在日常实践中考虑缺失数据。

Q4 Medicine Prescrire International Pub Date : 2017-01-01
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引用次数: 0

摘要

理想情况下,卫生专业人员应该掌握所有必要的信息,以便做出医疗保健决定,但实际上,他们缺乏大量的临床相关数据。其中一些缺失的数据根本不可能存在,或者还不可能存在。在其他情况下,数据丢失是因为医疗保健专业人员无法找到它们,即使它们是可用的,因为它们没有生成,即使它们可以生成,因为它们没有发布,或者因为它们被隐藏了。在大多数情况下,当怀疑或已知缺少关于医疗干预的数据时,可以通过假设干预的假定益处被高估,而其危害被低估来考虑这一点。当几种药物似乎具有相似的危害-收益平衡时,最好选择那些缺少数据较少的药物,或者那些临床使用时间最长的药物。
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Taking missing data into account in everyday practice.

Ideally, health professionals would have all the necessary information at their disposal for making healthcare decisions, but in reality they lack a great deal of clinically relevant data. Some of these missing data simply cannot, or cannot yet, exist. In other cases, the data are missing because the healthcare professional was unable to find them even though they are available, because they have not been generated even though they could have been, because they have not been published, or because they have been concealed. In most cases, when data on medi- cal interventions are suspected or known to be missing, this can be taken into account by assuming that the supposed benefits of the interven- tion are overestimated, while its harms are underestimated. When several drugs appear to have a similar harm-benefit balance, it is better to choose those for which fewer data are missing, or those which have the longest clinical use.

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Prescrire International
Prescrire International Medicine-Pharmacology (medical)
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