The epidemiology of stroke outcomes research: Illustration of an approach to outcomes methodology using racial/ethnic disparities in stroke

Ronnie D. Horner
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Abstract

Stroke is associated with numerous health outcomes, the study of which is important for identifying best practices. However, it is equally important to understand the process to generating that knowledge. The methodological approach to stroke outcomes research is founded on first principles of epidemiological inquiry. These principles include defining the inquiry through a conceptual model; identifying and prioritizing the fundamental research questions; systematically addressing the research questions in order of importance; and exploring possible nuances to identified associations. To illustrate these principles in practice, the line of investigation into the reasons for racial/ethnic disparities in stroke mortality is used as a case study.

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卒中结果研究的流行病学:卒中中使用种族/民族差异的结果方法学方法的说明
中风与许多健康结果相关,对其进行研究对于确定最佳实践非常重要。然而,理解产生这些知识的过程同样重要。中风结果研究的方法学方法建立在流行病学调查的第一原则之上。这些原则包括:通过概念模型定义探究;确定和优先考虑基础研究问题;系统地按重要性处理研究问题;并探索可能的细微差别,以确定联系。为了在实践中说明这些原则,对脑卒中死亡率的种族/民族差异的原因进行了调查,并将其作为案例研究。
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