How to Review a Large Database Study
This 30-minute presentation is a recorded capture from Reviewer Workshop on July 14, 2022 in Colorado Springs, CO at the AOSSM Annual Meeting.
James L. Carey, MD, MPH
The learning objectives follow:
• To review the definition, strengths, and limitations of a large database study.
• To entertain the influence of the numerators and denominators that authors choose to study.
• To briefly explore statistical issues, including the confidence intervals of rates (because negative rates do not make sense) and simultaneous testing of multiple hypotheses.
ACCREDITATION STATEMENT The American Orthopaedic Society for Sports Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
AMA CREDIT DESIGNATION STATEMENT The American Orthopaedic Society for Sports Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CLAIMING CREDIT In order to obtain AMA PRA Category 1 Credits™ participants must complete the activity and evaluation. Please note that this is an online-only activity. Participants must complete the activity and evaluation online. No hard copy submissions will be accepted.
DISCLOSURE STATEMENT In accordance with the guidelines of the ACCME, it is the policy of the AOSSM that faculty and planners disclose to the learners all financial relationships during the past twelve months with any commercial interest (any entity producing, marketing, re-selling, or distributing health care goods and services consumed by, or used on, patients). In accordance with AOSSM policy, faculty participation is predicated upon timely submission and review of AOSSM disclosures. Non-compliance results in faculty being stricken from the program.
Additional resources for further study:
Carey JL. The Critical Reader—Numerators and Denominators. The American Journal of Sports Medicine. 2021;49(12):3170-3172. doi:10.1177/03635465211047196
Gordis L. Epidemiology. 4th ed. Philadelphia, PA: Saunders; 2009.
Hulley SB, Cummings SR, Browner WS, Grady DG, Newman TB. Designing Clinical Research. 3rd ed. Philadelphia: Lippincott Williams and Wilkins; 2007.