Publications and Medical Communications

Observational and real-world-evidence manuscript

Chapter 6 of 291 min read

The job

Report evidence from routine care, registries, databases, cohorts, case-control designs, or other nonrandomized sources with explicit provenance, cohort construction, analytic methods, and design limitations.

Extra controls

  • Define data source, coverage, quality, and linkage.
  • Describe operational definitions and coding.
  • Explain selection, confounding, adjustment, missingness, and sensitivity analyses.
  • Report estimates and uncertainty.
  • Keep association and causation distinct.
  • Discuss directness and generalizability to the intended population.

The observational study can answer questions a trial may not, but its usefulness depends on transparent methods rather than causal-sounding prose.