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  4. How to detect and reduce potential sources of biases in studies of SARS-CoV-2 and COVID-19
 
review article

How to detect and reduce potential sources of biases in studies of SARS-CoV-2 and COVID-19

Accorsi, Emma K.
•
Qiu, Xueting
•
Rumpler, Eva
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February 25, 2021
European Journal Of Epidemiology

In response to the coronavirus disease (COVID-19) pandemic, public health scientists have produced a large and rapidly expanding body of literature that aims to answer critical questions, such as the proportion of the population in a geographic area that has been infected; the transmissibility of the virus and factors associated with high infectiousness or susceptibility to infection; which groups are the most at risk of infection, morbidity and mortality; and the degree to which antibodies confer protection to re-infection. Observational studies are subject to a number of different biases, including confounding, selection bias, and measurement error, that may threaten their validity or influence the interpretation of their results. To assist in the critical evaluation of a vast body of literature and contribute to future study design, we outline and propose solutions to biases that can occur across different categories of observational studies of COVID-19. We consider potential biases that could occur in five categories of studies: (1) cross-sectional seroprevalence, (2) longitudinal seroprotection, (3) risk factor studies to inform interventions, (4) studies to estimate the secondary attack rate, and (5) studies that use secondary attack rates to make inferences about infectiousness and susceptibility.

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Type
review article
DOI
10.1007/s10654-021-00727-7
Web of Science ID

WOS:000621711600001

Author(s)
Accorsi, Emma K.
Qiu, Xueting
Rumpler, Eva
Kennedy-Shaffer, Lee
Kahn, Rebecca
Joshi, Keya
Goldstein, Edward
Stensrud, Mats J.  
Niehus, Rene
Cevik, Muge
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Date Issued

2021-02-25

Published in
European Journal Of Epidemiology
Volume

36

Start page

179

End page

196

Subjects

Public, Environmental & Occupational Health

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epidemiological biases

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selection bias

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misclassification

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measurement error

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covid-19

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observational data

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
BIOSTAT  
Available on Infoscience
March 26, 2021
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/176789
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