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Table 1 Types of bias relevant to the environmental sector in the alphabetical order

From: Potential types of bias when estimating causal effects in environmental research and how to interpret them

 

Types of bias

General interpretations

Bias occurring in*

Bias relating to**

Relevant domains of bias***

Source****

1

All’s well literature bias

Occurs when review papers deliberately omit or inadequately address studies that present contrasting results compared to studies yielding the results desired by certain individuals or groups of individuals

Secondary research

Screening

Data synthesis

Screening biases

Data synthesis biases

[28, 34, 36, 48]

2

Allocation bias (Allocation of intervention bias)

Occurs when non-random assignment of participants to study groups (i.e., allocation) creates an imbalance between the groups (i.e., exchangeability does not hold)

Primary research

Exchangeability

Confounding biases

[30, 35, 37, 49]

 

Allocation of intervention bias

See 2 ‘Allocation bias’

    

3

Allocation sequence bias

Occurs when the allocation sequence is not concealed to researchers and the selection creates an imbalance between the study groups (i.e., exchangeability does not hold)

Primary research

Exchangeability

Confounding biases

[34]

4

Analysis bias

Occurs when the knowledge of the results of a study causes inappropriate analyses and selective reporting

Primary research

Secondary research

Reporting

Statistical methods

Data synthesis

Outcome reporting biases

Outcome assessment biases

Data synthesis biases

[30,31,32]

5

Ascertainment bias

Occurs when the ascertainment of subjects or areas included in a study or the ascertainment of measurements or collected data for analysis differs between the groups after the intervention/exposure

Primary research

Exchangeability

Measurement

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

[33, 35, 50]

6

Attention bias (Hawthorne effect)

Occurs when human or animal subjects change their behaviour due to the awareness of being observed by researchers

Primary research

Exchangeability

Measurement

Confounding biases

Performance biases

[28, 35, 37, 51]

7

Attrition bias

Occurs when missing data between groups are unequal, and exchangeability does not hold (cannot be assumed)

Primary research

Exchangeability

Post-intervention/exposure selection biases

[34, 52]

8

Authorization bias

Occurs when there is inability to obtain authorization for use of certain data or documents, and that causes deviation from a true effect

Primary research

Secondary research

Exchangeability

Searching

Confounding biases

Post-intervention/exposure selection biases

Searching biases

[36]

9

Availability bias

Occurs when the information that is readily available differs systematically from the information obtained by aggregating all pertinent data to answer the review question

Secondary research

Searching

Searching biases

[29, 53]

10

Bigwig bias

Occurs when information in documents written by high profile authors differs systematically from the wider evidence base relevant to the review question and is more likely to be cited as evidence in a review

Secondary research

Searching

Screening

Data synthesis

Searching biases

Screening biases

Data synthesis biases

[29]

11

Bogus control bias

Occurs when subjects or areas initially assigned to the intervention/exposure group are taken out from that group or moved to the control (no intervention/exposure) group and the assumption of exchangeability no longer holds

Primary research

Exchangeability

Confounding biases

Post-intervention/exposure selection biases

[28, 34, 36]

12

Case definition bias

Occurs when the intervention/exposure is vaguely described or lacks relevant information, and the vagueness or the lack of information leads to mismeasurement of the intervention/exposure by researchers in an observational study

Primary research

Measurement

Misclassified/mismeasured comparison biases

[34]

13

Channelling bias

Occurs when researchers assign subjects or areas, that are more likely to respond to the intervention/exposure, to the intervention/exposure group, creating an imbalance between the groups (i.e., exchangeability does not hold)

Primary research

Exchangeability

Confounding biases

[33, 34, 38]

14

Chronological bias

Occurs when the timing of allocation of subjects or areas to a group (or groups) is different within or between groups and the time lag influences both the intervention/exposure and the outcome, or the subjects or areas are subject to a deviated intervention/exposure due to the time lag

Primary research

Exchangeability

Measurement

Confounding biases

Performance biases

[33, 38, 54]

15

Citation bias

Occurs when studies with statistically significant results are more likely to be cited as pieces of evidence in a review

Secondary research

Searching

Screening

Data synthesis

Searching biases

Screening biases

Data synthesis biases

[29, 33, 35, 38]

 

Classification bias

See 52 ‘Information bias’

    

16

Cognitive dissonance bias

Occurs when an investigator or a reviewer’s claim about an effect contradicts their obtained evidence due to the investigator or reviewer’s cognitive bias

Primary research

Secondary research

Statistical methods

Data synthesis

Outcome assessment biases

Data synthesis biases

[28, 34]

