关于心胸干预的观察性研究中的混调整:方法论实践的系统审查
Bart J J Velders1,2, J W Taco Boltje3, Michiel D Vriesendorp1
1Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, Netherlands.
概括
在心胸外科手术研究中报告混调整方法是不够的. 改善报告对于准确的因果推断和治疗策略中的临床决策至关重要.
科学领域:
- 心胸外科手术 心胸外科手术
- 观察性研究 观察性研究
- 生物统计学 生物统计学
背景情况:
- 混调整方法对于观测研究中的有效推断至关重要.
- 这些方法在心胸外科手术中的当前应用和报告质量尚不清楚.
研究的目的:
- 系统评估混调整方法的行为质量和报告质量.
- 在关于心胸干预的观察性研究中确定当前的做法.
主要方法:
- 对比干预措施的观察性研究进行系统审查.
- 包括2022年1月1日至7月1日期间发表在3个欧洲/美国心胸学期刊上的研究.
- 详细的提取和描述混调整方法和混选择.
主要成果:
- 分析了92篇文章. 结果回归 (53%) 和倾向分数 (PS) 匹配 (48%) 是最常见的; 12% 没有使用任何方法.
- 混选择报告不足;46%的人没有报告该方法.
- 对于PS匹配研究,匹配的队列平均占总人口的46%.
结论:
- 在观察性心胸外科手术研究中,报告混调整方法往往不足,阻碍了质量评估.
- 这些方法的适当应用和透明报告对于可靠的因果推断至关重要.
- 报告的改进是必要的,以支持基于证据的临床实践和治疗策略的发展.
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