Agabegi Steven S, Stern Peter J
Department of Orthopaedic Surgery, University of Cincinnati College of Medicine, Cincinnati, OH 45267, USA.
Am J Orthop (Belle Mead NJ). 2008 May;37(5):242-8.
Bias is a systematic inconsistency in research that contaminates the primary comparison. There are several forms of bias, and there are specific methods of minimizing them in different study designs. The randomized controlled trial (RCT) is the gold standard to which all other study designs are compared. However, errors can be made at various stages of a RCT that introduce bias. Furthermore, not all questions can be addressed by a RCT, and in some cases another study design may be more appropriate. Observational studies are more prone to bias, but, when properly conducted with rigorous methods to minimize bias, these studies can be valuable in clinical research.
偏倚是研究中系统性的不一致,它会影响主要的比较。偏倚有多种形式,在不同的研究设计中有特定的方法将其最小化。随机对照试验(RCT)是其他所有研究设计都要与之比较的金标准。然而,在RCT的各个阶段都可能出现引入偏倚的错误。此外,并非所有问题都能通过RCT解决,在某些情况下,另一种研究设计可能更合适。观察性研究更容易出现偏倚,但是,如果采用严格的方法进行适当的研究以尽量减少偏倚,这些研究在临床研究中可能会很有价值。