17

Collider bias

Occurs when conditioning on a variable (i.e., filtering by a certain value of that variable) that is a common effect of the exposure and the outcome

Primary research

Exchangeability

Confounding biases

Post-intervention/exposure selection biases

[55]

18

Compliance bias

Occurs when subjects compliant with the intervention differ from those not compliant in some characteristic and the characteristic is also associated with the outcome, or when non-compliance causes deviated initiation, implementation or discontinuation of the intervention between groups and the deviation is not taken into account

Primary research

Exchangeability

Measurement

Confounding biases

Post-intervention/exposure selection biases

Performance biases

[32, 34,35,36, 56]

19

Confidentiality bias

Occurs when unrestricted research data, that systematically differs from restricted research data, are exclusively used due to commercial or privacy considerations

Primary research

Secondary research

Exchangeability

Searching

Confounding biases

Searching biases

[29]

20

Confirmation bias

Occurs when the information to confirm ideas, beliefs or hypotheses is systematically different from the truth

Primary research

Secondary research

Exchangeability

Measurement

Reporting

Statistical methods

Searching

Screening

Study appraisal and data coding/extraction

Data synthesis

Confounding biases

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

Outcome reporting biases

Outcome assessment biases

Searching biases

Screening biases

Study appraisal and data coding/extraction biases

Data synthesis biases

[34, 57]

21

Conflict of interest

Occurs when a conflict of interest causes a systematic difference in estimation of effect

Primary research

Secondary research

Exchangeability

Measurement

Reporting

Statistical methods

Searching

Screening

Study appraisal and data coding/extraction

Data synthesis

Confounding biases

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

Outcome reporting biases

Outcome assessment biases

Searching biases

Screening biases

Study appraisal and data coding/extraction biases

Data synthesis biases

[33]

22

Confounding bias

Occurs when an uncontrolled (or inappropriately controlled) variable (confounder) that influences both the intervention/exposure and the outcome exists

Primary research

Exchangeability

Confounding biases

[31, 34, 37, 38, 58]

23

Confounding bias by group

Occurs when there is a variable describing communities (groups) and that influences both the intervention or exposure and the outcome

Primary research

Exchangeability

Confounding biases

[35]

24

Confounding bias by indication

Occurs when there exists an indication for the intervention/exposure (a preceding phenomenon that affects the intervention/exposure) or a variable influenced by this indication that affects both the intervention/exposure and the eventual outcome

Primary research

Exchangeability

Confounding biases

[35, 59]

25

Contamination bias

Occurs when subjects or areas in the comparator group (no or alternative intervention/exposure) accidentally receive the intervention/exposure (and vice versa), and this contamination leads to the violation of the assumption of exchangeability

Primary research

Exchangeability

Confounding biases

[28, 34,35,36]

26

Correlation bias

Occurs when equating non-causal association with causal association

Primary research

Secondary research

Exchangeability

Study appraisal and data coding/extraction

Data synthesis

Confounding biases

Study appraisal and data coding/extraction biases

Data synthesis biases

[28, 32, 34, 36, 37]

 

Cost bias

See 100 ‘Resource bias’

    

27

Co-treatment bias

Occurs when inappropriate or unplanned co-treatment(s) is/are used in an experiment that results in confounding or altered treatment(s)

Primary research

Exchangeability

Measurement

Confounding biases

Performance biases

[30, 34]

28

Data capture bias (Data capture error)

Occurs when data capture (data collection and recording) errors favour or disfavour the outcome for the intervention/exposure group or the comparator group

Primary research

Secondary research

Exchangeability

Measurement

Study appraisal and data coding/extraction

Confounding biases

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

Study appraisal and data coding/extraction biases

[34]

 

Data capture error

See 28 ‘Data capture bias’

    

29

Data collection bias

Occurs when data collectors' beliefs influence the way relevant data are collected and that results in inaccurate estimation of an effect

Primary research

Secondary research

Exchangeability

Measurement

Study appraisal and data coding/extraction

Confounding biases

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

Study appraisal and data coding/extraction biases

[31]

 

Data completeness bias

See 68 ‘Missing data bias’

    
 

Data entering bias

See 30 ‘Data entry bias’

    

30

Data entry bias (Data entering bias)

Occurs when omitting data entry, inaccurately entering data, or inaccurately converting hand-written data into digital form

Primary research

Secondary research

Exchangeability

Measurement

Statistical methods

Study appraisal and data coding/extraction

Confounding biases

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

Outcome assessment biases

Study appraisal and data coding/extraction biases

[34, 37]

