用于识别常规收集数据的观察性研究中的变量算法的验证和影响
1Institute of Integrated Traditional Chinese and Western Medicine, Chinese Evidence-based Medicine and Cochrane China Center, West China Hospital, Sichuan University, Chengdu 610041, China; NMPA Key Laboratory for Real World Data Research and Evaluation in Hainan, Chengdu 610041, China; Sichuan Center of Technology Innovation for Real World Data, Chengdu 610041, China.
Journal of clinical epidemiology
|December 3, 2023
概括
在观察性健康数据中识别研究变量的算法通常没有得到验证,导致不可靠的治疗效果估计. 研究人员必须改进验证方法和报告,以确保可靠的真实世界证据.
科学领域:
- 观察性健康数据科学数据科学
- 现实世界的证据研究研究.
- 药物监督 药物监督 药物监督
背景情况:
- 常规收集的健康数据 (RCD) 越来越多地用于治疗效果估计.
- 在RCD中,算法对于识别研究变量 (人群,暴露,结果) 是至关重要的.
- 这些算法的可靠性和对治疗效果估计的影响尚不清楚.
研究的目的:
- 调查用于从RCD中识别研究变量的算法的验证.
- 检查使用替代算法对治疗效果估计的影响.
主要方法:
- 2018年发表的使用RCD的观测研究的系统综述.
- 提取有关算法报告,验证方法和解释的信息.
- 使用初级与替代算法评估效果估计差异的评估.
主要成果:
- 只有26.6%的研究报告算法验证,许多验证具有方法上的限制.
- 当使用替代算法时,观察到不同的治疗效果估计,特别是对结果分类 (45.5%).
- 很少有研究 (14.4%) 讨论了算法对治疗效果估计的潜在影响.
结论:
- 在RCD研究中算法验证在方法和性能方面往往不足.
- 选择的算法可以显著影响治疗效果的估计,但这经常被忽视.
- 改进算法验证的标准化和报告是强大的现实世界证据生成的必要条件.
相关概念视频
Biostatistics: Overview
251
Biostatistics plays a crucial role in understanding and analyzing data in healthcare and biology. Biostatisticians conduct experiments, gather evidence, and draw meaningful conclusions using statistical methods and techniques. Different variables form the foundation of biostatistical analysis, allowing researchers to understand and interpret data effectively. These variables are classified into different types, each serving a specific purpose in statistical analysis.
Discrete variables are...
Discrete variables are...
251
What is an Experiment?
11.6K
An experiment is a planned activity carried out under controlled conditions. The purpose of an experiment is to investigate the relationship between two variables. When one variable causes change in another, we call the first variable the explanatory or independent variable. The affected variable is called the response or dependent variable. In a randomized experiment, the researcher manipulates values of the explanatory variable and measures the resulting changes in the response variable. The...
11.6K
Observational Studies
8.7K
Observational studies are a type of analytical study where researchers observe events without any interventions. In other words, the researcher does not influence the response variable or the experiment's outcome.
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
8.7K
Bias in Epidemiological Studies
291
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
291
Confounding in Epidemiological Studies
170
Confounding in statistical epidemiology represents a pivotal challenge, referring to the distortion in the perceived relationship between an exposure and an outcome due to the presence of a third variable, known as a confounder. This variable is associated with both the exposure and the outcome but is not a direct link in their causal chain. Its presence can lead to erroneous interpretations of the exposure's effect, either exaggerating or underestimating the true association. This...
170
Strategies for Assessing and Addressing Confounding
102
Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
102


