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Andrea Tricco

@andreatricco

Executive Director & Tier 1 Canada Research Chair, Li Ka Shing Knowledge Institute; Full Professor, University of Toronto; Co-Editor in Chief, Journal of Clinical Epidemiology

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Latest posts by Andrea Tricco @andreatricco

The epistemological trap from the real-world evidence concept. ‘Real-world’ evidence (RWE) and related terms are gaining popularity in scientific literature, usually in reference to evidence collected outside of traditional randomized controlled trials (RCT). How...

The epistemological trap from the real-world evidence concept. - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...

22.02.2026 12:47 👍 7 🔁 3 💬 0 📌 1
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Frontiers | Using an implementation science approach to enhance advance care planning practice: a community case study The process of advance care planning (ACP) can educate and prepare patients and caregivers to make better in-the-moment end of life decisions. Two nationwide...

Check out this recent publication about improving implementation of advance care planning, led by the Geriatric Education & Research Institute in Singapore & co-authored by KT Program Director & Scientist Dr. Sharon Straus:

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bit.ly/4aYYNSZ @andreatricco.bsky.social #ImpSci

04.03.2026 18:11 👍 3 🔁 2 💬 1 📌 0
The influence of exposure and observed mortality definitions when estimating lung cancer attributable mortality to secondhand smoke exposure The estimation of attributable mortality to secondhand smoke (SHS) exposure depends on the conceptual framework used. This framework encompasses the population group considered for observed mortality ...

The influence of exposure and observed mortality definitions when estimating lung cancer attributable mortality to secondhand smoke exposure - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...

22.02.2026 12:47 👍 2 🔁 1 💬 0 📌 0
Ratios are misleading exposure variables that compromise a regression model unless fundamental scaling assumptions are satisfied: a comment on Valente et al •The calculation of simple ratios is ubiquitous in biomedical health research.•Ratios are formulated by dividing a numerator (Y) for a denominator (X) variable.•Ratios are spurious if underlying assum...

Ratios are misleading exposure variables that compromise a regression model unless fundamental scaling assumptions are satisfied: a comment on Valente et al - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...

22.02.2026 12:48 👍 7 🔁 4 💬 0 📌 0
Use of clustering techniques for clinical and epidemiological research: practical tips using an example from rheumatology Clinical and epidemiological researchers may want to identify or determine groups with similar characteristics that exist within a dataset or population. For this purpose, clustering techniques can be...

Use of clustering techniques for clinical and epidemiological research: practical tips using an example from rheumatology - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...

22.02.2026 12:52 👍 3 🔁 1 💬 0 📌 0
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Drug Approvals in Crowded Drug Classes Potentially Reflect Efficacy Over-Estimates and False Positivity: A Portfolio Analysis of Immune Checkpoint Inhibitor Trials Institutions making decisions regarding drug development, approval or insurance reimbursement require accurate estimates of drug efficacy that reflect the drug’s true value. Stein estimation and multi...

Drug Approvals in Crowded Drug Classes Potentially Reflect Efficacy Over-Estimates and False Positivity: A Portfolio Analysis of Immune Checkpoint Inhibitor Trials - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...

22.02.2026 12:57 👍 2 🔁 1 💬 0 📌 0
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Influences on recruitment and retention to mental health randomised controlled trials from the perspective of trial staff: a qualitative evidence synthesis. Poor recruitment and retention are widely reported as problematic for many randomised controlled trials (RCTs). However, there is limited evidence on the context specific challenges faced by trial sta...

Influences on recruitment and retention to mental health randomised controlled trials from the perspective of trial staff: a qualitative evidence synthesis. - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...

22.02.2026 13:02 👍 2 🔁 1 💬 0 📌 0
Evaluating empirical calibration of P-values under unmeasured confounding bias: a simulation study and real-world application To evaluate whether empirical calibration of P-values using negative controls can effectively control Type I and Type II errors under unmeasured confounding bias in both simulated and real-world obser...

Evaluating empirical calibration of P-values under unmeasured confounding bias: a simulation study and real-world application - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...

22.02.2026 13:08 👍 3 🔁 1 💬 0 📌 0
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Evaluation of GRADE Approach Adherence in Clinical Practice Guidelines: A systematic survey of criteria and their applications Many clinical practice guidelines (CPGs) claim to follow the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach, yet their actual adherence remains uncertain. We aimed...

Evaluation of GRADE Approach Adherence in Clinical Practice Guidelines: A systematic survey of criteria and their applications - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...

22.02.2026 13:08 👍 2 🔁 2 💬 0 📌 0
STrategies for developing REseArch Methods guidance (STREAM): protocol Health researchers rely on clear, trustworthy methods guidance (MG) to support the planning, conduct, analysis, and interpretation of their studies (e.g., guidance on study design, data collection, st...

