Table 1 Issues and proposed solutions for reforming observational studies

From: Observational studies must be reformed before the next pandemic

Issue

Proposed solutions

Contribution to social value

Addressing the right research question

Master protocols to establish priority research questions

Allocates scarce scientific resources to the most pressing questions in an epidemic

Methodological issues

Master protocols and data standards to harmonize study design, data collection, analysis and reporting

Increases methodological rigor of studies and reduces scientific waste

Small sample sizes

Collaborate and consolidate data to improve study quality

Generates externally valid knowledge for clinical or public health practice

Misinterpretation by stakeholders such as health policy-makers, journalists and the public

Lay scientific methods summary in publications

Mitigates the risk of misinterpretation of observational study results