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The missed lessons of Sir Austin Bradford Hill

Overview of attention for article published in Epidemiologic Perspectives & Innovations, October 2004
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  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (98th percentile)

Mentioned by

blogs
2 blogs
policy
2 policy sources
twitter
47 X users
wikipedia
5 Wikipedia pages
reddit
1 Redditor

Citations

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149 Dimensions

Readers on

mendeley
336 Mendeley
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Title
The missed lessons of Sir Austin Bradford Hill
Published in
Epidemiologic Perspectives & Innovations, October 2004
DOI 10.1186/1742-5573-1-3
Pubmed ID
Authors

Carl V Phillips, Karen J Goodman

Abstract

Austin Bradford Hill's landmark 1965 paper contains several important lessons for the current conduct of epidemiology. Unfortunately, it is almost exclusively cited as the source of the "Bradford-Hill criteria" for inferring causation when association is observed, despite Hill's explicit statement that cause-effect decisions cannot be based on a set of rules. Overlooked are Hill's important lessons about how to make decisions based on epidemiologic evidence. He advised epidemiologists to avoid over-emphasizing statistical significance testing, given the observation that systematic error is often greater than random error. His compelling and intuitive examples point out the need to consider costs and benefits when making decisions about health-promoting interventions. These lessons, which offer ways to dramatically increase the contribution of health science to decision making, are as needed today as they were when Hill presented them.

X Demographics

X Demographics

The data shown below were collected from the profiles of 47 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 336 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 7 2%
United Kingdom 4 1%
Brazil 3 <1%
Germany 2 <1%
Canada 2 <1%
Italy 1 <1%
Cameroon 1 <1%
Ghana 1 <1%
Australia 1 <1%
Other 9 3%
Unknown 305 91%

Demographic breakdown

Readers by professional status Count As %
Student > Master 60 18%
Researcher 53 16%
Student > Ph. D. Student 49 15%
Student > Doctoral Student 21 6%
Student > Bachelor 21 6%
Other 83 25%
Unknown 49 15%
Readers by discipline Count As %
Medicine and Dentistry 133 40%
Nursing and Health Professions 19 6%
Agricultural and Biological Sciences 19 6%
Psychology 19 6%
Social Sciences 18 5%
Other 55 16%
Unknown 73 22%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 52. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 March 2024.
All research outputs
#819,495
of 25,646,963 outputs
Outputs from Epidemiologic Perspectives & Innovations
#1
of 35 outputs
Outputs of similar age
#851
of 76,628 outputs
Outputs of similar age from Epidemiologic Perspectives & Innovations
#1
of 3 outputs
Altmetric has tracked 25,646,963 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 96th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 35 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.7. This one scored the same or higher as 34 of them.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 76,628 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 98% of its contemporaries.
We're also able to compare this research output to 3 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them