STrategies for developing REseArch Methods guidance (STREAM): protocol - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...

22.02.2026 13:08 👍 2 🔁 1 💬 0 📌 0
Prioritizing topics for a Clinical Practice Guideline on SATB2-Associated Syndrome: Methodological rigor versus clinical usability SATB2-associated syndrome (SAS) is a rare genetic condition characterized by developmental delay and typical features. Currently, an evidence-based Clinical Practice Guideline (CPG) is being developed...

Prioritizing topics for a Clinical Practice Guideline on SATB2-Associated Syndrome: Methodological rigor versus clinical usability - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...

22.02.2026 13:09 👍 2 🔁 1 💬 0 📌 0
No Normal Brain: How Demographic Exclusion Undermines Neuroimaging AI Validity Neuroimaging AI systems increasingly influence clinical decisions, yet demographic exclusions in training datasets may compromise their scientific validity and clinical safety. This analysis examines ...

No Normal Brain: How Demographic Exclusion Undermines Neuroimaging AI Validity - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...

22.02.2026 13:09 👍 3 🔁 2 💬 0 📌 0
Estimating effective sample sizes using standard errors from appropriate analyses of cluster-randomised trials Cluster-randomised trials (CRTs) typically provide less information than similarly sized trials with individual randomisation due to correlation within clusters, i.e., the effective sample size (ESS) ...

Estimating effective sample sizes using standard errors from appropriate analyses of cluster-randomised trials - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...

22.02.2026 13:10 👍 3 🔁 2 💬 0 📌 0
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Psychometric properties and reference values for the instrumented timed-up and go test in adults The instrumented Timed Up and Go (iTUG) test is widely used in assessing mobility and predicting falls. However, the psychometric properties of a smartphone-based iTUG remain unclear, particularly wit...

Psychometric properties and reference values for the instrumented timed-up and go test in adults - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...

22.02.2026 13:10 👍 3 🔁 1 💬 0 📌 0
Existing Research Guidelines for Inclusive Trial Methodology. Working toward the integration of Qualitative Research, Equity, diversity, and inclusion (EDI) and Trial Methodology: a focused mapping re... Equity, diversity, and inclusion (EDI) are increasingly emphasised in clinical research, yet practical guidance for applying inclusion principles across all clinical trial stages remain limited. Quali...

Existing Research Guidelines for Inclusive Trial Methodology. Working toward the integration of Qualitative Research, Equity, diversity, and inclusion (EDI) and Trial Methodology: a focused mapping review. - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...

22.02.2026 13:10 👍 6 🔁 2 💬 0 📌 0
Quantifying new threats to health and biomedical literature integrity from rapidly scaled publications and problematic research The last three years have seen an explosion in published manuscripts analysing open-access health datasets, in many cases presenting misleading or biologically implausible findings. There is a growing...

Quantifying new threats to health and biomedical literature integrity from rapidly scaled publications and problematic research - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...

28.02.2026 16:02 👍 3 🔁 3 💬 0 📌 0
Estimating Causal Effects on Quality of Life Under Treatment Discontinuation: The ALTA-1L Trial Time to worsening in health-related quality of life (HRQoL) is increasingly used in oncology trials. Treatment discontinuation poses a challenge: once discontinued, patients cease HRQoL assessments, p...

Estimating Causal Effects on Quality of Life Under Treatment Discontinuation: The ALTA-1L Trial - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...

28.02.2026 16:03 👍 2 🔁 1 💬 0 📌 0
Crossing the null does not mean “no effect”: a survey of internal medicine physicians on the interpretation of effect estimates with wide confidence intervals Results with confidence intervals (CIs) crossing the null should not be interpreted as indicating no effect. We assessed how often clinicians make this error and explored predictors of correct interpr...

Crossing the null does not mean “no effect”: a survey of internal medicine physicians on the interpretation of effect estimates with wide confidence intervals - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...

28.02.2026 16:03 👍 5 🔁 2 💬 0 📌 0
Rethinking clinical trials in the multimorbidity era: The imperative for patient-centered tailored approaches Multimorbidity, the coexistence of two or more chronic conditions, affects about 40% of all adults and over half of adults over 60. The complexity of multimorbidity often renders traditional trial des...

Rethinking clinical trials in the multimorbidity era: The imperative for patient-centered tailored approaches - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...

28.02.2026 16:04 👍 3 🔁 1 💬 0 📌 0
Practical elements to consider when emulating a target trial When carefully designed and analyzed, target trial emulation, i.e., the analysis of observational data through the explicit emulation of the design components of randomized controlled trials (RCT), ca...

Practical elements to consider when emulating a target trial - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...

