other reasons, because no information is collected on consumption of over-the-counter drugs (i.e. drugs that individuals can buy without a prescription) [ 48 ] and/or out-of-pocket expenses for prescription drugs (i.e. costs that individuals pay out of their own cash reserves) [ 49 ]. In the health care and insurance context, out-of-pocket expenses usually refer to deductibles, co-payments or co-insurance. Figure Figure2 2 shows the model that we propose to describe the relationship between the different data records according to their origin, including the possible loss of information (susceptible to be registered only through primary research).
Conceptual model of individual data recording. * Never dispensed. † Absence of dispensing of successive prescriptions (or self-medication) among patients with primary adherence, or inadequate secondary adherence
Failure to take these situations into account may lead to exposure measurement bias [ 48 , 49 ]. Consumption of a drug may be underestimated when only prescription data is used as secondary source without additionally considering unregistered consumption, such as over-the-counter consumption (e.g. oral contraceptives [ 34 , 50 ]), that may only be available from a primary database. Alternatively, this may occur when dispensing data for billing purposes (reimbursement) are used for clinical research, if out-of-pocket expenses are not considered (see Fig. Fig.2). 2 ). The portion of the medical bill that the insurance company does not cover, and that the individual must pay on his own, is unlikely to be recorded. Data on the sale of over-the-counter drugs will also not be available in this scenario.
The reverse situation may also occur and consumption may be overestimated when only prescription data is used, if the prescribed drug is not dispensed by the pharmacist; or when dispensing data is used, if the drug is not really consumed by the patient. While primary non-adherence occurs when the patient does not pick up the medication after the first prescription, secondary non-adherence refers to the absence of dispensing of successive prescriptions among patients with primary adherence, or to inadequate secondary adherence (i.e. ≥20% of time without adequate medication) [ 51 ] (see Fig. Fig.2). 2 ). In some diseases the medication adherence is very low [ 52 – 55 ], with percentages of primary non-adherence (never dispensed) that exceed 30% [ 56 ]. It should be noted that the impact of non-adherence varies from medication to medication. Therefore, it must be defined and measured in the context of a particular therapy [ 57 ].
Moreover, failing to take into consideration the portion of consumption due to over-the-counter and/or out-of-pocket expenses may lead to confounding , as that variable may be related to the socio-economic level and/or to the potential of access to the health system [ 58 ], which are independent risk factors of adverse outcomes of some medications (e.g. myocardial infarction [ 21 , 28 , 30 , 41 ]). Given the presence of high-deductible health plans and the high co-insurance rate for some drugs, cost-sharing may deter clinically vulnerable patients from initiating essential medications, thus negatively affecting patient adherence [ 59 , 60 ].
Outcome misclassification may also give rise to measurement bias and heterogeneity [ 61 ]. This occurs, for example, in the meta-analysis that evaluates the relationship between combined oral contraceptives and the risk of venous thrombosis [ 34 ]. In the studies without objective confirmation of the outcome, the women were classified erroneously regardless of the use of contraceptives. This led to a non-differential misclassification that may have underestimated the drug–outcome relationship, especially when the third generation of progestogen is analysed: Risk ratio (RR) primary data = 6.2 (95% confidence interval (CI) 5.2–7.4), RR secondary data = 3.0 (95% CI 1.7–5.4) [ 34 ].
On the one hand, medical records are often considered as being the best information source for outcome variables. However, they present important limitations in the recording of medications taken by patients [ 62 ]. On the other hand, dispensing records show more detailed data on the measurement of drug exposure. However, they do not record the over-the-counter or out-of-pocket drug consumption at an individual level [ 48 , 49 ], apart from offering unreliable data on outcome variables [ 62 , 63 ].
