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Maria E. Suarez-Almazor, MD, PhD and Sharon H. Giordano, MD, MPH, FASCO

While randomized controlled trials are considered to be the "gold standard" in health research, they cannot always be performed, for ethical or practical reasons. Observational studies gather information from data that has already been collected, or by observing and measuring patients' changes in health status and their response to interventions outside of a clinical trial. In this course, you will learn to identify the characteristics of observational studies, to interpret the results of observational studies, and to describe the use of health registries in comparative effectiveness research (CER).

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While randomized controlled trials are considered to be the "gold standard" in health research, they cannot always be performed, for ethical or practical reasons. Observational studies gather information from data that has already been collected, or by observing and measuring patients' changes in health status and their response to interventions outside of a clinical trial. In this course, you will learn to identify the characteristics of observational studies, to interpret the results of observational studies, and to describe the use of health registries in comparative effectiveness research (CER).

This course includes the following 11 lectures:

  1. Overview of Using Observational Data in Comparative Effectiveness Research (CER)
  2. Cancer Registries and Data Linkage
  3. SEER-Medicare and Other Data Sources
  4. Overview of Analytic Methods I
  5. Overview of Analytic Methods II
  6. Longitudinal Data Analysis
  7. Advanced Methods in CER I
  8. Advanced Methods in CER II
  9. Survival Analysis
  10. Analysis of Medical Cost Data in Observational Studies
  11. Healthcare Policy Research

This course is intended for anyone interested in comparative effectiveness research (CER) and patient-centered outcomes research (PCOR) methods.

This course is supported by grant number R25HS023214 from the Agency for Healthcare Research and Quality.

What's inside

Learning objectives

  • Define several types of observational studies and describe their characteristics
  • Interpret observational study results
  • Describe how health registries can be used for cer

Syllabus

Overview of Using Observational Data in Comparative Effectiveness Research (CER)
When to use observational studies in CER
Observational study biases
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Traffic lights

Read about what's good
what should give you pause
and possible dealbreakers
Develops knowledge and skills in identifying the characteristics of observational studies, interpreting the results of observational studies, and describing the use of health registries in comparative effectiveness research (CER)
Explores observational studies, which gather information from data that has already been collected, or by observing and measuring patients' changes in health status and their response to interventions outside of a clinical trial
Covers advanced methods in CER, including propensity score estimation and endogeneity bias
Emphasizes the importance of medical cost analysis in observational studies, and the role of registries like SEER-Medicare
Provides an overview of analytic methods for continuous and categorical outcome variables
Taught by experienced instructors, Maria E. Suarez-Almazor, MD, PhD, and Sharon H. Giordano, MD, MPH, FASCO

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Reviews summary

Observational studies for health research

According to students, CERTaIN: Observational Studies and Registries provides an excellent overview of critical concepts in comparative effectiveness research (CER) and patient-centered outcomes research (PCOR). Learners frequently praise the course for its clear and well-structured lectures, particularly in explaining advanced analytic methods like propensity scores and survival analysis. Many find the content invaluable for professional work, bridging the gap for those navigating real-world data outside of clinical trials. However, some find the course more theoretical than practical, wishing for more hands-on exercises or case studies. Students with less statistical background may also find certain sections briefly touched upon, necessitating supplementary study.
Instructors demonstrate deep knowledge and patience in explanations.
"The instructors explained everything very patiently."
"The instructors were clearly experts in their fields."
"While the instructors were knowledgeable, some parts could benefit from more interactive elements."
Provides a strong and clear understanding of core CER methods.
"This course provided an excellent overview of observational studies and their application in CER. The lectures were clear and well-structured..."
"Absolutely invaluable for my work in health outcomes research. The section on survival analysis was exceptionally well-explained..."
"It's not a 'how-to-code-statistics' course, but rather a 'how-to-think-about-observational-studies' course, which is exactly what I needed."
Covers advanced topics but may require supplemental study for some.
"Some of the later lectures on advanced methods felt a bit rushed..."
"If you don't have a strong statistical background, you might find yourself needing to supplement with external resources."
"I struggled with the advanced statistical methods, and the brief explanations didn't help much without prior extensive background."
Strong on theory but less on practical, hands-on data application.
"I wished there were more exercises or case studies to apply what we learned."
"I felt a lack of practical application, perhaps through a final project or more hands-on data analysis examples."
"It's more of an overview than an in-depth dive into statistical programming, which I was hoping for."