28.02.2026 16:04 👍 5 🔁 2 💬 0 📌 0
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Unity Health Toronto’s February Honour Roll Every month, staff, researchers, physicians, learners and teams across Unity Health Toronto celebrate important honours, achievements and awards. Congratulations to all who’ve been recognized in…

Check out the @unityhealthto.bsky.social Honour Roll for February, featuring KT Program Scientist Dr. Jennifer Watt! 😊

unityhealth.to/2026/02/febr...

@uoftmedicine.bsky.social #GeriSky

02.03.2026 21:12 👍 4 🔁 2 💬 0 📌 0

Dr. Tricco shares guidance on patient and public engagement in evidence synthesis, grounded in intersectionality and critical reflexive approaches. She also discusses how SPOR EA co-builds patient and community capacity in research and how to incorporate equity in evidence synthesis.

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27.02.2026 18:57 👍 3 🔁 1 💬 1 📌 0
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KT Canada e-Newsletter

KT Canada newsletter for Feb. 25, 2026:

mailchi.mp/886351ad58a8...

#ImpSci #HealthEquity #HealthEcon

@sporalliance.bsky.social @andreatricco.bsky.social

26.02.2026 19:24 👍 4 🔁 3 💬 0 📌 0

Pls share - upcoming workshop on Advanced Methods for Economic Evaluation: With Health Equity and Person-Level Data

Registration is required but there is no fee.

Download the course PDF for more info, including prerequisites: bit.ly/4kU3GBu

@unityhealthto.bsky.social @andreatricco.bsky.social

23.02.2026 18:16 👍 4 🔁 4 💬 0 📌 0
KT Canada Seminar Series – Dr. Kristin Reynolds – KT Canada

Join us for the next session of the KT Canada Seminar Series!

ktcanada.org/event/kt-can...

#ImpSci #MentalHealth #OlderAdults

@andreatricco.bsky.social

20.02.2026 17:47 👍 2 🔁 2 💬 1 📌 0
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Implementation of the Comparison of Outcomes and Access to Care for Heart Failure (COACH) Trial The Comparison of Outcomes and Access to Care for Heart Failure (COACH) trial demonstrated that use of a point-of-care risk assessment tool and a rapi…

KTP scientists Drs. Tina Fahim, Sharon Straus & team also published a manuscript detailing how the COACH trial was implemented across study sites.

Read that article here! bit.ly/3TqEgic

#ImpSci

@andreatricco.bsky.social

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18.02.2026 22:53 👍 2 🔁 2 💬 0 📌 0
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Trial of an Intervention to Improve Acute Heart Failure Outcomes | NEJM Patients with acute heart failure are frequently or systematically hospitalized, often because the risk of adverse events is uncertain and the options for rapid follow-up are inadequate. Whether th...

February is #HeartMonth!

Learn here about the COACH trial, led by Dr. Doug Lee in collaboration with KTP scientists. The COACH trial, published in the @nejm.org, improved outcomes for patients with acute heart failure outcomes.

Read on: bit.ly/3Ut7ezB

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18.02.2026 22:53 👍 2 🔁 1 💬 1 📌 0
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Looking to assess adherence to TRIPOD+AI?

We have a new #openaccess paper in @jclinepi.bsky.social

"Adherence to TRIPOD+AI guideline: an updated reporting assessment tool"

--> linkinghub.elsevier.com/retrieve/pii...

#machinelearning #AI #metascience #transparency

27.01.2026 21:34 👍 4 🔁 2 💬 0 📌 0
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Evaluation of tools used to assess adherence to PRISMA 2020 reveals inconsistent methods and poor tool implementability: part I of a systematic review Numerous studies have assessed the adherence of published systematic reviews to the PRISMA 2020 statement. We aimed to summarize the characteristics and methods of development of the tools used to ass...

#CochraneDaily Just published! Study of assessments of adherence to PRISMA 2020 reveals inconsistent methods and poor tool implementability, highlighting the need for a standardised #PRISMA 2020 assessment tool, which the authors are working on
www.jclinepi.com/article/S089...
@jclinepi.bsky.social

03.02.2026 08:51 👍 3 🔁 2 💬 0 📌 0
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Implementation and Outcomes of a Perioperative Geriatrics Strategy, PRIME, for Older Adults Undergoing Gastrointestinal Cancer Surgery Older adults undergoing gastrointestinal surgery for cancer or pre-cancerous lesions received a whole pathway perioperative geriatrics strategy which included preoperative comprehensive geriatric assessment, collaborative care between surgery, ...

...to sustain its continued impact across clinical settings and better patient outcomes.

Read the full paper, co-authored by KTP scientist Dr @ericwongmd.bsky.social, here!
pmc.ncbi.nlm.nih.gov/articles/PMC...

#WorldCancerDay #GeriatricOncology #ImpSci #GeriSky
@andreatricco.bsky.social

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04.02.2026 16:48 👍 2 🔁 1 💬 0 📌 0