31

Data merging bias

Occurs when multiple data sets are merged incorrectly and the merged data produce an intentionally or unintentionally inaccurate estimate of an effect

Primary research

Secondary research

Reporting

Statistical methods

Study appraisal and data coding/extraction

Outcome reporting biases

Outcome assessment biases

Study appraisal and data coding/extraction biases

[34]

32

Data-dredging bias (‘Looking for the pony’)

Occurs when the results of inappropriate statistical analyses or synthesis methods, that are not pre-specified, are presented, or statistical or synthesis methods are used inappropriately to support claims

Primary research

Secondary research

Reporting

Statistical methods

Data synthesis

Outcome reporting biases

Outcome assessment biases

Data synthesis biases

[28, 32, 34, 36, 60]

33

Definition bias

Occurs when definitions of important words used in a study or a review are not accurate or precise so that misinterpretation affects estimation of an effect

Primary research

Secondary research

Exchangeability

Measurement

Searching

Screening

Study appraisal and data coding/extraction

Confounding biases

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

Searching biases

Screening biases

Study appraisal and data coding/extraction biases

[32]

34

Design bias

Occurs when inferior experiments or treatments, reflecting a desire for certain results, are employed

Primary research

Exchangeability

Measurement

Confounding biases

Post-intervention/exposure selection biases

Performance biases

Detection biases

[30, 31, 33, 34]

35

Detection bias

Occurs when there are systematic differences in measurement of outcomes between groups

Primary research

Measurement

Detection biases

[15, 33,34,35,36]

36

Differential maturing bias

Occurs when there are uneven secular trends (long-term and sustained changes or patterns) between the groups due to differential maturing, and that creates an imbalance between the groups before the intervention or exposure (time-varying confounding)

Primary research

Exchangeability

Confounding biases

[35]

37

Dissemination bias

Occurs when retrieval of information does not result in a representative sample of studies due to the way study results are disseminated, or when study results affect reporting or dissemination

Primary research

Secondary research

Reporting

Searching

Outcome reporting biases

Searching biases

[35]

38

Distribution assumption bias

Occurs when a data analyst conducts a statistical test under a false assumption of the data distribution or the approach is not justifiable so that the inference is invalid

Primary research

Statistical methods

Outcome assessment biases

[34]

 

Dropout bias

See 120 ‘Withdrawal bias’

    

39

Duplication bias (Multiple publication bias)

Occurs when duplicated research findings are included and synthesised in a review

Secondary research

Screening

Screening biases

[29, 37]

40

End-digit preference bias

Occurs when there are systematic differences in quantitative measurements due to a preference for a certain ending digit (e.g., 0 by rounding up/down rather than retaining the original digits), typically ending with an unusual frequency

Primary research

Secondary research

Statistical methods

Study appraisal and data coding/extraction

Outcome assessment biases

Study appraisal and data coding/extraction biases

[28, 32, 34, 36]

41

Estimator bias

Occurs when an inappropriate estimator (a statistic used to estimate the parameter) is used for estimating the true causal effect (parameter)

Primary research

Secondary research

Statistical methods

Data synthesis

Outcome assessment biases

Data synthesis biases

[34]

42

Exclusion bias

Occurs when the criteria for inclusion of subjects or areas into a study or analysis are applied differently to the intervention/exposure group and the comparator group

Primary research

Exchangeability

Confounding biases

Post-intervention/exposure selection biases

[34, 35, 37]

43

Expectation bias

Occurs when observers err in measurement, recording, or data collection due to prior expectations

Primary research

Secondary research

Exchangeability

Measurement

Searching

Screening

Study appraisal and data coding/extraction

Confounding biases

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

Searching biases

Screening biases

Study appraisal and data coding/extraction biases

[28, 34, 36, 37]

44

Exposure suspicion bias

Occurs when a knowledge or awareness of the subject's or area's exposure status influences selection, measurement, reporting, or analysis

Primary research

Exchangeability

Measurement

Reporting

Statistical methods

Confounding biases

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

Outcome reporting biases

Outcome assessment biases

[28, 35, 36]

45

Familiarity bias

Occurs when reviewers limit searching to documents relevant to their own discipline

Secondary research

Searching

Searching biases

[29]

46

Foreign language exclusion bias

Occurs when language is restricted in a review and studies with certain direction of results or certain topics are more or less likely to be disseminated in the eligible language(s)

Secondary research

Searching

Screening

Searching biases

Screening biases

[34]