Activities

Be better prepared before your course. Deepen your understanding during and after it. Supplement your coursework and achieve mastery of the topics covered in CERTaIN: Observational Studies and Registries with these activities:
Review the basic principles of epidemiology and biostatistics
Reviewing the basic principles of epidemiology and biostatistics will provide you with a solid foundation for understanding the concepts and methods used in observational studies.
Browse courses on Epidemiology
Show steps
  • Review the key concepts of epidemiology, including measures of disease frequency and association
  • Review the key concepts of biostatistics, including statistical tests and measures of effect size
  • Apply these concepts to real-world examples
Develop a plan for conducting a comparative effectiveness research study using observational data
Developing a plan for conducting a CER study will provide you with hands-on experience in applying the skills and knowledge gained in this course, allowing you to independently design and plan a research project.
Show steps
  • Identify a research question that can be addressed using observational data
  • Select the appropriate type of observational study design
  • Develop a data collection plan
  • Write a research proposal
Show all two activities

Career center

Learners who complete CERTaIN: Observational Studies and Registries will develop knowledge and skills that may be useful to these careers:
Clinical Research Associate
Clinical Research Associates (CRAs) play a vital role in the development of new drugs and treatments by ensuring that clinical trials are conducted ethically and in accordance with good clinical practice guidelines. This course provides a strong foundation in the principles of observational studies and registries, which are essential for CRAs to understand in order to effectively monitor and manage clinical trials. The course also covers topics such as data linkage, analytic methods, and survival analysis, which are all important skills for CRAs to have.
Data Analyst
Data Analysts are responsible for collecting, cleaning, and analyzing data to help businesses make informed decisions. This course provides a strong foundation in the principles of observational studies and registries, which are essential for Data Analysts to understand in order to effectively analyze data from a variety of sources. The course also covers topics such as data linkage, analytic methods, and survival analysis, which are all important skills for Data Analysts to have.
Epidemiologist
Epidemiologists study the distribution and determinants of health-related states and events in populations. This course provides a strong foundation in the principles of observational studies and registries, which are essential for Epidemiologists to understand in order to effectively design and conduct studies to investigate the causes of disease. The course also covers topics such as data linkage, analytic methods, and survival analysis, which are all important skills for Epidemiologists to have.
Health Policy Analyst
Health Policy Analysts develop and evaluate policies and programs to improve the health of the population. This course provides a strong foundation in the principles of observational studies and registries, which are essential for Health Policy Analysts to understand in order to effectively evaluate the impact of health policies and programs. The course also covers topics such as data linkage, analytic methods, and survival analysis, which are all important skills for Health Policy Analysts to have.
Medical Writer
Medical Writers create written materials about medical products, services, and procedures. This course provides a strong foundation in the principles of observational studies and registries, which are essential for Medical Writers to understand in order to effectively communicate complex medical information to a variety of audiences. The course also covers topics such as data linkage, analytic methods, and survival analysis, which are all important skills for Medical Writers to have.
Pharmacist
Pharmacists dispense medications and provide advice on their use. This course provides a strong foundation in the principles of observational studies and registries, which are essential for Pharmacists to understand in order to effectively monitor and manage medication therapy for their patients. The course also covers topics such as data linkage, analytic methods, and survival analysis, which are all important skills for Pharmacists to have.
Public Health Nurse
Public Health Nurses work to promote health and prevent disease in the community. This course provides a strong foundation in the principles of observational studies and registries, which are essential for Public Health Nurses to understand in order to effectively assess the health needs of the community and develop and implement health promotion programs. The course also covers topics such as data linkage, analytic methods, and survival analysis, which are all important skills for Public Health Nurses to have.
Research Scientist
