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使用随机试验评估复杂现象的不当之处：臀位阴道分娩的案例研究

Inappropriate use of randomised trials to evaluate complex phenomena: case study of vaginal breech delivery.

作者信息

Kotaska Andrew

机构信息

Department of Obstetrics and Gynaecology, University of British Columbia, BC Women's Hospital, Vancouver, BC, V6H 3V5 Canada.

出版信息

BMJ. 2004 Oct 30;329(7473):1039-42. doi: 10.1136/bmj.329.7473.1039.

DOI:10.1136/bmj.329.7473.1039
PMID:15514356
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC524566/
Abstract

As randomised trials continue to ascend in the evolution of evidence based medicine, we must recognise and respect their limitations when examining complex phenomena in heterogeneous populations

摘要

随着随机试验在循证医学发展过程中的地位不断提升，在研究异质性人群中的复杂现象时，我们必须认识并尊重其局限性。

相似文献

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Inappropriate use of randomised trials to evaluate complex phenomena: case study of vaginal breech delivery.使用随机试验评估复杂现象的不当之处：臀位阴道分娩的案例研究
BMJ. 2004 Oct 30;329(7473):1039-42. doi: 10.1136/bmj.329.7473.1039.
2
Inappropriateness of randomised trials for complex phenomena: are the results of the term breech trial generalisable?针对复杂现象的随机试验的不适用性：臀位试验的结果具有普遍性吗？
BMJ. 2005 Jan 8;330(7482):95; author reply 95. doi: 10.1136/bmj.330.7482.95.
3
[More moderate neonatal morbidity in the case of non-randomized vaginal delivery of term breech pregnancies].足月臀位妊娠非随机阴道分娩情况下新生儿发病率较高
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4
Elective cesarean section for term breech delivery.足月臀位分娩的选择性剖宫产。
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[Breech delivery--Cesarean section or vaginal birth?].[臀位分娩——剖宫产还是经阴道分娩？]
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Breech delivery before and after the term breech trial.臀位分娩在臀位分娩试验前后。
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The term, singleton, vaginal breech delivery controversy.术语“单胎、阴道臀位分娩争议”
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[Breech delivery in 2008: vaginal delivery must subsist].2008年臀位分娩：必须坚持阴道分娩
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The Term Breech Trial.臀位试验术语。
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Neonatal performance of the selected term vaginal breech delivery.所选足月阴道臀位分娩的新生儿情况
Obstet Gynecol. 1980 Dec;56(6):687-91.

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本文引用的文献

1
Singleton vaginal breech delivery at term: still a safe option.足月单胎臀位阴道分娩：仍然是一种安全的选择。
Obstet Gynecol. 2004 Mar;103(3):407-12. doi: 10.1097/01.AOG.0000113625.29073.4c.
2
The effect of centralization of primary surgery on survival in ovarian cancer patients.原发性手术集中化对卵巢癌患者生存的影响。
Obstet Gynecol. 2003 Sep;102(3):499-505. doi: 10.1016/s0029-7844(03)00579-9.
3
What is right and what is wrong about evidence-based medicine?循证医学的是与非？
J Cardiovasc Electrophysiol. 2003 Sep;14(9 Suppl):S2-5. doi: 10.1046/j.1540-8167.14.s9.18.x.
4
Mode of delivery and outcome of 699 term singleton breech deliveries at a single center.单一中心699例足月单胎臀位分娩的分娩方式及结局
Am J Obstet Gynecol. 2002 Dec;187(6):1694-8. doi: 10.1067/mob.2002.127902.
5
Vaginal breech delivery is still justified.阴道臀位分娩仍然是合理的。
Obstet Gynecol. 2002 Jun;99(6):1115-6. doi: 10.1016/s0029-7844(02)02031-8.
6
Breech presentation at term: morbidity and mortality according to the type of delivery at Port Royal Maternity hospital from 1993 through 1999.足月臀先露：1993年至1999年皇家妇产医院不同分娩方式的发病率和死亡率
Eur J Obstet Gynecol Reprod Biol. 2002 May 10;102(2):137-42. doi: 10.1016/s0301-2115(01)00605-4.
7
The VALUE national hysterectomy study: description of the patients and their surgery.VALUE全国子宫切除术研究：患者及其手术情况描述
BJOG. 2002 Mar;109(3):302-12. doi: 10.1111/j.1471-0528.2002.01282.x.
8
Evidence-based childbirth only for breech babies?循证分娩仅适用于臀位婴儿吗？
Birth. 2002 Mar;29(1):55-9. doi: 10.1046/j.1523-536x.2002.00157.x.
9
Route of breech delivery and maternal and neonatal outcomes.臀位分娩途径与母婴结局
Int J Gynaecol Obstet. 2001 Apr;73(1):7-14. doi: 10.1016/s0020-7292(00)00384-2.
10
Vaginal route as the norm when planning hysterectomy for benign conditions: change in practice.在为良性疾病计划子宫切除术时，以阴道途径作为常规方式：实践中的变化。
Obstet Gynecol. 2001 Apr;97(4):613-6. doi: 10.1016/s0029-7844(00)01232-1.