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在存在竞争性风险的情况下,权衡风险和收益
Catherine R Lesko1, Lauren C Zalla1, James Heyward1
1Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, MD 21205.
Current epidemiology reports
|October 30, 2024
概括
了解竞争风险对于风险效益分析至关重要. 无条件的风险在决策中比在处理竞争事件时的有条件风险更相关.
科学领域:
- 流行病学 流行病学
- 生物统计学 生物统计学
- 医疗决策的制定 医疗决策的制定
背景情况:
- 在医学研究和公共卫生中,相互竞争的风险是常见的.
- 对竞争性风险的分析方法涉及有关事件发生的不同假设.
- 分析方法的选择会影响风险/收益评估.
研究的目的:
- 对分析竞争风险的两个主要方法的假设和解释进行审查和澄清.
- 评估有条件与无条件风险计算对风险效益分析的影响.
主要方法:
- 对竞争风险的分析方法的审查.
- 条件和无条件风险计算的应用.
- 使用玩具数据集和利益风险比指标进行演示.
主要成果:
- 关于治疗疗效的结论 (有益或有害) 可以根据所选择的风险估计和 (有条件或无条件) 不同.
- 该分析强调了风险-收益结论对处理竞争事件的敏感性.
结论:
- 无条件的风险更适合于对具有竞争结果的风险进行决策.
- 条件和无条件风险分析之间的选择对风险效益评估有重大影响.
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