解决选择性结果报告和参考组偏见在围产期流行病学不良出生结果的解决
Sylvester Dodzi Nyadanu1, Gizachew A Tessema2, Gavin Pereira3
1Curtin School of Population Health, Curtin University, Perth, Kent Street, Bentley, Western Australia 6102, Australia.
Public health
|September 17, 2025
概括
关于不利出生结果 (ABOs) 的研究过度强调较小的新生儿,忽视较大的新生儿. 这种选择性报告偏差阻碍了理解. 未来的研究应该使用三位数分类来了解婴儿健康的完整情况.
科学领域:
- 围产期流行病学 围产期流行病学
- 公共卫生研究 公共卫生研究
背景情况:
- 不良分娩结果 (ABOs) 研究不成比例地关注早产和低出生体重等较低的极端.
- 在研究中,更高的极端,包括分娩后和宏观体,代表性不足.
- 选择性结果报告偏差限制了对ABOs的全面理解.
研究的目的:
- 突出报告偏见在ABO的围产期流行病学.
- 倡导解决ABO的较低和较高极端之间的研究差异.
- 建议对ABOs进行三项式分类,以减少偏差.
主要方法:
- 进行了对现有文献的描述性审查.
- 进行了先进的PubMed搜索,比较了ABO的较低与较高极端的研究数字.
- 评估了研究重点方面的差异.
主要成果:
- 在PubMed搜索中,发现了78,693条记录,记录了ABO (小新生儿) 的较低极端.
- 对于ABO (大新生儿) 的更高极端,只发现了11,432条记录.
- 确定了有利于较低极端的重大研究差异.
结论:
- 在ABOs的较低极端上占主导地位,创造了选择性的结果报告偏见.
- 这种偏见阻碍了全面的理解和基于证据的决策.
- 未来的研究应该采用三位数分类 (例如,期限,正常体重,适合妊娠年龄) 来减轻报告和参考组偏见.
相关概念视频
Regression Toward the Mean
6.9K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.9K
Bias in Epidemiological Studies
1.3K
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
1.3K
Strategies for Assessing and Addressing Confounding
364
Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
364
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
407
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
407
Bias
7.2K
Bias refers to any tendency that prevents a question from being considered unprejudiced. In research, bias occurs when one outcome or answer is selected or encouraged over others in sampling or testing. Bias can occur during any research phase, including study design, data collection, analysis, and publication.
In statistics, a sampling bias is created when a sample is collected from a population, and some members of the population are not as likely to be chosen as others (remember, each member...
In statistics, a sampling bias is created when a sample is collected from a population, and some members of the population are not as likely to be chosen as others (remember, each member...
7.2K
Introduction to Epidemiology
1.7K
Epidemiology, known as the cornerstone of public health, involves studying the distribution and determinants of health-related events in defined populations and applying these insights to control health issues. This is essential for understanding how diseases spread, identifying populations at greater risk, and implementing measures to control or prevent outbreaks. Epidemiology addresses not only infectious diseases but also non-communicable conditions like cancer and cardiovascular disease,...
1.7K


