Journal
PHARMACOEPIDEMIOLOGY AND DRUG SAFETY
Volume 26, Issue 12, Pages 1507-1512Publisher
WILEY
DOI: 10.1002/pds.4328
Keywords
pharmacoepidemiology; propensity score matching; subgroup analyses; systematic review
Funding
- U.S. Food and Drug Administration [HHSF223200910006I]
- Sentinel Task [HHSF223200910006I]
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PurposeWhen evaluating safety signals, there is often interest in understanding safety in all patients for whom compared treatments are reasonable alternatives, as well as in specific subgroups of interest. There are numerous ways that propensity score (PS) matching can be implemented for subgroup analyses. MethodsWe conducted a systematic literature review of methods papers that compared the performance of alternative methods to implement PS matched subgroup analyses and examined how frequently different PS matching methods have been used for subgroup analyses in applied studies. ResultsWe identified 5 methods papers reporting small improvements in covariate balance and bias with use of a subgroup-specific PS instead of a mis-specified overall PS within subgroups. Applied research papers frequently used PS for subgroups in ways not evaluated in methods papers. Thirty three percent used PS to match in the overall cohort and broke the matched sets for subgroup analysis without further adjustment. ConclusionsWhile the performance of several alternative ways to use PS matching in subgroup analyses has been evaluated in methods literature, these evaluations do not include the most commonly used methods to implement PS matched subgroup analyses in applied studies. There is a need to better understand the relative performance of commonly used methods for PS matching in subgroup analyses, particularly within settings encountered during active surveillance, where there may be low exposure, infrequent outcomes, and multiple subgroups of interest.
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