The first limitation of this research is that its findings may not be applicable to journals not included in our survey such as journals with low impact factor. Despite the widespread use of the impact factor metric [ 64 ], this method has inherent weaknesses [ 65 , 66 ]. However, meta-analyses published in high impact general medicine journals are likely to be most rigorously performed and reported due to their greater availability of resources and procedures [ 12 , 14 ]. It is then expected that the overall reporting quality of articles published in other lesser-known journals will be similar. Another limitation would be related to the limited search period . In this sense, and given that the general tendency is the improvement of the methodology of published meta-analyses [ 67 , 68 ], we find no reason to suspect that the adverse conclusions could be different before the period from 2012 to 2018. Although it exceeds the objective of this research, one last limitation may be the inability to reanalyse the included meta-analyses stratifying by the type of data source since our study design restricts the conclusions to the published data of the meta-analyses, which were insufficiently reported , or the number of individual studies in each stratum was insufficient to calculate a pooled measure (see Table Table2 2 ).
Owing to automated capture of data on drug prescription and dispensing that are used for billing and other administration purposes, as well as to the implementation of electronic medical records, secondary databases have generated enormous possibilities. However, neither their limitations, nor the risk of bias that they pose should be overlooked [ 69 ]. Thus, researchers should consider the link between administrative databases and medical records, as well as the advisability of combining secondary and primary data in order to minimize the occurrence of biases due to the use of any of these databases.
No source of heterogeneity in a meta-analysis should ever be considered alone but always as part of an interconnected set of potential questions to be addressed. In particular, the origin of the data, either primary or secondary, is insufficiently explored as a source of heterogeneity in meta-analyses of drug effects, even in those published in high impact general medicine journals. Thus, we believe that authors should systematically include the source of data as an additional variable in subgroup and sensitivity analyses, or meta-regression analyses, and discuss its influence on the meta-analysis results. Likewise, reviewers, editors and future guidelines should also consider the origin of the data as a potential cause of heterogeneity in meta-analyses of observational studies that include both primary and secondary data. Failure to do this may lead to misleading conclusions, with negative effects on clinical and regulatory decisions.
Excluded articles. List of articles excluded with reasons for exclusion. (PDF 247 kb)
This study received no funding from the public, commercial or not-for-profit sectors.
Abbreviations.
Ann Intern Med | Annals of Internal Medicine |
BMJ | British Medical Journal |
CI | Confidence Interval |
JAMA Intern Med | JAMA Internal Medicine |
JAMA | Journal of the American Medical Association |
MOOSE | Meta-analysis Of Observational Studies in Epidemiology |
Nat Rev Dis Primers | Nature Reviews Disease Primers |
NEJM | New England Journal of Medicine |
PRISMA | Preferred Reporting Items for Systematic reviews and Meta-Analyses |
RR | Risk ratio |
VS | Versus |
AF and GP-R contributed to study conception and design. GP-R, FR and AF contributed to searching, screening, data collection and analyses. GP-R was responsible for drafting the manuscript. FR, MTH, BT and AF provided comments and made several revisions of the manuscript. All authors read and approved the final version.
Not applicable.
Competing interests.
The authors declare that they no competing interests.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Guillermo Prada-Ramallal, Email: [email protected] .
Fatima Roque, Email: tp.gpi@euqorf .
Maria Teresa Herdeiro, Email: tp.au@oriedrehaseret .
Bahi Takkouche, Email: [email protected] .
Adolfo Figueiras, Phone: (+34) 981 95 11 92, Email: [email protected] .
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Carnegie Corporation of New York commits $18 million over three years to help 28 scholars find solutions to a national problem
Seema Sohi , associate professor of ethnic studies at the University of Colorado Boulder, is one of 28 Andrew Carnegie Fellows who will receive stipends of $200,000 each for research that seeks to understand how and why our society has become so polarized and how we can strengthen the forces of cohesion to fortify our democracy, the Carnegie Foundation announced today.
With this focus, the Andrew Carnegie Fellows Program marks the start of an effort to develop a body of research around today’s growing political polarization. Under the direction of Dame Louise Richardson , the Corporation will commit up to $6 million annually to the program for at least the next three years.
