对学者队伍的分析产生了偏见的流行病过剩死亡估计
1Department of Medicine, Stanford University, Stanford, CA 94305; Department of Epidemiology and Population Health, Stanford University, Stanford, CA 94305; Department of Biomedical Data Science, Stanford University, Stanford, CA 94305; Department of Statistics, Stanford University, Stanford, CA 94305; Meta-Research Innovation Center at Stanford, Stanford University, Stanford, CA 94305.
Journal of clinical epidemiology
|June 26, 2024
概括
使用学术死亡数据来估计流行病死亡人数是不可靠的. 缺少数据,非代表性样本和选择性分析使这些名单不适合准确的人口水平过剩死亡计算.
科学领域:
- 流行病学 流行病学
- 人口统计学 人口统计学
- 公共卫生 公共卫生
背景情况:
- 学术人员队伍已被用来估计流行病过度死亡.
- 质疑使用这些专门小组进行人口一级死亡率评估的有效性.
研究的目的:
- 评估使用学术人员死亡数据用于估计普通人口中的流行病过度死亡的可靠性.
- 评估来自学术机构的死亡率数据的代表性和准确性.
主要方法:
- 分析来自中国大陆,英国和希腊学院的会员名单,以及诺贝尔奖获得者.
- 精算风险和流行病死亡率与一般人口的比较.
- 排除具有重大死亡记录缺失的数据集和调查未记录死亡的数据集.
主要成果:
- 在皇家学会和雅典学院的数据集中,大量的死亡数据缺失.
- 中国工程院的疫情前死亡率比普通人口低4-12倍.
- 在中国工程学院 (+158%) 和英国科学院 (+34%) 观察到的流行病死亡风险增加不一致,与国家过度死亡估计不一致.
- 美国诺贝尔奖获得者在疫情期间死亡率下降 (-27%).
结论:
- 来自学术名单的数据对于估计由于失踪,缺乏代表性和不确定性而导致的一般人口过度死亡是不可靠的.
- 对特定学院的选择性分析,比如中国工程学院,可能会扭曲流行病死亡率的发现.
- 方法上的局限性阻止了使用学术队伍进行准确的流行病死亡率监测.
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