负控制方法的进步:一个范围审查
Qingqing Yang1, Zhirong Yang2, Xianming Cai1
1Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China.
Journal of clinical epidemiology
|December 1, 2023
概括
负控制,包括负控制暴露 (NCE) 和负控制结果 (NCO),有助于检测和纠正观察性研究中的偏差. 目前正在进行方法研究,以完善这些偏差缓解技术.
科学领域:
- 流行病学 流行病学
- 生物统计学 生物统计学
- 观察性研究 观察性研究
背景情况:
- 负对照对于减轻观测研究中的偏见至关重要.
- 对负控制暴露 (NCE) 和负控制结果 (NCO) 的方法正在积极发展.
研究的目的:
- 进行范围审查,总结NCE和NCO的当前方法.
- 确定负控制技术的主要应用和方法重点.
主要方法:
- 在主要数据库 (PubMed,科学网,Embase,Cochrane图书馆) 进行了系统的文献搜索.
- 两个独立的审查员选择了符合条件的研究,并提取了数据.
- 方法论以叙事形式总结,报告包含的文章的数量和百分比.
主要成果:
- 审查了37篇方法论文章,重点关注NCE,NCO或两者.
- 确定的主要应用是偏差检测 (37.8%),偏差校正 (43.3%) 和P值/CI校准 (13.5%).
- 偏差校正方法需要严格的假设,如线性和单调性.
结论:
- 负对照对观察性研究中偏差检测,校准和纠正有价值.
- 偏差校正是方法学上研究最多的应用.
- 需要进一步的研究来优化负控制方法和放松严格的假设.
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