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DOI: 10.1055/a-2734-3124
Research Design Concerns in a TriNetX Analysis of Venous Thromboembolism in Pediatric Cystic Fibrosis Patients
Autor*innen
Dear Editor,
We enjoyed reading Trocchia et al's[1] recently published TriNetX-based study of pediatric cystic fibrosis (CF) patients. The authors found significant associations between venous thromboembolism (VTE) and an increased risk of various gastrointestinal disorders. While TriNetX allows users to analyze large amounts of aggregate patient data,[2] there is a risk of research design oversights when utilizing the automated analysis tools on the platform.[3] In this letter, we analyze some potential limitations of the Trocchia et al study.
Publikationsverlauf
Eingereicht: 13. Oktober 2025
Angenommen: 29. Oktober 2025
Accepted Manuscript online:
30. Oktober 2025
Artikel online veröffentlicht:
10. November 2025
© 2025. Thieme. All rights reserved.
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References
- 1 Trocchia C, Ashour D, Mosha M. et al. Venous thromboembolism occurrence and association with gastrointestinal disorders in children with cystic fibrosis: an analysis from the TriNetX research network global multicenter real-world dataset. Semin Thromb Hemost 2025; 51 (07) 736-744
- 2 Palchuk MB, London JW, Perez-Rey D. et al. A global federated real-world data and analytics platform for research. JAMIA Open 2023; 6 (02) ooad035
- 3 Hsieh CA, Wang J. TriNetX methodology concerns in a retrospective study of sodium-glucose cotransporter-2 inhibitors in transthyretin amyloid cardiomyopathy. Am J Cardiol 2025; 256: 16-17
- 4 Wang M, Hou TC, Wang J. Age filtering in a TriNetX-based study of pediatric rickets. J Pediatr Orthop B 2025; 34 (06) 617-618
- 5 Ley D, Turck D. Digestive outcomes in cystic fibrosis. Best Pract Res Clin Gastroenterol 2022; 56-57: 101788