什么时候,为什么以及如何估计效应在人群之间传输? 对应用可运输性方法的研究进行了范围审查
Fabian Manke-Reimers1, Vincent Brugger2, Till Bärnighausen3,4,5
1Center for Preventive Medicine and Digital Health, Medical Faculty Mannheim, Heidelberg University, Röntgenstraße 7, 68167, Mannheim, Germany. Fabian.manke-reimers@medma.uni-heidelberg.de.
European journal of epidemiology
|April 18, 2025
概括
可转移性方法通过解决人口之间的共同变量差异来提高外部有效性. 本综述详细介绍了它们的应用,强调了新方法及其在从随机试验中转移效果估计中的使用.
科学领域:
- 流行病学 流行病学
- 生物统计学 生物统计学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 研究结果的外部有效性对于概括性至关重要.
- 跨种群的效果异质性限制了研究结果的直接应用.
- 可转移性方法解决了源种群和目标种群之间的共变量分布的差异.
研究的目的:
- 为运输能力方法的应用提供全面的概述.
- 确定这些方法何时,为什么,以及如何被利用.
- 综合从相关文献的范围审查中得出的发现.
主要方法:
- 在多个数据库 (MEDLINE,Embase,Web of Science,EconLit,Google Scholar) 进行系统的文献搜索.
- 纳入标准:2010年至2024年发表的研究,采用运输能力方法,不重叠的来源和目标人群.
- 对64项研究的分析包括了专注于方法开发和应用的研究.
主要成果:
- 包括64项研究,其中超过三分之二是开发新的可运输方法.
- 20项研究纯粹应用了现有方法,主要是运输来自随机对照试验的效果估计.
- 常见的应用包括将效应传递到新种群中,以及评估共变量解释的异质性.
结论:
- 可转移性方法是跨人群知识转移的宝贵工具.
- 需要更多地应用这些方法,并制定使用指南.
- 进一步的研究应该集中在实际实施和标准化上.
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