47

Friend control bias

Occurs when there is an association of the actual intervention/exposure status between human subjects in the intervention/exposure group and their friends in the comparator group due to mismeasurements, misclassifications of or the lack of adherence to the intervention/exposure

Primary research

Measurement

Performance biases

[35]

 

Handling data bias

See 68 ‘Missing data bias’

    
 

Hawthorne effect

See 6 ‘Attention bias’

    

48

Hot stuff bias

Occurs when research results on hot topics are published even though they are not valid

Primary research

Secondary research

Exchangeability

Measurement

Reporting

Statistical methods

Searching

Screening

Study appraisal and data coding/extraction

Data synthesis

Confounding biases

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

Outcome reporting biases

Outcome assessment biases

Searching biases

Screening biases

Study appraisal and data coding/extraction biases

Data synthesis biases

[28, 34, 36, 61]

49

Inclusion bias

Occurs when inclusion of subjects or areas into a study creates an imbalance between the groups (i.e., exchangeability does not hold)

Primary research

Exchangeability

Confounding biases

Post-intervention/exposure selection biases

[31, 35]

50

Inclusion control bias

Occurs when some subjects or areas of the comparator group also receive the intervention/exposure to some extent (biased towards null when there is an effect)

Primary research

Exchangeability

Confounding biases

Post-intervention/exposure selection biases

[34]

51

Industry sponsorship bias

Occurs when research outcomes are intentionally aligned with the interests of the funding commercial manufacturer, undermining the validity of the inference

Primary research

Secondary research

Exchangeability

Measurement

Reporting

Statistical methods

Searching

Screening

Study appraisal and data coding/extraction

Data synthesis

Confounding biases

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

Outcome reporting biases

Outcome assessment biases

Searching biases

Screening biases

Study appraisal and data coding/extraction biases

Data synthesis biases

[36, 62]

52

Information bias (Observation bias, Classification bias)

Occurs when the information used in a study deviates from the truth

Primary research

Exchangeability

Measurement

Confounding biases

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

[32,33,34, 63]

53

Insensitive measure bias

Occurs when changes or differences in the outcome of interest are not detected accurately due to insufficient methods or inappropriate choice of an outcome variable

Primary research

Measurement

Detection biases

[28, 32, 34, 36, 64]

54

Instrument bias

Occurs when instruments used for measurement are inaccurate, too imprecise or different between groups (hence not comparable between groups)

Primary research

Exchangeability

Measurement

Confounding biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

[28, 32, 34, 36]

55

Interobserver variability bias

Occurs when multiple observers' measurements of the intervention/exposure or the outcome are different, and the differences influence the estimate of an effect

Primary research

Measurement

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

[34]

56

Interpretation bias

Occurs when researchers misinterpret the obtained data and results

Primary research

Secondary research

Statistical methods

Study appraisal and data coding/extraction

Data synthesis

Outcome assessment biases

Study appraisal and data coding/extraction biases

Data synthesis biases

[32, 34]

57

Intra-observer variability bias

Occurs when an observer measures the intervention/exposure or the outcome differently and the differences influence the estimate of an effect

Primary research

Measurement

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

[34]

58

Investigator bias

Occurs when study investigators (measurers) are not blinded and the lack of blinding influences estimation of an effect

Primary research

Exchangeability

Measurement

Confounding biases

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

[37]

59

Laboratory data bias

Occurs when procedures implemented at a laboratory produce a systematic error in the estimate of an effect (may be confirmed by comparing data from multiple laboratories)

Primary research

Exchangeability

Measurement

Confounding biases

Post-intervention/exposure selection biases

Performance biases

Detection biases

[34]

60

Lack of blinding bias

Occurs when the lack of concealment of the intervention, exposure or control received by subjects or areas affects selection of subjects, areas or data, measurement of the treatment or the outcome, and/or assessment of the effectiveness or the impact

Primary research

Exchangeability

Measurement

Statistical methods

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

Outcome assessment biases

[65]

 

Lack of intention to treat analysis bias

See 117 ‘Treatment analysis bias’

    

61

Language bias

Occurs when studies with certain results or topics are more likely to be published in a certain language

Secondary research

Searching

Screening

Searching biases

Screening biases

[29, 35, 66]

62

Latency bias

Occurs when the outcome is assessed in an inappropriate time interval (i.e., the time interval is too short or long) for the intended assessment of causal effect

Primary research

Secondary research

Statistical methods

Data synthesis

Outcome assessment biases

Data synthesis biases

[34]

63

Literature search bias

Occurs when searching of literature does not capture a representative sample of all existing studies relative to the review question

