‘Real-world’ observational studies in arrhythmia research: data sources, methodology, and interpretation. A position document from European Heart Rhythm Association (EHRA), endorsed by Heart Rhythm Society (HRS), Asia-Pacific HRS (APHRS), and Latin America HRS (LAHRS)
EP Europace Journal

Abstract
The field of observational studies or “real world studies” is in rapid development with many new techniques introduced and increased understanding of traditional methods. For this reason the current paper provides an overview of current methods with focus on new techniques. Some highlights can be emphasized: We provide an overview of sources of data for observational studies. There is an overview of sources of bias and confounding. Next There is an overview of causal inference techniques that are increasingly used. The most commonly used techniques for statistical modelling are reviewed with focus on the important distinction of risk versus prediction. The final section provides examples of common problems with reporting observational data.
Contributors

Andreas Goette
Author

Peter Bronnum Nielsen
Author

Tatjana Potpara
Author

Laurent Fauchier
Author

Alan John Camm
Author

Elena Arbelo
Author

Giuseppe Boriani
Author

Flemming Skjoeth
Author

John Rumsfeld
Author

Frederick Masoudi
Author

Yutao Guo
Author

Boyoung Joung
Author

Marwan M Refaat
Author

Young-Hoon Kim
Author

Christine M Albert
Author

Jonathan Piccini
Author

Alvaro Avezum
Author

Gregory Y H Lip
Author

Bulent Gorenek
Author

Nikolaos Dagres
Author

Francesco Violi
Author

Xin Du
Author

Masaharu Akao
Author

Eue-Keun Choi
Author

Renato D Lopes
Author

Evren Emin Ozcan
Author

Deirdre Lane
Author

Francisco Marin
Author

Christopher Peter Gale
Author

Kevin Vernooy
Author

Gulmira Kudaiberdieva
Author

Valentina Kutyifa
Author

Vassil B Traykov
Author

Carolina Guevara
Author

Tze-Fan Chao
Author

Sana M Al-Khatib
Author
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