PT - JOURNAL ARTICLE ED - , TI - Understanding observational studies AID - 10.1136/dtb.2016.9.0426 DP - 2016 Sep 01 TA - Drug and Therapeutics Bulletin PG - 105--108 VI - 54 IP - 9 4099 - http://dtb.bmj.com/content/54/9/105.short 4100 - http://dtb.bmj.com/content/54/9/105.full SO - Drug Ther Bull2016 Sep 01; 54 AB - The development of evidence-based medicine has encouraged clinicians to consider the best available evidence when making clinical decisions, individualised for the patient.1,2 A hierarchy of levels of evidence about therapy is described, with the highest being meta-analyses and large, well-designed randomised controlled trials.3-5 Lower down the hierarchy are observational studies, a group that includes cohort, case-control and cross-sectional studies. Here we describe the benefits and limitations of observational studies, and how to assess their quality.