Secondary research

Searching

Searching biases

[34]

64

Location bias

Occurs when some journals are not indexed in all databases so that the choice of databases influences results of literature searching

Secondary research

Searching

Searching biases

[29]

 

‘Looking for the pony’

See 32 ‘Data-dredging bias’

    
 

Loss to follow-up bias

See 120 ‘Withdrawal bias’

    

65

Measurement bias

Occurs when measurements of relevant variables are not accurate or precise enough

Primary research

Measurement

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

[31]

66

Meta-analysis bias

Occurs when meta-analyses based on a non-representative sample of studies are conducted

Primary research

Secondary research

Searching

Screening

Study appraisal and data coding/extraction

Data synthesis

Searching biases

Screening biases

Study appraisal and data coding/extraction biases

Data synthesis biases

[36]

67

Misclassification bias

Occurs when subjects or areas, or the exposure or intervention is misclassified, and that distorts the association between the intervention/exposure and the outcome

Primary research

Exchangeability

Measurement

Confounding biases

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

[32, 34,35,36, 38, 67]

68

Missing data bias (Handling data bias, Data completeness bias)

Occurs when there is an imbalance in missing data between the comparison groups

Primary research

Exchangeability

Post-intervention/exposure selection biases

[34]

69

Misuse of statistics

Occurs when descriptive or inferential statistical analysis is inappropriately conducted, resulting in unjustified and invalid conclusions about the estimate of an effect

Primary research

Secondary research

Statistical methods

Data synthesis

Outcome assessment biases

Data synthesis biases

[37]

70

Multiple exposure bias

Occurs when another exposure acts as a confounder affecting both the exposure of interest and the outcome

Primary research

Exchangeability

Confounding biases

[34]

 

Multiple publication bias

See 39 ‘Duplication bias’

    
 

Neyman bias

See 89 ‘Prevalence-incidence bias’

    

71

Non-contemporaneous control bias (Non-simultaneous comparison bias)

Occurs when there is a systematic difference in the timing of observation or investigation between the intervention/exposure and the control (or alternative intervention/exposure), and exchangeability between groups cannot be assumed due to the time difference

Primary research

Exchangeability

Confounding biases

[28, 34, 36, 37, 68]

72

Non-random sampling bias

Occurs when non-random sampling results in an imbalance between the intervention/exposure and the comparator groups (i.e., exchangeability does not hold)

Primary research

Exchangeability

Confounding biases

Post-intervention/exposure selection biases

[34, 35, 37]

73

Non-respondent bias

Occurs when there is unequal loss of human subjects between the groups due to non-responses, or when there is a systematic difference in outcome measurement between the groups due to late and/or early responses

Primary research

Exchangeability

Measurement

Post-intervention/exposure selection biases

Detection biases

[28, 35, 37, 69]

74

Non-specification bias

Occurs when the intended intervention or exposure is not clearly defined, and an unintentional intervention or exposure occurs that influences both the intended intervention or exposure and the outcome

Primary research

Exchangeability

Confounding biases

[36]

 

Non-simultaneous comparison bias

See 71 ‘Non-contemporaneous control bias’

    

75

Novelty bias

Occurs when the interventions or exposures are reported to have a greater effect simply because they are novel

Primary research

Secondary research

Exchangeability

Measurement

Reporting

Statistical methods

Searching

Screening

Study appraisal and data coding/extraction

Data synthesis

Confounding biases

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

Outcome reporting biases

Outcome assessment biases

Searching biases

Screening biases

Study appraisal and data coding/extraction biases

Data synthesis biases

[70]

76

Obsequiousness bias

Occurs when human subjects alter questionnaire answers due to perception of the desired direction of the outcome held by investigators

Primary research

Measurement

Detection biases

[28, 34,35,36,37]

 

Observation bias

See 52 ‘Information bias’

    

77

Observer bias

Occurs when there are systematic differences in the process of observing and recording information between the groups in primary research

Primary research

Exchangeability

Measurement

Confounding biases

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

[14, 34, 35]

78

Omitted-variable bias

Occurs when one or more important explanatory variables are not included in a regression model where omission of such variables is not appropriate for estimating an effect

Primary research

Statistical methods

Outcome assessment biases

[34, 35]

79

One-sided reference bias

Occurs when citing references to only those supporting one side of available evidence and hence systematically deviating from the truth

Secondary research

Searching

Screening

Searching biases

Screening biases

[28, 34, 36, 71]

80

Optimism bias

Occurs when researchers' or study subjects' beliefs that new interventions are better than established ones influence a study or review

