评估定义可观测时间在现实世界数据对结果发生率的影响
Clair Blacketer1,2,3, Frank J DeFalco1,3, Mitchell M Conover1,3
1Coordinating Center, Observational Health Data Sciences and Informatics (OHDSI), New York, NY, 10032, United States.
在现实数据 (RWD) 中定义患者观察期至关重要. 持久性+监测方法提供了最准确的发病率估计,特别是在没有明确入学数据的数据库中.
科学领域:
- 流行病学 流行病学
- 医疗信息学 医疗信息学
- 生物统计学 生物统计学
背景情况:
- 在真实世界数据 (RWD) 中准确的发病率 (IR) 估计依赖于定义患者观察期.
- 在没有明确招生的RWD中常见的推断观察期,可以引入偏见.
研究的目的:
- 评估在RWD中定义观测周期的不同方法.
- 评估这些方法对各种数据库类型的IR估计的影响.
主要方法:
- 应用了三个观察期定义方法:持久性+监测,年龄/性别调整和min/max.
- 在11个RWD数据库 (基于注册和基于遭遇) 上测试了方法.
- 注册时间作为参考标准;IRs和平均平方误差被计算.
主要成果:
- 较长的观察期导致IR减少,因为人时分母增加.
- 持久性+监测方法给出了与入学率最接近的估计.
- 最小/最大方法显示不一致的结果和更高的误差,特别是在基于遭遇的数据库中.
结论:
- 关于数据完整性和可观测性的假设对RWD的IR估计有很大的影响.
- 标准化,透明的方法对于有效和可重复的RWD研究至关重要,特别是那些缺乏定义入学率的研究.
更多相关视频
10:46A Method of Trigonometric Modelling of Seasonal Variation Demonstrated with Multiple Sclerosis Relapse Data
Published on: December 9, 2015
08:24The Joint Effect of Social Comparison and Social Distance on Evaluation of Intertemporal Choice Outcomes in Event-related Potential Studies
Published on: August 25, 2023
相关概念视频
Observational Studies
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
Introduction To Survival Analysis
The primary goal of survival analysis is to estimate survival time—the time...
Comparing the Survival Analysis of Two or More Groups
Data Collection by Observations
An astronomer viewing the motion and brightness of stars in the sky and recording the data is an example of observational data collection. A botanist recording...
Causality in Epidemiology
Actuarial Approach
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
