在兄弟姐妹分析中超越风险比率:从基于家庭的分析中估计临床有用的措施
Viktor H Ahlqvist1,2, Hugo Sjöqvist3, Arvid Sjölander4
1Department of Biomedicine, Aarhus University, Aarhus, Denmark.
medRxiv : the preprint server for health sciences
|June 4, 2025
概括
边缘化的内在框架通过提供绝对风险估计来增强基于家庭的分析,提供比单独的传统相对措施更容易解释的见解. 这种方法提高了对健康研究中的家庭混的理解.
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:
- 基于家庭的研究往往依赖于相对效应的措施,如几率比率.
- 这些措施可能会限制研究结果的临床解释性和政策相关性.
- 共同的家族因素可能会混这些相对影响的解释.
研究的目的:
- 引入和展示基于家庭的分析的边缘化内部 (MBW) 框架.
- 为了使绝对风险和临床相关指标的估计.
- 在流行病学研究中考虑共享的家族混.
主要方法:
- 关于兄弟姐妹比较方法和MBW框架的概述.
- 将MBW模型应用于瑞典登记处关于母亲吸烟和婴儿死亡率的数据.
- 估计绝对风险差异,平均治疗效应,可归因的分数和损害所需的数量.
主要成果:
- MBW 模型将效应分解为家族内部和家族间的组件.
- 它可以对绝对量度进行估计,提供比相对估计更容易解释的见解.
- 从MBW框架中得出的绝对措施在这个例子中提供了与政策相关的见解.
结论:
- MBW框架提高了基于家庭的分析的解释性.
- 它允许对二进制和时间到事件结果进行绝对和政策相关的估计.
- 这种方法超越了仅仅依赖相对效应措施的局限性.
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