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September 10, 2026International Forum of Allergy & Rhinology

The Power and Peril of TriNetX in Rhinology

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Authors

CMChase F. MoscovicAYAlison J. YuRSRodney J. Schlosser

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Overview

Methodological review uncovers risks of bias in rhinology database research, highlighting the need for study design expertise and platform awareness.

Key Points

  • To examine methodological pitfalls, unrecognized biases, and analytical limitations associated with the rapid adoption of the TriNetX database platform in rhinology research.
  • Narrative review of author experiences and methodological analyses of rhinology abstracts presented at the 2026 American Rhinologic Society spring meeting.
  • Qualitative evaluation of platform-specific features, built-in statistical models, and common confounding biases inherent to large electronic health record networks.
  • Over 10% of research abstracts at the 2026 American Rhinologic Society spring meeting utilized the TriNetX platform.
  • Widespread reliance on automated statistical outputs without rigorous consideration of platform logic regularly creates hidden biases and misleading conclusions.
  • Effective clinical database research requires dedicated interdisciplinary expertise spanning clinical rhinology, formal study design, and platform-specific data limitations.

Cite This Study

Moscovic et al. (2026) studied this question.

synapsesocial.com/papers/6aa27ba958559d80afc75186https://doi.org/10.1002/alr.70269
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