在案例对照研究中使用因果推断方法:方法审查
Miceline Mésidor1,2, Mengting Xu3, Awa Diop4,5
1Institut national de la recherche scientifique - Centre Armand Frappier Santé-Biotechnologie, Laval, Canada.
American journal of epidemiology
|August 21, 2025
概括
因果推断方法在病例控制研究中越来越多地使用,尽管仍处于早期发展阶段. 进一步的应用和新技术可以提高这些观察研究结果的有效性.
科学领域:
- 流行病学
- 生物统计学
- 观测研究
背景情况:
- 在队列研究中广泛采用因果推断方法,但在病例控制研究中采用较少的方法.
- 本综述侧重于因果推理技术,特别是在病例对照研究设计的背景下.
- 了解这些方法对于推进流行病学研究至关重要.
研究的目的:
- 提供在病例控制研究中应用的因果推理方法的全面审查.
- 检查这些方法在现有文献中的实际应用.
- 在病例对照研究中发现因果推理的趋势和差距.
主要方法:
- 使用MEDLINE数据库进行了系统的文献搜索.
- 包括在2014年3月至2024年3月期间发表的原始同行评审病例控制研究.
- 研究了拦截调整,倾向得分和双强估计器等方法.
主要成果:
- 在418项确定研究中,23项符合纳入标准.
- 大多数研究都采用病例对照,并专注于事故病例.
- 估计的主要参数是共变量条件概率,其中65%的研究调整了采样偏差.
结论:
- 在病例对照研究中应用因果推断仍处于初始阶段.
- 建议进一步开发和实施这些方法,包括解决时间变化的混问题.
- 增强的因果推断技术可以显著提高病例对照研究结果的可靠性.
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