Sohi’s winning project is titled “We Are Each Other’s Magnitude and Bond: A History of Climate Justice from Warren County to the Sunrise Movement.” She will investigate the intersection of the climate crisis, democracy and political polarization.
Sohi will undertake the first comprehensive history of the climate justice movement in the United States, centering the work of Black, Indigenous, Latina and Asian American women who have been unrecognized in environmental history and yet who have played a leading role in the struggle to advance climate justice and, with it, the struggle to realize the promises of a multiracial and sustainable American democracy.
The Andrew Carnegie Fellows Program is supporting scholars who will develop a body of research around today’s growing political polarization.
“In doing so, I tell the story of the climate crisis not as one of impending disaster or resignation, but one of transformative possibility,” Sohi said. “At a time when we so many of us feel hopelessly divided and bitterly polarized, these climate activists and leaders do much more than reproduce grim scientific preconditions and fatalistic narratives. Instead, they show us that we are capable of collective action and of coming together to build a more just, equitable, and sustainable world.”
Sohi said she was “thrilled and honored” to have won a Carnegie Fellowship, adding: “What a gift to be able to spend the next two years working on a research project that means so much to me.”
Sohi is the author of Echoes of Mutiny: Race, Surveillance, and Indian Anticolonialism in North America , which examines the anticolonial politics of South Asian intellectuals and migrant workers in North America during the early 20th century. She has published essays and articles in the Journal of American History, Sikh Formations, Amerasia and the Journal of Modern European History, as well as in the anthologies The Sun Never Sets: South Asian Migrants in an Age of U.S. Power and Asian American Literature in Transition .
“The foundation’s support of these fascinating projects is a considered effort to mine scholarship for insights into the underlying causes of the political polarization that is damaging our democracy,” said Richardson. “We also hope to gain insights into the means by which collectively we can mitigate the negative effects of this polarization on our society.”
The focus on political polarization attracted more than 360 applications, a record high for the program. Selection criteria prioritized the originality and promise of the research, its potential impact on the field and the applicant’s plans for communicating the findings to a broad audience. A panel of jurors composed of current and former leaders from some of the nation’s preeminent institutions made the final selections.
“This year marks the first time the jury was asked to assess proposals addressing a single topic—the pervasive issue of political polarization as characterized by threats to free speech, the decline of civil discourse, disagreement over basic facts, and a lack of mutual understanding and collaboration,” said John J. DeGioia , chair of the jury and president of Georgetown University.
He noted with gratitude the contributions of long-standing juror Jared L. Cohon , president emeritus of Carnegie Mellon University, who died unexpectedly in March. The 2024 selections reflected his highly regarded evaluations. “We were especially gratified,” DeGioia added, “by the rigor of the submissions, the wide range of perspectives, and the potential for lasting impact.”
Of the 28 fellows selected, 12 are junior scholars, 15 are senior scholars, 11 are employed by state universities, 16 are employed by private universities and one is a journalist.
At a time when we so many of us feel hopelessly divided and bitterly polarized, these climate activists and leaders do much more than reproduce grim scientific preconditions and fatalistic narratives. Instead, they show us that we are capable of collective action and of coming together to build a more just, equitable, and sustainable world.”
Among the research topics:
As part of a competitive nomination process, more than 650 individuals—including the heads of universities, independent research institutes, professional societies, think tanks, major university presses and leading publications—were invited to recommend a junior and a senior scholar for consideration. All applications underwent a preliminary anonymous evaluation by leading authorities in the relevant fields of study. The highest scoring proposals were then forwarded to the jury.
Founded in 2015, the Andrew Carnegie Fellows Program provides one of the most generous stipends of its kind for research in the humanities and social sciences. To date, the Corporation has named more than 270 fellows, representing a philanthropic investment of more than $54 million.
The award is for a period of up to two years and the anticipated result is generally a book or major study. Congressional testimony by past fellows has addressed topics such as social media and privacy protections, transnational crime, governmental responses to pandemics and college affordability. Fellows have received honors including a Nobel Prize and a National Book Award.
