在随机对照试验中估计相对风险和风险差异:对当前实践的系统审查
Jacqueline Thompson1, Samuel I Watson2, Lee Middleton2
1Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, West Midlands, B15 2TT, UK. J.Y.Thompson@bham.ac.uk.
Trials
|January 3, 2025
概括
大约一半的随机对照试验 (RCT) 报告了同变量调整的相对风险或风险差异. 许多研究缺乏估计方法的细节,报告时常见的是二项式和修改的Poisson模型.
科学领域:
- 生物统计学 生物统计学
- 临床试验方法论 临床试验方法论
- 流行病学 流行病学
背景情况:
- 指南建议报告随机对照试验 (RCT) 中二元结果的相对风险和风险差异.
- 为了估计这些对共变量调整后的效应,存在各种统计方法.
- 本研究评估了这些方法在高影响力的医学期刊中的应用.
结论:
- 大约50%的RCT报告了对共变量调整后的效果措施,与指导方针保持一致.
- 相当多的RCT提供了对共变量调整的方法细节不足.
- 当报告时,二项式模型,修改Poisson和边际标准化是普遍的统计方法.
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