Healthcare system engagement and algorithm-identified cancer incidence following initiation of a new medication.
Monica E D'ArcyTil StürmerRobert S SandlerJohn A BaronMichele L Jonsson-FunkMelissa A TroesterJennifer L LundPublished in: Pharmacoepidemiology and drug safety (2022)
Lower HU before-and increased HU around AHT initiation-seem to drive excess short-term aiCRC incidence. Person-time and case accrual should only begin when incidence stabilizes. When comparison groups within a study differ by HU, outcome-detection bias may exist. Similar observations may exist in other settings when typical HU is delayed (e.g., cancer screening during SARS-CoV-2).