Primary research

Secondary research

Exchangeability

Measurement

Reporting

Statistical methods

Searching

Screening

Study appraisal and data coding/extraction

Data synthesis

Confounding biases

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

Outcome reporting biases

Outcome assessment biases

Searching biases

Screening biases

Study appraisal and data coding/extraction biases

Data synthesis biases

[33]

81

Outcome reporting bias

Occurs when outcomes are selectively reported in a published document

Primary research

Reporting

Outcome reporting biases

[72]

 

Outlier handling bias

See 115 ‘Tidying-up bias’

    

82

Overmatching bias

Occurs when researchers match by (also ‘block on’, meaning filter by a certain value of that variable) a non-confounding variable that is associated with the intervention/exposure but not to the outcome

Primary research

Exchangeability

Confounding biases

[34, 35]

83

Perception bias

Occurs when relevant information or subjects, areas, interventions, exposures, controls, alternative interventions, alternative exposures or outcomes are misinterpreted in a study or review

Primary research

Secondary research

Exchangeability

Measurement

Reporting

Statistical methods

Searching

Screening

Study appraisal and data coding/extraction

Data synthesis

Confounding biases

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

Outcome reporting biases

Outcome assessment biases

Searching biases

Screening biases

Study appraisal and data coding/extraction biases

Data synthesis biases

[73]

84

Performance bias (Procedure bias)

Occurs when the treatment procedure of interest is altered without changing the inferential goal in an experimental study

Primary research

Measurement

Performance biases

[32,33,34, 38, 74]

85

Positive results bias

Occurs when positive results are more likely to be disseminated or submitted and accepted for publication than non-significant or negative results

Primary research

Secondary research

Reporting

Searching

Screening

Outcome reporting biases

Searching biases

Screening biases

[28, 34, 36, 75]

 

Post hoc analysis bias

See 86 ‘Post hoc analysis bias’

    

86

Post-hoc significant bias (Post hoc analysis bias)

Occurs when researchers choose a critical significance level (α, 0.05 is commonly employed), and/or set a non-directional (two-tailed) or directional (one-tailed) hypothesis after some examination of data in an attempt to yield significant results

Primary research

Secondary research

Statistical methods

Data synthesis

Outcome assessment biases

Data synthesis biases

[28, 32, 34,35,36,37]

87

Pre-publication bias

Occurs when previously published research, that is errant, is used to support a particular outcome in primary research

Primary research

Exchangeability

Measurement

Reporting

Statistical methods

Confounding biases

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

Outcome reporting biases

Outcome assessment biases

[30]

88

Prevailing paradigm bias

Occurs when studies that are relevant to or support prevailing paradigms are more likely to be published in academic journals

Primary research

Secondary research

Reporting

Searching

Screening

Outcome reporting biases

Searching biases

Screening biases

[29]

89

Prevalence-incidence bias (Neyman bias, Selective survival bias)

Occurs when uneven exclusion or attrition of subjects or areas with severe or mild responses occurs between the groups, and the assumption of exchangeability no longer holds

Primary research

Exchangeability

Post-intervention/exposure selection biases

[28, 32, 34,35,36,37, 76]

 

Procedure bias

See 84 ‘Performance bias’

    

90

Proficiency bias

Occurs when the intervention/exposure under study is unequally applied to individual subjects or areas due to interpersonal or intrapersonal differences

Primary research

Measurement

Performance biases

[32, 34, 36]

91

Publication bias

Occurs when the likelihood of a study being accepted for publication is influenced by the results of the study

Primary research

Secondary research

Reporting

Searching

Screening

Outcome reporting biases

Searching biases

Screening biases

[29, 31, 32, 35, 37, 77]

92

Recall bias

Occurs when recall of relevant events or experiences by human subjects is inaccurate or incomplete

Primary research

Measurement

Misclassified/mismeasured comparison biases

Detection biases

[32,33,34,35,36,37,38, 78]

93

Reference bias

Occurs when studies referenced as evidence in a review are not a representative sample of all existing studies relative to the review question

Secondary research

Searching

Screening

Data synthesis

Searching biases

Screening biases

Data synthesis biases

[29]

94

Regression dilution bias

Occurs when imprecise measurements of the intervention/exposure are used to estimate the effect of the intervention/exposure in an observational study

Primary research

Measurement

Misclassified/mismeasured comparison biases

[35]

95

Relative control bias

Occurs when there is an association of the actual intervention/exposure status between the intervention/exposure group and the comparator group due to mismeasurements, misclassifications of or the lack of adherence to the intervention/exposure

