I’ve discussed in previous blog posts ways in which confounding by indication can completely change the way observational research is interpreted: it can flip common wisdom about labor induction and cesarean delivery risk on its head, and it can lead to bizarre conversations illustrating a researchers’ blind spots when it comes to discussing topics such as depression and hormonal birth control. Continue reading
Kaiser Health News and Capital News Service have been publishing a series called “Baltimore’s Other Divide” – the state of health in a city which has vast disparities in health status, and some of the country’s best known hospitals.
The latest installment, by Jay Hancock, Rachel Bluth and Daniel Trielli, focuses on asthma “hot spots.” Drawing on rich hospital data, they identified the worst places for asthma in the city – ZIP code 21223. People there, like 9-year-old Keyonta Parnell, go the emergency room more often, and call 911 more often. The hospitals know that. But it’s not in their financial interest to fix it. Continue reading