同样的人,不同的结果:在农村-城市连续的癌症登记案例分类
Andrea M Schiefelbein1, John K Krebsbach2, Amy K Taylor3
1Morgridge Institute for Research, Madison, Wisconsin.
概括
选择正确的农村-城市指数对于一致的癌症研究至关重要. 推推农村城市连续性代码 (RUCC) 指数,因为它的可行性和提高研究可比性的能力.
科学领域:
- 流行病学 流行病学
- 生物统计学 生物统计学
- 公共卫生中的地理信息系统 (GIS)
背景情况:
- 在癌症研究中使用不同的农村-城市指数,导致研究不一致性.
- 之前的建议优先考虑地理单位而不是分析可行性.
- 需要一个标准化的指数来提高跨研究的可比性.
研究的目的:
- 评估美国癌症研究的各种农村城市指数.
- 为提高一致性和可比性,推一个单一的指数.
- 评估索引选择对患者分类的影响.
主要方法:
- 根据代码范围,地理属性和分析适用性评估了9个美国城乡指数.
- 对二进制和三进制的农村-城市名称的评估协议率.
- 利用了1569名威斯康星州胰腺癌登记患者来证明索引对分类的影响.
主要成果:
- 六个指数提供了农村-城市分类.
- 对于美国人口来说,对二进制指定的同意率为88.8%,对于癌症患者来说,这一比例下降到73.4%.
- 农村-城市连续代码 (RUCC) 在区分县类型和分析适度方面表现出卓越的表现.
结论:
- 索引选择显著改变了癌症研究中的城市/农村患者分类.
- 建议RUCC作为癌症研究的适当和可行的指数.
- 一贯使用RUCC将提高涉及农村-城市组件的研究的可复制性和可比性.
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