Choice of Outcome in COVID-19 Studies and Implications for Policy: Mortality and Fatality

Am J Epidemiol. 2022 Jan 24;191(2):282-286. doi: 10.1093/aje/kwab244.

Abstract

In this brief communication, we discuss the confusion of mortality with fatality in the interpretation of evidence in the coronavirus disease 2019 (COVID-19) pandemic, and how this confusion affects the translation of science into policy and practice. We discuss how this confusion has influenced COVID-19 policy in France, Sweden, and the United Kingdom and discuss the implications for decision-making about COVID-19 vaccine distribution. We also discuss how this confusion is an example of a more general statistical fallacy we term the "Missing Link Fallacy."

Keywords: COVID-19; Missing Link Fallacy; fatality; methods; mortality; policy.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • COVID-19 / mortality*
  • Epidemiologic Studies
  • Health Policy*
  • Humans
  • Policy Making*
  • Risk
  • SARS-CoV-2
  • Vulnerable Populations*