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Epidemiological Studies: A Practical Guide最新文献

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Association or causation 关联或因果关系
Pub Date : 2018-10-01 DOI: 10.1093/med/9780198814726.003.0020
A. Silman, G. Macfarlane, T. Macfarlane
Epidemiological studies can only show associations they cannot prove that a link is causative. Even in the bias free study with minimal confounding, a strong association does not mean that, for example, the presence of the risk factor has a direct biological link to the disease in question. There are several tests that can be used to increase the confidence that an association has biological meaning and needs to be considered. It is interesting always to differentiate factors that are on the ‘path’ to disease but not the underlying cause. The appropriateness of all these steps is dependent on the validity of the association.
流行病学研究只能显示关联,而不能证明某种联系是因果关系。例如,即使在无偏倚、混杂程度最低的研究中,强关联并不意味着风险因素的存在与所讨论的疾病有直接的生物学联系。有几个测试可以用来增加对关联具有生物学意义和需要考虑的信心。区分致病“途径”上的因素,而不是致病的根本原因,总是很有趣的。所有这些步骤的适当性取决于关联的有效性。
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引用次数: 0
Feasibility and pilot studies 可行性及试验研究
Pub Date : 2018-06-01 DOI: 10.1093/MED/9780198814726.003.0014
A. Silman, G. Macfarlane, T. Macfarlane
Designing a study ‘on paper’ is no guarantee it will work; for example, individuals agree to be recruited or the method of data acquisition is acceptable and provides the data in the format and quality required. For this reason it is, especially when planning large/expensive studies, to test the feasibility of the different components in separate small-scale studies. Alternatively, or in addition it may be useful to do a pilot study, which reproduces the planned methods for the proposed full study, to test ‘the whole system’. A successful pilot study enhances the likelihood of grant success; indeed, grant-awarding bodies will often expect to see evidence that they have been conducted.
“在纸上”设计一项研究并不能保证它会奏效;例如,个人同意被招募或数据获取方法是可以接受的,并以所需的格式和质量提供数据。由于这个原因,特别是在规划大型/昂贵的研究时,需要在单独的小规模研究中测试不同组成部分的可行性。另外,或者另外,做一个试点研究可能是有用的,它为拟议的全面研究再现了计划的方法,以测试“整个系统”。一项成功的试点研究提高了拨款成功的可能性;事实上,授予赠款的机构通常希望看到证据表明它们已经进行了。
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引用次数: 23
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Epidemiological Studies: A Practical Guide
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