Journal of Clinical Epidemiology
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Journal of Clinical Epidemiology
@jclinepi.bsky.social
Metascience and innovative methods to improve population health
Co-Editors-in-Chief: @andreatricco.bsky.social and @davidit.bsky.social
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Published by Elsevier
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User experiences of qualitative evidence in the GRADE Evidence-to-Decision framework – Findings from Malawi, Nigeria and South Africa. - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
User experiences of qualitative evidence in the GRADE Evidence-to-Decision framework – Findings from Malawi, Nigeria and South Africa.
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November 26, 2025 at 5:43 PM
Guideline Organizations’ Guidance Documents Paper 10: Developing Recommendations About Diagnostic Tests and Strategies - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
Guideline Organizations’ Guidance Documents Paper 10: Developing Recommendations About Diagnostic Tests and Strategies
Diagnostic tests are central to clinical decision-making, but the rigor and consistency of guidelines that inform their use remain unclear. This study aimed to describe processes for developing recomm...
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November 26, 2025 at 5:43 PM
Guideline Organizations’ Guidance Documents Paper 5: Conflict of Interest and Funding - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
Guideline Organizations’ Guidance Documents Paper 5: Conflict of Interest and Funding
Bias in the development process of practice guidelines can be introduced through contributors’ conflicts of interest and the funding sources. The objective of this study was to describe policies of gu...
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November 26, 2025 at 5:43 PM
Guideline Organizations’ Guidance Documents Paper 1: Introduction - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
Guideline Organizations’ Guidance Documents Paper 1: Introduction
Given the role of practice guidelines in impacting practice and health outcomes, it is important that their development follows rigorous methodology. We present a series of papers exploring various as...
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November 26, 2025 at 5:42 PM
Guideline Organizations’ Guidance Documents Paper 7: Updating Practice Guidelines - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
Guideline Organizations’ Guidance Documents Paper 7: Updating Practice Guidelines
Practice guidelines play a crucial role in patient care and policymaking, making it essential that they remain current and reflect the latest evidence. This study describes the processes used by guide...
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November 26, 2025 at 5:42 PM
Guideline Organizations’ Guidance Documents Paper 6: Adaptation of Practice Guidelines - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
Guideline Organizations’ Guidance Documents Paper 6: Adaptation of Practice Guidelines
Developing high-quality practice guidelines is resource-intensive, leading many guideline-producing organizations to adapt existing recommendations. The objective of this paper is to describe processe...
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November 26, 2025 at 5:41 PM
Guideline Organizations’ Methods Handbooks Paper 9: Cooperative Approaches - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
Guideline Organizations’ Methods Handbooks Paper 9: Cooperative Approaches
Collaboration allows participants to share and leverage their strengths, mitigating resource limitations and duplication of efforts. Guideline-producing organizations interested in collaboration have ...
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November 26, 2025 at 5:41 PM
Guideline Organizations’ Guidance Documents Paper 4: Interest-holder engagement - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
Guideline Organizations’ Guidance Documents Paper 4: Interest-holder engagement
Interest-holder engagement is increasingly recognized as essential to the relevance and uptake of practice guidelines. “Interest-holders” are groups with legitimate interests in the health issue under...
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November 26, 2025 at 5:41 PM
Use of structured tools by peer reviewers of systematic reviews: a cross-sectional study reveals high familiarity with PRISMA but limited use of other tools - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
Use of structured tools by peer reviewers of systematic reviews: a cross-sectional study reveals high familiarity with PRISMA but limited use of other tools
Systematic reviews (SRs) are pivotal to evidence-based medicine. Structured tools exist to guide their reporting and appraisal, such as PRISMA and AMSTAR. However, there is limited data on whether pee...
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November 26, 2025 at 5:40 PM
A Scoping Review of Critical Appraisal Tools and User Guides for Systematic Reviews with Network Meta-Analysis: Methodological Gaps and Directions for Tool Development - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
A Scoping Review of Critical Appraisal Tools and User Guides for Systematic Reviews with Network Meta-Analysis: Methodological Gaps and Directions for Tool Development
Systematic reviews (SR) with network meta-analyses (NMA) are increasingly used to inform guidelines, health technology assessments, and policy decisions. Their methodological complexity, as well as th...
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November 26, 2025 at 5:40 PM
Including nonrandomized evidence in living systematic reviews: lessons learned from the COVID-NMA initiative - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
Including nonrandomized evidence in living systematic reviews: lessons learned from the COVID-NMA initiative
Randomized controlled trials (RCTs) are more likely to be included in evidence syntheses of health interventions due to their methodological rigor. However, the integration of nonrandomized studies (N...
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November 26, 2025 at 5:39 PM
Approaches for reporting and interpreting statistically nonsignificant findings in evidence syntheses: A systematic review - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
Approaches for reporting and interpreting statistically nonsignificant findings in evidence syntheses: A systematic review
To systematically review approaches for reporting and interpreting statistically nonsignificant findings with clinical relevance in evidence synthesis, and to assess their methodological quality and t...
