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Updated: May 9, 2026

An R-Based Landscape Validation of a Competing Risk Model
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An R-Based Landscape Validation of a Competing Risk Model

Published on: September 16, 2022

Matching on provider is risky.

Alexander M Walker1

  • 1World Health Information Science Consultants, Riverside Center, Suite 2-400, 275 Grove Street, Newton, MA 02466, USA. Alec.Walker@WHISCON.com

Journal of Clinical Epidemiology
|July 16, 2013
PubMed
Summary
This summary is machine-generated.

Matching on provider in observational studies can worsen bias, not eliminate it. Researchers must carefully consider controls to avoid reducing the effect of important confounders.

Keywords:
Amplification biasComparative effectiveness researchInstrumental variablesMatchingPseudorandomizationUnmeasured confoundersZ-bias

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Last Updated: May 9, 2026

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Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index
06:55

Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index

Published on: January 8, 2020

Area of Science:

  • Biostatistics
  • Health Services Research
  • Observational Studies

Background:

  • Confounding bias is a critical concern in observational studies.
  • The degree of bias is influenced by the proportion of treatment variation attributable to confounders and instruments.

Purpose of the Study:

  • To demonstrate how matching on provider can exacerbate, rather than remove, bias.
  • To illustrate the impact of matching on provider in a constructed example.

Main Methods:

  • Analysis of confounding bias in observational studies.
  • Illustrative example of bias introduced by matching on provider for coronary artery bypass graft surgery patients.

Main Results:

  • Matching on provider removes a "benign" source of treatment variability.
  • Unmeasured confounders may become the primary determinants of treatment after matching on provider.

Conclusions:

  • Researchers must clearly articulate the sources of pseudorandom variation in observational studies.
  • Care should be taken not to diminish the impact of crucial confounders through excessive control measures.