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14 - Special Topics

Published online by Cambridge University Press:  09 October 2025

Mitchell H. Katz
Affiliation:
NYC Health and Hospitals
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Summary

An emulation (or target) trial uses observational data to simulate a trial. Because there is no actual randomization, multivariable methods need to adjust for differences between groups. However, emulation trials improve traditional observational studies by conducting all the same steps as a randomized trial with the exception of randomization. With an emulation trial, before conducting data analysis, specify research question eligibility criteria, determination of treatment groups, start of study and end of follow-up, outcome, and analysis plan. Active comparators can minimize indication bias. By setting eligibility, treatment assignment, and start of follow-up, emulation trials minimize immortal time bias.

Classification and regression trees (CART): a technique for separating subjects into distinct subgroups based on a dichotomous outcome. Its major advantage over multiple logistic regression—it more closely reflects how clinicians make decisions. Certain pieces of information take you down a particular diagnostic path for more information to prove/disprove you are on the right path. Most clinicians do not total up a weighted version of the information and make a decision.

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Multivariable Analysis
A Practical Guide for Clinicians and Public Health Researchers
, pp. 244 - 252
Publisher: Cambridge University Press
Print publication year: 2025

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  • Special Topics
  • Mitchell H. Katz, NYC Health and Hospitals
  • Book: Multivariable Analysis
  • Online publication: 09 October 2025
  • Chapter DOI: https://doi.org/10.1017/9781009558488.015
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  • Special Topics
  • Mitchell H. Katz, NYC Health and Hospitals
  • Book: Multivariable Analysis
  • Online publication: 09 October 2025
  • Chapter DOI: https://doi.org/10.1017/9781009558488.015
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Special Topics
  • Mitchell H. Katz, NYC Health and Hospitals
  • Book: Multivariable Analysis
  • Online publication: 09 October 2025
  • Chapter DOI: https://doi.org/10.1017/9781009558488.015
Available formats
×