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November 26, 2025 at 5:38 PM
The loss of efficacy of fluoxetine in pediatric depression: explanations, lack of acknowledgment, and implications for other treatments - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
The loss of efficacy of fluoxetine in pediatric depression: explanations, lack of acknowledgment, and implications for other treatments
Fluoxetine is among the most used antidepressants for children and adolescents and frequently recommended as first-line pharmacological treatment for pediatric depression. However, in contrast to earl...
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November 26, 2025 at 5:38 PM
Discrimination, calibration, and variable importance in statistical and machine learning models for predicting overall survival in advanced non-small cell lung cancer patients treated with immune checkpoint inhibitors - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
Discrimination, calibration, and variable importance in statistical and machine learning models for predicting overall survival in advanced non-small cell lung cancer patients treated with immune chec...
Prognostic models can enhance clinician-patient communication and guide treatment decisions. Numerous machine learning (ML) algorithms are available and offer a novel approach to predicting survival i...
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November 26, 2025 at 5:37 PM
Hill’s Considerations Are Not Causal Criteria - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
Hill’s Considerations Are Not Causal Criteria
Hill’s list of considerations for assessing causality, proposed 60 years ago, became a landmark in the interpretation of epidemiologic evidence. However, it has been and continues to be misused as a l...
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November 26, 2025 at 5:34 PM
GRADE guidance 44: Strategies to enhance the utilization of randomized and non-randomized studies in evidence syntheses of health interventions - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
GRADE guidance 44: Strategies to enhance the utilization of randomized and non-randomized studies in evidence syntheses of health interventions
Ideally, guideline developers and HTA authors base intervention decisions on randomized controlled trials (RCTs). However, relying solely on RCTs is uncommon, especially for public health intervention...
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November 26, 2025 at 5:33 PM
The RoB-VE Project: Introduction to a methodological initiative to improve risk-of-bias assessment and reporting in #vaccine effectiveness research - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
The RoB-VE Project: Introduction to a methodological initiative to improve risk-of-bias assessment and reporting in vaccine effectiveness research
Vaccine effectiveness (VE) studies are essential for informing immunization policy and public health decision-making. However, the observational nature of most VE studies introduces unique methodologi...
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November 26, 2025 at 5:33 PM
Methodological Guidance for Individual Participant Data Meta-Analyses: A Systematic Review - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
Methodological Guidance for Individual Participant Data Meta-Analyses: A Systematic Review
To systematically identify and synthesize methodological guidance for conducting IPD-MAs of randomized trials and observational studies, to inform the development of a critical appraisal tool for repo...
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November 26, 2025 at 5:32 PM
Commentary: The many roles of decision thresholds for primary research, evidence synthesis and health decision-making - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
Commentary: The many roles of decision thresholds for primary research, evidence synthesis and health decision-making
A decision threshold (DT) reflects the point at which a decision or judgment changes, leading to the selection of an action or a commitment for one of several alternatives. Thresholds have always play...
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November 26, 2025 at 5:31 PM
Reposted by Journal of Clinical Epidemiology
#CochraneDaily Just published! Scoping review of 165 studies maps factors associated with citation rates and reasons for and extent of citation bias in the health literature
www.jclinepi.com/article/S089...
#Bias #Citation
@jclinepi.bsky.social
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November 26, 2025 at 9:21 AM
Reposted by Journal of Clinical Epidemiology
This infographic captures the full process in a single view.
November 22, 2025 at 4:27 PM
Reposted by Journal of Clinical Epidemiology
The new GRADE Guidance on using RCTs and NRSIs in evidence synthesis is out in JCE. Years of diagrams and domain debates distilled into a practical roadmap. If you work in guidelines or HTA, this one’s for you.
#GRADE #EvidenceSynthesis #SystematicReview #HTA
www.jclinepi.com/article/S089...
GRADE guidance 44: Strategies to enhance the utilization of randomized and non-randomized studies in evidence syntheses of health interventions
Ideally, guideline developers and HTA authors base intervention decisions on randomized controlled trials (RCTs). However, relying solely on RCTs is uncommon, especially for public health intervention...
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November 22, 2025 at 4:27 PM
Reposted by Journal of Clinical Epidemiology
Excellent and highly readable explanation of ESTIMANDS, and how thinking carefully about them clarifies planning, and interpretation of results from, any clinical trial.

www.jclinepi.com/article/S089...

And full text is freely available.
November 17, 2025 at 8:05 PM
Dysinclusion: Naming and defining the inequitable absence of marginalized populations in health research - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
Dysinclusion: Naming and defining the inequitable absence of marginalized populations in health research
Marginalized populations are frequently absent or invisible in health research. Yet this problem is seldom characterized as a distinct methodological concern. Existing concepts like selection bias or ...
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November 17, 2025 at 7:21 PM
Scalable Medication Extraction and Discontinuation Identification from Electronic Health Records Using Large Language Models - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
Scalable Medication Extraction and Discontinuation Identification from Electronic Health Records Using Large Language Models
Identifying medication discontinuations in electronic health records (EHRs) is vital for patient safety but is often hindered by information being buried in unstructured notes. This study aims to eval...
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November 17, 2025 at 7:21 PM