Primary research

Measurement

Misclassified/mismeasured comparison biases

Performance biases

[35]

96

Repeated peeks bias

Occurs when repeated peeks at accumulating data in a study or review leads to inappropriate termination of data collection

Primary research

Secondary research

Exchangeability

Measurement

Searching

Screening

Study appraisal and data coding/extraction

Confounding biases

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

Searching biases

Screening biases

Study appraisal and data coding/extraction biases

[28, 34, 36]

97

Reporting bias

Occurs when certain results of a study or certain studies are more likely to be reported or unreported

Primary research

Secondary research

Reporting

Searching

Screening

Outcome reporting biases

Searching biases

Screening biases

[30, 34, 79]

98

Research bias

Occurs when studies are carried out and reported on specific organisms or systems, or in particular conditions, because of varying levels of practicality or the anticipation of specific outcomes

Primary research

Secondary research

Reporting

Searching

Screening

Outcome reporting biases

Searching biases

Screening biases

[29]

99

Researcher bias (Sponsor bias)

Occurs when fraud or manipulation of research design, data or results occurs due to vested interests of researchers and organisations

Primary research

Secondary research

Exchangeability

Measurement

Reporting

Statistical methods

Searching

Screening

Study appraisal and data coding/extraction

Data synthesis

Confounding biases

Post-intervention/exposure selection biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

Outcome reporting biases

Outcome assessment biases

Searching biases

Screening biases

Study appraisal and data coding/extraction biases

Data synthesis biases

[30]

100

Resource bias (Cost bias)

Occurs when available budget or resources limit searching for evidence, resulting in a systematic difference between the identified and missed studies

Secondary research

Searching

Searching biases

[29]

101

Response fatigue bias

Occurs when study subjects suffer from fatigue due to implementation of the intervention/exposure and their responses are not obtained or they did not go through the entire process of the intended intervention/exposure

Primary research

Exchangeability

Measurement

Post-intervention/exposure selection biases

Performance biases

[34]

102

Review bias

Occurs when a researcher's prior knowledge or belief triggers misinterpretation of available data on the intervention/exposure or the outcome in primary research

Primary research

Measurement

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

[34]

103

Reviewer bias

Occurs when the selection of studies from the available evidence is not a representative sample of all existing studies relative to the review question

Secondary research

Searching

Screening

Study appraisal and data coding/extraction

Data synthesis

Searching biases

Screening biases

Study appraisal and data coding/extraction biases

Data synthesis biases

[30]

 

Rumination bias

See 118 ‘Underlying cause bias’

    
 

Sample size bias

See 121 ‘Wrong sample size bias’

    

104

Sampling bias

Occurs when exchangeability between groups does not hold due to employed sampling techniques

Primary research

Exchangeability

Confounding biases

Post-intervention/exposure selection biases

[34]

105

Scale degradation bias

Occurs when researchers make outcome measurement scales less precise or accurate to obscure differences between groups under comparison

Primary research

Secondary research

Measurement

Study appraisal and data coding/extraction

Detection biases

Study appraisal and data coding/extraction biases

[28, 34, 36]

106

Selection bias

Occurs when exchangeability between groups does not hold due to the way that selection of subjects or areas into the study or analysis is carried out

Primary research

Exchangeability

Confounding biases

Post-intervention/exposure selection biases

[33,34,35, 37, 38, 80]

 

Selective survival bias

See 89 ‘Prevalence-incidence bias’

    

107

Sick quitter bias

Occurs when the exposure or intervention that specific subjects receive is inaccurately measured or classified due to changes in the subjects' behaviour caused by sickness (e.g., lack of adherence, reclassification from intervention/exposure to no intervention/exposure by the researchers after the intervention/exposure is applied)

Primary research

Measurement

Misclassified/mismeasured comparison biases

Performance biases

[35]

108

Significance bias

Occurs when statistical significance is confused with environmental, ecological, biological or agricultural significance

Secondary research

Study appraisal and data coding/extraction

Data synthesis

Study appraisal and data coding/extraction biases

Data synthesis biases

[28, 32, 34, 36, 37]

109

Spatial bias

Occurs when populations that are spatially distinct are compared, and this spatial difference affects both the intervention/exposure and the outcome being studied

Primary research

Exchangeability

Confounding biases

[34]

110

Spin bias

Occurs when research findings or data are inappropriately used or interpreted to support or oppose effectiveness or impact

Primary research

Secondary research

Reporting

Statistical methods

Screening

Study appraisal and data coding/extraction

Data synthesis

Outcome reporting biases

Outcome assessment biases

Screening biases

Study appraisal and data coding/extraction biases

Data synthesis biases

[81]

