在多中心艾滋病队列研究和妇女机构间艾滋病毒研究中的正确审查和死亡率
Jessie K Edwards1, Tiffany L Breger1, Stephen R Cole1
1Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Epidemiology (Cambridge, Mass.)
|March 24, 2025
概括
流行病学研究中的正确审查,如多中心艾滋病队列研究 (MACS) 和妇女机构间艾滋病毒研究 (WIHS),对死亡率估计的影响最小. 应用审查权重的逆概率进一步提高了准确性.
科学领域:
- 流行病学 流行病学
- 生物统计学 生物统计学
背景情况:
- 正确的审查在流行病学中很常见,用于管理错过的研究访问中缺失的数据.
- 如果被审查的参与者在结果风险上有所不同,审查可能会引入偏见.
研究的目的:
- 评估两次错过访问后审查对死亡率估计的影响.
- 为了评估审查权重的逆概率在缓解偏差方面的有效性.
主要方法:
- 来自多中心艾滋病队列研究 (MACS) 和妇女机构间艾滋病毒研究 (WIHS) 的死亡率数据的分析.
- 在连续两次错过访问后,与没有审查的死亡率估计的比较.
- 审查权重的反向概率的应用.
主要成果:
- 黄金标准的10年死亡率为23% (MACS) 和21% (WIHS).
- 在两个错过的访问中进行审查,适度地减少了估计死亡率的0%-5%.
- 审查权重的反向概率部分纠正了这种减弱.
结论:
- 在连续两次错过访问后进行审查并没有显著改变MACS和WIHS的死亡率估计.
- 审查权重的反向概率在减少审查偏差方面被证明有效.
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