The Andrew Carnegie Fellows Program is a continuation of the mission of Carnegie Corporation of New York, as founded by Andrew Carnegie in 1911, to promote the advancement and diffusion of knowledge and understanding. Read more about the Andrew Carnegie Fellows Program , the work of past honorees , the criteria for proposals and a historical timeline of scholarly research supported by the corporation.
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Secondary analysis of data collected by another researcher for a different purpose, or SDA, is increasing in the medical and social sciences. This is not surprising, given the immense body of health care-related research performed worldwide and the potential beneficial clinical implications of the timely expansion of primary research (Johnston, 2014; Tripathy, 2013).
This critical interpretive synthesis examined research articles (n = 71) published between 2006 and 2016 that involved qualitative secondary data analysis and assessed the context, purpose, and methodologies that were reported. ... scholarly journals between the years 1996 and 2016. They also had to meet the following inclusion criteria: (a ...
However, researcher biases can lead to questionable research practices in secondary data analysis, which can distort the evidence base. While pre-registration can help to protect against researcher biases, it presents challenges for secondary data analysis. ... a survey among academic researchers in The Netherlands. 2021. [PMC free article] 62.
This critical interpretive synthesis examined research articles (n = 71) published between 2006 and 2016 that involved qualitative secondary data analysis and assessed the context, purpose, and methodologies that were reported. ... scholarly journals between the years 1996 and 2016. They also had to meet the following inclusion criteria: (a ...
Secondary data analysis is a valuable research approach that can be used to advance knowledge across many disciplines through the use of quantitative, qualitative, or mixed methods data to answer new research questions ( Polit & Beck, 2021 ). This research method dates to the 1960s and involves the utilization of existing or primary data ...
In simple terms, secondary data is every. dataset not obtained by the author, or "the analysis. of data gathered b y someone else" (Boslaugh, 2007:IX) to be more sp ecific. Secondary data may ...
In addition to the challenges of secondary research as mentioned in subsection Secondary Data and Analysis, in current research realm of secondary analysis, there is a lack of rigor in the analysis and overall methodology (Ruggiano & Perry, 2019). This has the pitfall of possibly exaggerating the effects of researcher bias (Thorne, 1994, 1998 ...
Abstract. This editorial provides an overview of secondary data analysis in nursing science and its application in a range of contemporary research. The practice of undertaking secondary analysis of qualitative and quantitative data is also discussed, along with the benefits, risks and limitations of this analytical method.
The use of secondary data in medical research has grown tremendously in recent years. Secondary data analysis is commonly defined as the use of datasets, which were not collected for the purpose of the scientific hypothesis being tested. ... Google Scholar [3] M. Sun, S. Lipsitz. Comparative effectiveness research methodology using secondary ...
Secondary research is a research method that uses data that was collected by someone else. In other words, whenever you conduct research using data that already exists, you are conducting secondary research. On the other hand, any type of research that you undertake yourself is called primary research. Example: Secondary research.
Given the nature of the academic enquiry, the qualitative secondary data analysis was the most appropriate for this study because of the dynamic and complex nature of the topic (Johnston 2014).
the online version will vary from the pagination of the print book. 1. 2. Secondary data is usually defined in opposition to primary data. The latter is directly obtained. from first-hand sources ...
The findings of this research suggest that the origin of the data, either primary or secondary, is underexplored as a source of heterogeneity and an effect modifier in meta-analyses of drug effects published in general medicine journals with high impact. Few meta-analyses reported the source of data and only one [] of the articles included in our survey compared and discussed the meta-analysis ...
This includes internal sources (e.g.in-house research) or, more commonly, external sources (such as government statistics, organizational bodies, and the internet). Secondary research comes in several formats, such as published datasets, reports, and survey responses, and can also be sourced from websites, libraries, and museums.