 

Sponsor bias

See 99 ‘Researcher bias’

    

111

Starting time bias

Occurs when starting time for the intervention/exposure or outcome measurement is different within or between groups and the time lag (or variable influenced by the time lag) influences both the intervention/exposure and the outcome or causes inaccurate measurements of the intervention/exposure or the outcome

Primary research

Exchangeability

Measurement

Confounding biases

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

[28, 34, 36, 82]

112

Substitution game bias

Occurs when substitution of the outcome or the intervention/exposure with a surrogate is imprecise or inaccurate

Primary research

Measurement

Misclassified/mismeasured comparison biases

Performance biases

Detection biases

[28, 34, 36, 83]

113

Susceptibility bias (Vulnerability bias)

Occurs when different study groups have different characteristics and the difference indicates that one group is more or less susceptible to the exposure (i.e., the characteristics are associated with the exposure and thus the difference creates an imbalance between the groups, meaning exchangeability does not hold)

Primary research

Exchangeability

Confounding biases

Post-intervention/exposure selection biases

[33,34,35,36]

114

Temporal bias

Occurs when studies with smaller p-values or larger effects are more likely to be published in academic journals more rapidly

Secondary research

Searching

Screening

Searching biases

Screening biases

[29]

115

Tidying-up bias (Outlier handling bias)

Occurs when outliers or other untidy measurements or results are inappropriately excluded or non-reported

Primary research

Secondary research

Reporting

Statistical methods

Study appraisal and data coding/extraction

Data synthesis

Outcome reporting biases

Outcome assessment biases

Study appraisal and data coding/extraction biases

Data synthesis biases

[28, 32, 34, 36, 37]

116

Transfer bias

Occurs when a certain aspect of a study leads to uneven losses in follow-up between the groups

Primary research

Exchangeability

Post-intervention/exposure selection biases

[32, 33, 38]

117

Treatment analysis bias (Lack of intention to treat analysis bias)

Occurs when researchers fail to keep subjects or areas in the group they are assigned to, when there is deviation from the intended treatment, or when subjects do not adhere to the assigned treatment

Primary research

Exchangeability

Measurement

Confounding biases

Performance biases

[34, 35]

118

Underlying cause bias (Rumination bias)

Occurs when the intervention or exposure (group) is more carefully planned and implemented than the control (no intervention or exposure), and that results in imbalances between the groups or misclassification or mismeasurement of control

Primary research

Exchangeability

Measurement

Confounding biases

Misclassified/mismeasured comparison biases

[28, 32, 34,35,36]

119

Volunteer bias

Occurs when human subjects involved in a study differ in some way among those in the intervention/exposure group or between groups due to willingness to participate as volunteers

Primary research

Exchangeability

Measurement

Confounding biases

Post-intervention/exposure selection biases

Performance biases

[28, 32, 34, 36, 37, 84]

 

Vulnerability bias

See 113 ‘Susceptibility bias’

    

120

Withdrawal bias (Dropout bias, Loss to follow-up bias)

Occurs when subjects who have dropped out of a study differ from remaining subjects, and the differences modify the effectiveness or impact

Primary research

Exchangeability

Confounding biases

Post-intervention/exposure selection biases

[28, 32, 34,35,36,37]

121

Wrong sample size bias (Sample size bias)

Occurs when used sample size is inappropriate in a study or analysis for assessing the effect of the intervention or exposure due to violation of the assumption that exchangeability holds or the hypothesis can be tested with the collected samples

Primary research

Exchangeability

Statistical methods

Confounding biases

Post-intervention/exposure selection biases

Outcome assessment biases

[28, 34, 36, 85]

  1. Synonyms are provided in brackets. Note that these general interpretations assume that no statistical corrections or adjustments are made for providing valid estimates
  2. *Primary research and/or secondary research. **Selected from the following items which are also provided in Fig. 2: (1) exchangeability; (2) measurement; (3) reporting; (4) statistical methods; (5) searching; (6) screening; (7) study appraisal and data coding/extraction; and (8) data synthesis. ***Domains are (1) confounding biases; (2) post-intervention/exposure selection biases; (3) misclassified/mismeasured comparison biases; (4) performance biases; (5) detection biases; (6) outcome reporting biases; (7) outcome assessment biases; (8) searching biases; (9) screening biases; (10) study appraisal and data coding/extraction biases; and (11) data synthesis biases. ****Documents and specific webpages of Catalogue of Bias that provided descriptions of the biases