Published online by Cambridge University Press: 22 April 2026
Control and comparison groups are essential for most biomedical research, but who is employed fundamentally influences risk estimation. Historical and hospital control groups are especially susceptible to bias. Natural experiments can prove useful if conducted carefully. Pharmaco-epidemiology has to manage the, not quite, intractable problem of indication bias: Are treatment effects a result of the drug or the disease being treated? Some control groups may be appropriate for detecting and ameliorating bias: respectively, negative and sibling controls.
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