如何选择切断点:统计和临床观点
Boohwi Hong1, Chahyun Oh1, Sang Gyu Kwak2
1Department of Anesthesiology and Pain Medicine, Chungnam National University Hospital, College of Medicine, Chungnam National University, Daejeon, Korea.
Korean journal of anesthesiology
|March 9, 2026
概括
在临床研究中对连续变量进行二分化可能导致信息丢失和误导结果. 本研究审查了选择切断点的方法,强调在麻醉研究中适当使用.
科学领域:
- 临床研究方法论临床研究方法论
- 生物统计学 生物统计学
- 麻醉学 麻醉学
背景情况:
- 连续变量在临床研究中经常被分类为简单.
- 错误选择的切断点可以降低统计能力,并导致错误的结论.
- 这种做法在麻醉和外科手术研究中很常见.
研究的目的:
- 审查用于确定连续变量切线点的常用方法.
- 讨论不同切断界限选择策略的含义.
- 为麻醉研究中适当切断使用提供建议.
主要方法:
- 对已建立的变量分类方法的审查.
- 基于指南的值的描述,中位数/量子位数的分割.
- 解释统计学衍生方法,如接收器操作特征 (ROC) 曲线分析 (例如,尤登指数).
主要成果:
- 任意切断可以显著影响研究结果和解释.
- 统计学衍生方法,如ROC分析,提供了更客观的方法.
- 切断的选择显著影响统计能力和结论的有效性.
结论:
- 在对连续变量进行二分化时,仔细考虑和证明是至关重要的.
- 对切断界限选择方法的透明报告对于研究完整性至关重要.
- 采用基于证据的策略来确定切断界限可以提高麻醉和外科手术期间研究结果的可靠性.
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