Hou (2022)

Colorectal Cancer

Oncology • Ehr Data • US

Study Metrics
Total Sample 943
Treatment Group 518
Control Group 425
Covariates 8
PICO Comparisons 1
Quality Indicators
Transparency High
DAG Usage No
QBA Performed No

Study Information

First Author: Hou
Publication Year: 2022
DOI: https://doi.org/10.1001/jamanetworkopen.2022.18371
Preprint: No preprint

Institution & Funding

Institutions: Harvard T. H. Chan School of Public Health, University of British Columbia, Brigham and Women's Hospital/Harvard Medical School, Merck & Co, Inc
Funding: Declared: Public, private
Funding Institutions: The study was supported by Merck & Co, Inc; by grants P30 AR072577 (Dr Liao) and K99NS114850 (Dr Beaulieu-Jones) from the National Institutes of Health (NIH); and grant U01CA209414 from the National Cancer Institute of the NIH (Dr Christiani).

Study Context

Disease: Colorectal Cancer
Disease Category: Oncology
Data Type: Electronic Health Records
Number of Data Sources: 1
Geography: US
Eligible Sample: 943.0
Number of Treatments: 2

Analytical Methods

Missing Data Method: Complete case
Matching Method: PS matching
Analysis Method: Cox PH

Quality Methods

Directed Acyclic Graph (DAG) Not Used
Quantitative Bias Analysis (QBA) Not Performed

Target Trial Information

Target Trial Name: COST
Registration Number: NCT00002575
Target Trial DOI: https://doi.org/10.1056/NEJMoa032651

TTE vs RCT Comparisons

Detailed comparison between Target Trial Emulation results and corresponding Randomized Controlled Trial outcomes.

5-year overall survival
COST
RD Efficacy
Population

Adult patients (≥18 years) with early-stage (stages I-III) colon cancer who underwent colectomy

Intervention

Laparoscopy-assisted colectomy (LAC)

Comparison

Open colectomy (OC)

Outcome

5-year overall survival

RCT Result

0.01

95% CI: [-0.17, 0.18]


vs
TTE Result

-0.01

95% CI: [-0.07, 0.06]

Concordance Assessment
Confidence Interval Overlap: Yes
CIs overlap, suggesting concordance
Direction Agreement: Different Direction
Different conclusions

Transparency Indicators

Protocol Registration Available
Data Sharing Not Available
Code Sharing Available
Overall Transparency Score:
High Transparency - This study meets good transparency standards.

Conflicts & Funding

Conflicts of Interest: Declared: Financial
COI Institutions: Merck & Co, Inc.
Funding Source: Declared: Public, private
Funding Institutions: The study was supported by Merck & Co, Inc; by grants P30 AR072577 (Dr Liao) and K99NS114850 (Dr Beaulieu-Jones) from the National Institutes of Health (NIH); and grant U01CA209414 from the National Cancer Institute of the NIH (Dr Christiani).