Research Scientists conduct research to advance scientific knowledge and develop new products and technologies. This course provides a strong foundation in the principles of observational studies and registries, which are essential for Research Scientists to understand in order to effectively design and conduct research studies. The course also covers topics such as data linkage, analytic methods, and survival analysis, which are all important skills for Research Scientists to have.
Statistician
Statisticians collect, analyze, interpret, and present data. This course provides a strong foundation in the principles of observational studies and registries, which are essential for Statisticians to understand in order to effectively analyze data from a variety of sources. The course also covers topics such as data linkage, analytic methods, and survival analysis, which are all important skills for Statisticians to have.
Biostatistician
Biostatisticians apply statistical methods to solve problems in the life sciences. This course provides a strong foundation in the principles of observational studies and registries, which are essential for Biostatisticians to understand in order to effectively design and conduct studies in the life sciences. The course also covers topics such as data linkage, analytic methods, and survival analysis, which are all important skills for Biostatisticians to have.
Cancer Registrar
Cancer Registrars collect, manage, and analyze data on cancer patients. This course provides a strong foundation in the principles of observational studies and registries, which are essential for Cancer Registrars to understand in order to effectively collect and analyze data on cancer patients. The course also covers topics such as data linkage, analytic methods, and survival analysis, which are all important skills for Cancer Registrars to have.
Health Educator
Health Educators develop and implement educational programs to promote health and prevent disease. This course provides a strong foundation in the principles of observational studies and registries, which are essential for Health Educators to understand in order to effectively evaluate the impact of health education programs. The course also covers topics such as data linkage, analytic methods, and survival analysis, which are all important skills for Health Educators to have.
Health Information Manager
Health Information Managers oversee the collection, storage, and analysis of health information. This course provides a strong foundation in the principles of observational studies and registries, which are essential for Health Information Managers to understand in order to effectively manage health information. The course also covers topics such as data linkage, analytic methods, and survival analysis, which are all important skills for Health Information Managers to have.
Medical Statistician
Medical Statisticians apply statistical methods to solve problems in medicine. This course provides a strong foundation in the principles of observational studies and registries, which are essential for Medical Statisticians to understand in order to effectively design and conduct studies in medicine. The course also covers topics such as data linkage, analytic methods, and survival analysis, which are all important skills for Medical Statisticians to have.
Research Assistant
Research Assistants assist researchers with their research projects. This course provides a strong foundation in the principles of observational studies and registries, which are essential for Research Assistants to understand in order to effectively assist researchers with their research projects. The course also covers topics such as data linkage, analytic methods, and survival analysis, which are all important skills for Research Assistants to have.

Reading list

We've selected nine books that we think will supplement your learning. Use these to develop background knowledge, enrich your coursework, and gain a deeper understanding of the topics covered in CERTaIN: Observational Studies and Registries.
Provides a comprehensive overview of R, a statistical programming language that is commonly used in observational studies.
Provides a comprehensive overview of epidemiology, including its principles and methods. It valuable resource for anyone who wants to learn more about this topic.
Provides a detailed overview of applied longitudinal analysis. It valuable resource for anyone who wants to learn more about this topic.
Provides a comprehensive overview of comparative effectiveness research methods and applications. It valuable resource for anyone who wants to learn more about this topic.
Provides a detailed overview of causal inference in statistics. It valuable resource for anyone who wants to learn more about this topic.
Provides a detailed overview of survival analysis. It valuable resource for anyone who wants to learn more about this topic.
Provides a detailed overview of epidemiology. It valuable resource for anyone who wants to learn more about this topic.

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