有没有设备可以为儿童提供COVID-19的口罩?
Tracy Beth Høeg1,2, Sebastián González-Dambrauskas3,4, Vinay Prasad1
1Department of Epidemiology and Biostatistics, University of California-San Francisco, USA.
Public health in practice (Oxford, England)
|September 25, 2023
概括
关于儿童对COVID-19进行口罩的有效性,仍然存在真正的不确定性,这挑战了对无需进一步随机对照试验的要求. 证据仍然不足以建立这种干预的医学伦理.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医学伦理 医学伦理
背景情况:
- 临床均衡意味着对干预有效性的真正医学不确定性.
- 它通常需要高质量的证据,例如随机对照试验 (RCT),才能认为干预是有效的.
- 美国疾病控制和预防中心的一名官员在2023年2月表示,由于大量的益处证据,儿童口罩的RCT是不必要的,声称没有剩余的平衡.
研究的目的:
- 以儿童掩护为具体例子,审查临床平衡的概念.
- 为继续存在的关于COVID-19儿童口罩的平衡提出论点.
- 在医疗建议中区分临床平衡与道德适当性.
主要方法:
- 关于临床平衡的文献综述.
- 分析与COVID-19儿童口罩相关的证据.
- 均衡与道德考虑之间的概念差异化.
主要成果:
- 儿童口罩的持续失衡的原因包括缺乏专家共识,矛盾的证据和最近/正在进行的RCT.
- 这项研究反对这样的说法,即儿童口罩的设备不再存在.
- 缺乏证明的净益处使推儿童戴口罩的伦理理由变得复杂.
结论:
- 关于儿童对COVID-19进行口罩的有效性的临床平衡仍然存在.
- 尽管声称没有必要进行进一步的试验,但仍然存在重大不确定性.
- 建议儿童戴口罩可能不符合医学伦理,因为没有足够的证据表明净益处.
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