Evidence Relating Health Care Provider Burnout and Quality of Care
Authors: Daniel S. Tawfik, John P.A. Ioannidis
Journal: Annals of Internal Medicine (2020)

Letters17 March 2020Evidence Relating Health Care Provider Burnout and Quality of CareDaniel S. Tawfik, MD, MS and John P.A. Ioannidis, MD, DScDaniel S. Tawfik, MD, MSStanford University, Stanford, California (D.S.T., J.P.I.) and John P.A. Ioannidis, MD, DScStanford University, Stanford, California (D.S.T., J.P.I.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/L19-0827 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We thank Drs. Mathur and VanderWeele for their comment but believe that they harbor 2 misconceptions. They refer to a test of publication bias, but the literature on these methods has long concluded that none of the tests available (including the EST) is strictly or specifically a test of publication bias (1). In their recent methodological work, Drs. Mathur and VanderWeele unfortunately continue to fuel this misconception and even propose new tests of publication bias (2). We avoided using the definitive term "test of publication bias" in our review and instead only mentioned "potential bias." The EST offers ...References1. Sterne JA, Sutton AJ, Ioannidis JP, et al. Recommendations for examining and interpreting funnel plot asymmetry in meta-analyses of randomised controlled trials. BMJ. 2011;343:d4002. [PMID: 21784880] doi:10.1136/bmj.d4002 CrossrefMedlineGoogle Scholar2. Mathur MB, VanderWeele TJ. Sensitivity analysis for publication bias [preprint]. 29 March 2019. Accessed at https://osf.io/s9dp6 on 20 December 2019. doi:10.31219/osf.io/s9dp6 Google Scholar3. Ioannidis JPA. Clarifications on the application and interpretation of the test for excess significance and its extensions. J Math Psychol. 2013;57:184-7. CrossrefGoogle Scholar4. Ioannidis JP, Trikalinos TA. An exploratory test for an excess of significant findings. Clin Trials. 2007;4:245-53. [PMID: 17715249] CrossrefMedlineGoogle Scholar5. Terrin N, Schmid CH, Lau J, et al. Adjusting for publication bias in the presence of heterogeneity. Stat Med. 2003;22:2113-26. [PMID: 12820277] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Stanford University, Stanford, California (D.S.T., J.P.I.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-1152. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoEvidence Relating Health Care Provider Burnout and Quality of Care Daniel S. Tawfik , Annette Scheid , Jochen Profit , Tait Shanafelt , Mickey Trockel , Kathryn C. Adair , J. Bryan Sexton , and John P.A. Ioannidis Evidence Relating Health Care Provider Burnout and Quality of Care Maya B. Mathur and Tyler J. VanderWeele Metrics Cited byBurnout, mental health, physical symptoms, and coping behaviors in healthcare workers in Belize amidst COVID-19 pandemic: A nationwide cross-sectional studyNurses burnout, resilience and its association with safety culture: a cross sectional study 17 March 2020Volume 172, Issue 6Page: 438-439KeywordsDisclosureHealth care providersHealth care qualitySafety ePublished: 17 March 2020 Issue Published: 17 March 2020 Copyright & PermissionsCopyright © 2020 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...