The secondary analysis of existing data has become an increasingly popular method of enhancing the overall efficiency of the health research enterprise. But this effort depends on governments, funding agencies, and researchers making the data collected in primary research studies and in health-related registry systems available to qualified ...
Compared to primary research, the collection of secondary data can be faster and cheaper to obtain, depending on the sources you use. Secondary data can come from internal or external sources. Internal sources of secondary data include ready-to-use data or data that requires further processing available in internal management support systems ...
Primary vs. Secondary Research Articles. In the sciences, primary (or empirical) research articles: are original scientific reports of new research findings (Please note that an original scientific article does not include review articles, which summarize the research literature on a particular subject, or articles using meta-analyses, which ...
Peer Review within Scholarly Publications. A meta-analysis is a quantitative method of combining the results of primary research. In analyzing the relevant data and statistical findings from experimental trials or observational studies, it can more accurately calculate effective resolutions regarding certain health topics.
Scholarly Articles. Peer-reviewed academic journals that summarize, critique, or build upon existing research are secondary sources. Researchers use these to stay up-to-date with current scholarship. A scholarly article, also known as a research or academic article, is a publication written by experts in a particular field.
Types of secondary data are as follows: Published data: Published data refers to data that has been published in books, magazines, newspapers, and other print media. Examples include statistical reports, market research reports, and scholarly articles. Government data: Government data refers to data collected by government agencies and departments.
Google Scholar is a web site providing peer-reviewed papers, books, abstracts, and articles from academic publishers, professional societies, universities, and other scholarly organizations. The Brigham Library at Educational Testing Service and the Strozier Library at Florida State University both house comprehensive collections of educational ...
Identification of transcriptome-wide RNA secondary structures with concealed BSs in the alternatively spliced introns in six species. (A) A BS within a stable secondary structure would result in intron retention or skipping of its flanking exons.(B) Strategy for searching concealed BSs in secondary structures in six species.(C) The numbers of genes with identified concealed BSs in six species.
Secondary data analysis. Secondary analysis refers to the use of existing research data to find answer to a question that was different from the original work ( 2 ). Secondary data can be large scale surveys or data collected as part of personal research. Although there is general agreement about sharing the results of large scale surveys, but ...
Analysis of secondary data sources (such as cohort studies, survey data, and administrative records) has the potential to provide answers to science and society's most pressing questions. However, researcher biases can lead to questionable research practices in secondary data analysis, which can distort the evidence base. While pre-registration can help to protect against researcher biases ...
Journal of Public Health Management and Practice publishes articles which focus on evidence based public health practice and research. The journal is a bi-monthly peer-reviewed publication guided by a multidisciplinary editorial board of administrators, practitioners and scientists. Journal of Public Health Management and Practice publishes in a wide range of population health topics including ...
Effective communication is the process of exchanging ideas, thoughts, opinions, knowledge, and data so that the message is received and understood with clarity and purpose. When we communicate effectively, both the sender and receiver feel satisfied. Communication occurs in many forms, including verbal and non-verbal, written, visual, and ...
Qualitative secondary analysis (QSA) is the use of qualitative data collected by someone else or to answer a different research question. Secondary analysis of qualitative data provides an opportunity to maximize data utility particularly with difficult to reach patient populations. However, QSA methods require careful consideration and ...
This program is designed for students from historically marginalized groups including low-income and first-generation students. The goal of RISE is to equip students to take on larger, more intensive academic-year and summer experiences for later in their college career. Each student receives $2,500 in scholarships and funds to cover on-campus ...
Background. Specific research questions are ideally answered through tailor-made studies. Although these ad hoc studies provide more accurate and updated data, designing a completely new project may not represent a feasible strategy [1, 2].On the other hand, clinical and administrative databases used for billing and other fiscal purposes (i.e. "secondary data") are a valuable resource as ...
As part of a competitive nomination process, more than 650 individuals—including the heads of universities, independent research institutes, professional societies, think tanks, major university presses and leading publications—were invited to recommend a junior and a senior scholar for consideration.