Rylander R
Institut de Médecine Sociale et Préventive CMU, Genève, Suisse.
Rev Epidemiol Sante Publique. 1992;40(6):383-90.
Epidemiological studies on low risks involve a number of major methodological difficulties. This review defines the concept of low risk and emphasises the need to control all large, possibly disease-related risk factors, before low risk factors can be evaluated. This procedure is also essential in identifying confounding factors. There is a special need to evaluate statistical power in studies on low risk factors, and the representativeness of both cases and controls should be carefully verified, particularly in case-control studies. The need to control the researcher's wish bias and the main requirements for meta-analysis are also presented.
低风险的流行病学研究存在一些重大的方法学难题。本综述定义了低风险的概念,并强调在评估低风险因素之前,有必要控制所有可能与疾病相关的大的风险因素。此程序对于识别混杂因素也至关重要。在低风险因素研究中,特别需要评估统计功效,并且应仔细验证病例组和对照组的代表性,尤其是在病例对照研究中。还介绍了控制研究者期望偏倚的必要性以及荟萃分析的主要要求。