在元分析中对治疗效果的基于性别的差异的报道声称的评估:一项元研究研究
Lum Kastrati1,2,3, Sara Farina1,4, Angelica Valz Gris1,4
1Meta-Research Innovation Center at Stanford (METRICS), Stanford University, Stanford, California, USA.
BMJ evidence-based medicine
|June 19, 2025
概括
大多数发表的分析声称基于性别的治疗差异缺乏统计支持. 在随机对照试验 (RCT) 中,具有统计学意义和临床可行的性治疗相互作用很少发生.
科学领域:
- 医学研究 医学研究
- 临床试验中的临床试验.
- 进行元分析分析.
背景情况:
- 治疗效果的性别差异对于各种干预和疾病至关重要.
- 评估基于性别的治疗差异的说法对于准确的医疗实践很重要.
研究的目的:
- 评估在已发表的元分析中对治疗效果的基于性别的差异的说法.
- 确定报告的基于性别的治疗差异的统计支持和可信度.
主要方法:
- 随机对照试验 (RCT) 已发表的元分析的系统审查,提及基于性别的子组分析.
- 对统计支持要求的评估 (p<0.05) 和错误要求的分类.
- 使用已确定的标准评估性治疗相互作用的可信度.
主要成果:
- 在216个元分析中,97个提出了115个关于基于性别的差异的说法.
- 在115个说法中,只有27个说法 (23.5%) 有统计支持 (p<0.05).
- 39个说法 (33.9%) 是错误的,往往是误解不显著的差异或仅在一个性别的影响.
结论:
- 在元分析中,大多数关于基于性别的治疗差异的说法缺乏正式的统计支持.
- 从统计学上显著和临床上可行的性治疗相互作用很少见.
- 调查结果强调,需要对基于性别的子组分析进行严格的统计评估.
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