RT Journal A1 Palen TE T1 PErsonal health records and medical care use—reply JF JAMA JO JAMA YR 2013 FD February 27 VO 309 IS 8 SP 767 OP 768 DO 10.1001/jama.2013.384 UL http://dx.doi.org/10.1001/jama.2013.384 AB I also agree that volunteer bias is a potential problem not only for retrospective studies such as ours, but also for all observational research studies. We attempted to control for volunteer bias in our study by having each cohort serve as their own control and by performing both intracohort and intercohort analyses. Volunteer bias is controlled within a trial by randomization, but it still may occur when patients, clinicians, or sites decide whether to participate.