Table 1.
Examples of regression discontinuity designs in clinical, prevention and public health, and health policy studies
Studies | Exposures | Type of assignment variables | Threshold rules | Outcomes |
Clinical: | ||||
Bor et al 2014, 20157 16 | HIV antiretroviral therapy | Therapeutic | Patients with CD4 counts <200 cells/mm3 eligible to initiate early antiretroviral treatment in South Africa | Mortality, immune recovery, retention in clinical care |
Almond et al 201013 | Neonatal intensive care | Therapeutic | Infants with birth weights <1500 g (designated very low birth weight) recommended for intensive care in United States | Infant mortality |
Bharadwaj et al 201314 | Neonatal intensive care | Therapeutic | Infants with birth weights <1500 g (designated very low birth weight) recommended for intensive care in Chile and Norway | Child cognitive development, academic achievement |
Geneletti et al 201515 | Statins | Therapeutic | 10 year cardiovascular risk >20% as a guideline to initiate statins | Low density lipoprotein cholesterol |
Jensen and Wust 201519 | Caesarean section | Calendar time | Changes in information and guidelines about efficacy of caesarean section starting 21 October 2000 in Denmark | Apgar score, physician visits, hospital admissions for neonates |
Prevention and public health: | ||||
Smith et al 201520 | HPV vaccine | Calendar time | Vaccines were available for select age groups after 1 January 1994 | Cervical dysplasia and anogenital warts |
Callaghan 201321 | Minimum drinking age | Age | Adults aged 21 or older can legally purchase and consume alcohol in United States | Mortality |
Ludwig and Miller 200722 | Head Start program | Program eligibility | Counties ranked <300 based on historic poverty rates were eligible to receive federal Head Start | Child mortality |
Chen et al 201323 | Air pollution | Geographic | Households north of China’s Huai River received subsidies for high emission coal to heat homes | Mortality |
Health policy: | ||||
De La Mata et al 201224 | Health insurance | Program eligibility | People in households below a specific income threshold were eligible for Medicaid | Healthcare utilization among children |
Wherry et al 201525 | Health insurance | Calendar time | People born after 1 October 1983 were eligible for more years of Medicaid coverage owing to rule changes | Hospital admissions among adolescents |
Sood et al 201426 | Health insurance | Geographic | People living in predesignated districts were eligible to receive insurance, whereas those in neighboring districts were not | Mortality |
Almond et al 201127 | Length of hospital stay | Clock time | Patients admitted after 12 am were allowed longer hospital stays based on insurance rules | Maternal and newborn health |