如何使用子组分析:医学文献的用户指南
Xin Sun1, John P A Ioannidis2, Thomas Agoritsas3
1Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan, Chinaj2Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
JAMA
|January 23, 2014
概括
临床试验中的子组分析可以指导患者护理,但可能具有误导性. 这项研究提供了五个标准来评估子组声明的有效性,确保在个性化医学中可靠的应用.
科学领域:
- 临床试验 临床试验
- 生物统计学 生物统计学
- 基于证据的医学基于证据的医学.
背景情况:
- 个性化患者护理需要仔细解释临床试验结果.
- 小组分析通常用于个性化治疗,但可以产生虚假的发现.
研究的目的:
- 为临床医生提供评估子组分析有效性的标准.
- 帮助在临床实践中区分可信和不可靠的子组声明.
主要方法:
- 开发评估子组分析的五个标准.
- 标准包括评估机会,跨研究的一致性,先验假设,生物可信性和研究内部/研究之间的比较.
主要成果:
- 拟议的标准为严格评估子组影响提供了一个框架.
- 四个标准适用于单个研究或系统审查;第五个标准是针对系统审查的.
结论:
- 应用这些标准可以增强关于子组分析的临床决策.
- 本指南支持负责任地使用子组数据,以提供个性化的患者护理.
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