Koch A, Windeler J
Abteilung für Medizinische Biometrie, Universitätsklinikum Heidelberg.
Med Klin (Munich). 2000 May;95(1 Spec No):61-7.
Although randomized clinical trials can be regarded as the gold standard in many fields of clinical research, non-randomized (so called observational) studies are indispensable. Methodologic quality of such studies is at least as important as that of randomized trials but has been much less standardized. The analysis and interpretation of the results of observational studies is a very demanding job which needs a high level of knowledge and experience--medical as well as statistical. Basis for these analyses are complex statistical models the grounds and application of which are discussed in the following article.
尽管随机临床试验在临床研究的许多领域可被视为金标准,但非随机(即所谓的观察性)研究也是不可或缺的。这类研究的方法学质量至少与随机试验的方法学质量同样重要,但标准化程度却低得多。观察性研究结果的分析与解读是一项要求极高的工作,需要高水平的医学和统计学知识及经验。这些分析的基础是复杂的统计模型,其依据和应用将在下文进行讨论。