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[治疗性和预防性临床试验的荟萃分析]

[Meta-analysis of therapeutic and preventive clinical trials].

作者信息

Lugosi L, Molnár I

机构信息

MEDISTAT Szoftver Kutató- és Fejlesztó Társaság, Budapest.

出版信息

Orv Hetil. 2000 Dec 17;141(51):2779-84.

Abstract

The paper surveyes the principles and the models of meta-analysis and gives the basic statistical formulae. For evaluation of data of clinical trials two illustrative examples are presented: 1. evaluation of association and homogeneity in fixed and random models of the common standardized treatment effects measured by continuous variable with known sample sizes, means and standard deviations; 2. evaluation of association and homogeneity in fixed model of: the common InRelative-Risk and Risk-Difference ot treatment effects determined by dichotomous variable categorized in 2 x 2 tables and completed with Stouffer and Fisher methods combining z and p values of percentage differences of the treatment effects. It is demonstrated that the presented two illustrative examples, as models of meta-analysis provide objective statistical methods for data summarization of clinical trials. Evidence based medicine applies also the methods of meta-analysis.

摘要

本文综述了荟萃分析的原理和模型,并给出了基本的统计公式。为评估临床试验数据,给出了两个示例:1. 已知样本量、均值和标准差的连续变量测量的常见标准化治疗效果在固定和随机模型中的关联性和同质性评估;2. 2×2表格分类的二分变量确定的治疗效果的常见相对风险和风险差异在固定模型中的关联性和同质性评估,并采用Stouffer法和Fisher法结合治疗效果百分比差异的z值和p值来完成。结果表明,所给出的这两个示例作为荟萃分析模型,为临床试验数据汇总提供了客观的统计方法。循证医学也应用荟萃分析方法。

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