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. Author manuscript; available in PMC: 2023 Sep 27.
Published in final edited form as: Nat Med. 2023 Aug;29(8):1903–1905. doi: 10.1038/s41591-023-02375-8

Table 1 |.

Issues and proposed solutions for reforming observational studies

Issue Proposed solutions Contribution to social value
Addressing the right research question Master protocols to establish priority research questions Allocates scarce scientific resources to the most pressing questions in an epidemic
Methodological issues Master protocols and data standards to harmonize study design, data collection, analysis and reporting Increases methodological rigor of studies and reduces scientific waste
Small sample sizes Collaborate and consolidate data to improve study quality Generates externally valid knowledge for clinical or public health practice
Misinterpretation by stakeholders such as health policy-makers, journalists and the public Lay scientific methods summary in publications Mitigates the risk of misinterpretation of observational study results