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对支持“慢性挥鞭伤”的文献的综述与方法学批判。第二部分。综述、社论及读者来信。

A review and methodologic critique of the literature supporting 'chronic whiplash injury'. Part II. Reviews, editorials, and letters.

作者信息

Kwan Oliver, Friel Jon

出版信息

Med Sci Monit. 2003 Sep;9(9):RA230-6.

Abstract

In an earlier publication (part I) we conducted a critique of the literature supporting whiplash as a 'chronic injury', specifically examining original research which contradicts scientific measures and efforts showing that the highly prevalent problem of chronic whiplash is a cultural and psychosocially determined phenomenon. We reviewed the biomedical and engineering literature relating to whiplash syndrome, searching for articles that supported the construct of 'chronic whiplash injuries' and found that all of the articles contained significant methodologic errors relative to their respective authors' statements regarding chronic whiplash. The most frequent concerns reside with sampling, experimental design and interpretation of data. In Part II of this critique we examine other article types (reviews, editorials, letters). The authors of the current critique found that these articles also contained significant errors or biases relative to their respective authors' statements regarding chronic whiplash. The most frequent concerns reside with terminology, citation methods, scientific reasoning, and lack of address of contrary evidence.

摘要

在早期的一篇出版物(第一部分)中,我们对支持挥鞭样损伤作为一种“慢性损伤”的文献进行了批判,特别审视了与科学测量和研究相悖的原始研究,这些研究表明,慢性挥鞭样损伤这一极为普遍的问题是一种由文化和社会心理因素决定的现象。我们回顾了与挥鞭样综合征相关的生物医学和工程学文献,查找支持“慢性挥鞭样损伤”概念的文章,结果发现,所有这些文章相对于其各自作者关于慢性挥鞭样损伤的陈述而言,都存在重大的方法学错误。最常见的问题集中在抽样、实验设计和数据解读方面。在本次批判的第二部分,我们审视了其他类型的文章(综述、社论、信函)。本次批判的作者发现,这些文章相对于其各自作者关于慢性挥鞭样损伤的陈述而言,也存在重大错误或偏差。最常见的问题集中在术语、引用方法、科学推理以及未处理相反证据方面。

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