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在使用试验顺序分析的 ортодонтика元分析中信息大小不足和潜在的错误结果
Samer Mheissen1, Mays Aldandan2, Haris Khan3
1Syrian Board in Orthodontics, Private Practice, Damascus, Syria.
European journal of orthodontics
|August 14, 2023
概括
试验序列分析 (TSA) 显示,由于信息大小不足,许多正统牙科元分析 (MA) 产生了潜在的错误阳性结果. 这凸显了在正义牙科系统审查中需要进行强有力的证据评估的必要性.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 生物统计学 生物统计学
- 基于证据的牙科.
背景情况:
- 分析 (MA) 是系统审查 (SRs) 的统计方法.
- 由于系统和随机错误,MA可能导致过高/低估效应.
- 试验序列分析 (TSA) 解决了MA的限制.
研究的目的:
- 使用TSA重新评估正牙MAs.
- 调查MA调查结果的确性.
- 估计 ортодонтических MAs所需的信息大小 (IS).
主要方法:
- 2013-2022年出版的带有MA的精选正学SRs.
- 从包含的MA中提取了手臂级数据.
- 使用TSA软件重新分析数据.
主要成果:
- 在分析中包括了50个具有MA的SR.
- 几乎一半的显著MAs显示了确的证据;38%显示了潜在的虚假证据.
- 微不足道的MA很少表明缺乏效果;当没有证据时,需要更多的患者.
结论:
- 许多正牙MAs可能有错误的阳性结果.
- ортодонтических MA 往往没有足够的信息大小.
- TSA对于评估 ортодонтикаMA发现的可靠性至关重要.
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