Transporting results in an observational epidemiology setting: purposes, methods, and applied example

In the medical domain, substantial effort has been invested in generating internally valid estimates in experimental as well as observational studies, but limited effort has been made in testing generalizability, or external validity. Testing the external validity of scientific findings is neverthel...

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Main Authors: Ghislaine Scelo, Daniela Zugna, Maja Popovic, Katrine Strandberg-Larsen, Lorenzo Richiardi
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Epidemiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fepid.2024.1335241/full
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author Ghislaine Scelo
Daniela Zugna
Maja Popovic
Katrine Strandberg-Larsen
Lorenzo Richiardi
author_facet Ghislaine Scelo
Daniela Zugna
Maja Popovic
Katrine Strandberg-Larsen
Lorenzo Richiardi
author_sort Ghislaine Scelo
collection DOAJ
description In the medical domain, substantial effort has been invested in generating internally valid estimates in experimental as well as observational studies, but limited effort has been made in testing generalizability, or external validity. Testing the external validity of scientific findings is nevertheless crucial for the application of knowledge across populations. In particular, transporting estimates obtained from observational studies requires the combination of methods for causal inference and methods to transport the effect estimates in order to minimize biases inherent to observational studies and to account for differences between the study and target populations. In this paper, the conceptual framework and assumptions behind transporting results from a population-based study population to a target population is described in an observational setting. An applied example to life-course epidemiology, where internal validity was constructed for illustrative purposes, is shown by using the targeted maximum likelihood estimator.
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spelling doaj.art-08b37a2a1cbb4d7981f93242c09a7f4c2024-02-29T05:31:45ZengFrontiers Media S.A.Frontiers in Epidemiology2674-11992024-02-01410.3389/fepid.2024.13352411335241Transporting results in an observational epidemiology setting: purposes, methods, and applied exampleGhislaine Scelo0Daniela Zugna1Maja Popovic2Katrine Strandberg-Larsen3Lorenzo Richiardi4Department of Medical Sciences, University of Turin, CPO-Piemonte, Turin, ItalyDepartment of Medical Sciences, University of Turin, CPO-Piemonte, Turin, ItalyDepartment of Medical Sciences, University of Turin, CPO-Piemonte, Turin, ItalySection of Epidemiology, Department of Public Health, University of Copenhagen, Copenhagen, DenmarkDepartment of Medical Sciences, University of Turin, CPO-Piemonte, Turin, ItalyIn the medical domain, substantial effort has been invested in generating internally valid estimates in experimental as well as observational studies, but limited effort has been made in testing generalizability, or external validity. Testing the external validity of scientific findings is nevertheless crucial for the application of knowledge across populations. In particular, transporting estimates obtained from observational studies requires the combination of methods for causal inference and methods to transport the effect estimates in order to minimize biases inherent to observational studies and to account for differences between the study and target populations. In this paper, the conceptual framework and assumptions behind transporting results from a population-based study population to a target population is described in an observational setting. An applied example to life-course epidemiology, where internal validity was constructed for illustrative purposes, is shown by using the targeted maximum likelihood estimator.https://www.frontiersin.org/articles/10.3389/fepid.2024.1335241/fulltransportabilityexternal validityobservational researchbirth cohortsTMLE
spellingShingle Ghislaine Scelo
Daniela Zugna
Maja Popovic
Katrine Strandberg-Larsen
Lorenzo Richiardi
Transporting results in an observational epidemiology setting: purposes, methods, and applied example
Frontiers in Epidemiology
transportability
external validity
observational research
birth cohorts
TMLE
title Transporting results in an observational epidemiology setting: purposes, methods, and applied example
title_full Transporting results in an observational epidemiology setting: purposes, methods, and applied example
title_fullStr Transporting results in an observational epidemiology setting: purposes, methods, and applied example
title_full_unstemmed Transporting results in an observational epidemiology setting: purposes, methods, and applied example
title_short Transporting results in an observational epidemiology setting: purposes, methods, and applied example
title_sort transporting results in an observational epidemiology setting purposes methods and applied example
topic transportability
external validity
observational research
birth cohorts
TMLE
url https://www.frontiersin.org/articles/10.3389/fepid.2024.1335241/full
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