"趋势"陈述在整形医学文献中的使用
Andrew J Luzzi1, Natalia Czerwonka, Brandon Rogalski
1From the Department of Orthopedic Surgery, Columbia University Medical Center, New York, NY.
The Journal of the American Academy of Orthopaedic Surgeons
|April 10, 2024
概括
骨科研究中的"趋势陈述"通常描述非统计学意义上的发现,可能导致误解. 研究人员应该定义"趋势",并避免从P值大于0.10的P值中得出不必要的结论.
科学领域:
- 整形医学研究 整形医学研究
- 生物统计学 生物统计学
- 科学沟通科学沟通
背景情况:
- 准确的数据解释对于临床决策至关重要.
- P值是有价值的,但也有局限性.
- 对非重大发现的"趋势陈述"引入了主观性和风险不当的结论.
研究的目的:
- 审计骨科研究中使用"趋势陈述"的情况.
- 分析这些陈述的频率和上下文,以寻找非统计学意义上的结果.
主要方法:
- 从2022年1月到2022年12月对原始研究文章的审计.
- 包括四个具有影响力的骨科期刊.
- 对"趋势陈述"和相关的P值进行分析,以确定非显著的发现.
主要成果:
- 在1260篇文章中,81篇 (6.4%) 用"趋势陈述"来描述非显著的结果.
- 只有2.5%的研究定义了什么是"趋势".
- 在28.8%的病例中,与趋势相关的P值为>0.10.
结论:
- "趋势陈述"在骨科文献中适度频繁,用于非显著的发现.
- 由于潜在的误导性影响,建议减少使用"趋势陈述".
- 如果使用",趋势"必须定义,承认缺乏统计学意义,避免做出不当的结论.
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