TABLE 1

Key considerations of using external controls.

(Observed) baseline incomparability
Covariate distribution shiftSystematic differences exist in the baseline characteristics of patients in external studies compared to those in SATs
(Unobserved) outcome mean non-exchangeability
Unmeasured confoundingExternal control data might not capture the same detailed patient information as SATs, leading to biases from unknown or unmeasured factors
Lack of concurrency/ temporal biasExternal control data and SATs may be collected in different time periods or under varying healthcare settings
Measurement errorThere may exist potential inconsistencies in how patient information is collected and recorded, termed here as measurement errors in covariates
Outcome validityMethods of measuring outcomes in external data sources might differ from those used in SATs, or the outcomes might not be clearly defined or reliable
Proper estimands
Intercurrent eventsIntercurrent events, such as stopping medication and/or adding rescue therapy, can confound the causal effects of the randomized treatment
(Observed) baseline incomparability
Covariate distribution shiftSystematic differences exist in the baseline characteristics of patients in external studies compared to those in SATs
(Unobserved) outcome mean non-exchangeability
Unmeasured confoundingExternal control data might not capture the same detailed patient information as SATs, leading to biases from unknown or unmeasured factors
Lack of concurrency/ temporal biasExternal control data and SATs may be collected in different time periods or under varying healthcare settings
Measurement errorThere may exist potential inconsistencies in how patient information is collected and recorded, termed here as measurement errors in covariates
Outcome validityMethods of measuring outcomes in external data sources might differ from those used in SATs, or the outcomes might not be clearly defined or reliable
Proper estimands
Intercurrent eventsIntercurrent events, such as stopping medication and/or adding rescue therapy, can confound the causal effects of the randomized treatment
TABLE 1

Key considerations of using external controls.

(Observed) baseline incomparability
Covariate distribution shiftSystematic differences exist in the baseline characteristics of patients in external studies compared to those in SATs
(Unobserved) outcome mean non-exchangeability
Unmeasured confoundingExternal control data might not capture the same detailed patient information as SATs, leading to biases from unknown or unmeasured factors
Lack of concurrency/ temporal biasExternal control data and SATs may be collected in different time periods or under varying healthcare settings
Measurement errorThere may exist potential inconsistencies in how patient information is collected and recorded, termed here as measurement errors in covariates
Outcome validityMethods of measuring outcomes in external data sources might differ from those used in SATs, or the outcomes might not be clearly defined or reliable
Proper estimands
Intercurrent eventsIntercurrent events, such as stopping medication and/or adding rescue therapy, can confound the causal effects of the randomized treatment
(Observed) baseline incomparability
Covariate distribution shiftSystematic differences exist in the baseline characteristics of patients in external studies compared to those in SATs
(Unobserved) outcome mean non-exchangeability
Unmeasured confoundingExternal control data might not capture the same detailed patient information as SATs, leading to biases from unknown or unmeasured factors
Lack of concurrency/ temporal biasExternal control data and SATs may be collected in different time periods or under varying healthcare settings
Measurement errorThere may exist potential inconsistencies in how patient information is collected and recorded, termed here as measurement errors in covariates
Outcome validityMethods of measuring outcomes in external data sources might differ from those used in SATs, or the outcomes might not be clearly defined or reliable
Proper estimands
Intercurrent eventsIntercurrent events, such as stopping medication and/or adding rescue therapy, can confound the causal effects of the randomized treatment
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