Vlassov V
Department of Philosophy and Social Sciences, Saratov State Medical University, Russia.
J Epidemiol Community Health. 2000 Oct;54(10):740-4. doi: 10.1136/jech.54.10.740.
To examine the current state of epidemiology in Russia.
The structure of clinical research and statistical methods was used to shed light on the epidemiology in Russia. The frequencies of specific study designs were evaluated using Medline data for 1970-1997. To determine the proportion of advanced design clinical studies the frequency of cohort, prospective, follow up, or longitudinal studies, and controlled trials was evaluated. All diagnosis related studies were found to determine the usage of advanced statistical technique (ROC analysis). The adequacy of Medline information was checked by hand search of journals. All dissertations in epidemiology defended in Russia in 1995 and 1996 were evaluated for their methodology. The curriculum recommended by Ministry of Health to Medical Universities was evaluated. Available literature and library indexing of epidemiological terms examined.
Russian medical research uses less frequently advanced study designs and methods of data analysis. Medical students are taught epidemiology as a science of spread of infectious diseases. There is no department of epidemiology in Russian universities where epidemiology is taught in the modern sense and no epidemiological and biostatistical periodicals available in Russia.
Epidemiology in Russia remains in an archaic state of science of the spread of infectious diseases and it is detrimental to methodology of medical research in Russia.
研究俄罗斯流行病学的现状。
利用临床研究结构和统计方法来阐明俄罗斯的流行病学情况。使用1970 - 1997年的Medline数据评估特定研究设计的频率。为确定高级设计临床研究的比例，评估队列研究、前瞻性研究、随访研究或纵向研究以及对照试验的频率。通过手工检索期刊来检查Medline信息的充分性。对1995年和1996年在俄罗斯答辩的所有流行病学博士论文的方法进行评估。对卫生部向医科大学推荐的课程进行评估。检查现有的流行病学文献和图书馆索引术语。
俄罗斯医学研究较少使用高级研究设计和数据分析方法。医学生所学的流行病学是作为传染病传播的科学。俄罗斯大学中没有以现代意义教授流行病学的系，俄罗斯也没有流行病学和生物统计学期刊。
俄罗斯的流行病学仍处于传染病传播科学的古老状态，这对俄罗斯医学研究方法不利。
