在使用g计算分析的模拟队列数据中,研究时间变化的不受控制的混的结构和大小
Melissa Soohoo1, Onyebuchi A Arah1,2,3
1Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles (UCLA), Los Angeles, CA, USA.
International journal of epidemiology
|October 29, 2023
概括
时间变化的不受控制的混在纵向研究中显著偏差了影响估计. 忽视这些混因素,特别是与结果或暴露相关时,会导致不准确的结果,需要进行定量偏差分析.
科学领域:
- 流行病学 流行病学
- 生物统计学 生物统计学
- 因果推理因果推理
背景情况:
- 估计时间变化的暴露的长期影响需要解决时间变化的混.
- 没有不受控制的混的假设必须超出基线,包括时间变化的因素.
研究的目的:
- 为了说明结构,并量化不受控制的时间变化的混的大小.
- 评估违反顺序条件交换性对g计算估计的影响.
主要方法:
- 利用定向非循环图 (DAG) 来建模时间变化的不受控制的混场景.
- 使用g计算进行模拟,将偏差调整的估计与被排除的混因子的偏差估计进行比较.
- 在各种DAG中比较真实估计 (调整所有混因素) 与偏差估计 (排除不受控制的混因素).
主要成果:
- 时间变化的不受控制的混来自于暴露,结果和混因素之间的复杂关系.
- 当不受控制的混因素直接影响结果时,G计算估计显示出更大的偏差.
- 复杂的DAG,特别是那些具有反循环或随着时间的推移暴露混关系的DAG,产生了最有偏见的效应估计.
结论:
- 时间变化的不受控制的混会在纵向研究中大幅扭曲观察到的效果估计.
- 时间变化的不受控制的混的影响需要在公共卫生研究中得到更多的认可和定量评估.
- 纵向研究需要强大的方法来解决和量化时间变化的混,以获得可靠的发现.
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