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循证医学时代的观察性研究:关于其相关性、分类及设计的简短综述

[Observational studies in the era of evidence based medicine: short review on their relevance, taxonomy and designs].

作者信息

Fronteira Ines

机构信息

Unidade de Saúde Pública Internacional e Bioestatística, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisboa, Portugal.

出版信息

Acta Med Port. 2013 Mar-Apr;26(2):161-70. Epub 2013 May 31.

Abstract

In this review of the literature, we distinguish between experimental and observational studies, highlighting the importance that the later have gained in the era of evidence-based medicine. We further analyze the value of observational studies in light of experimental studies. We present a taxonomy for observational studies based on units of observation and measurement (cross-sectional or longitudinal). We distinguish between descriptive studies and analytical studies. Then, and given its specificity, we define and present a classification for ecological studies. We define and consider the advantages and disadvantages of cross-sectional, case control and cohort studies. We analyze the strength of the evidence given by each study design. We finished by examining what should guide the choice of a study design.

摘要

在本次文献综述中,我们区分了实验性研究和观察性研究,强调了后者在循证医学时代所获得的重要性。我们根据实验性研究进一步分析了观察性研究的价值。我们基于观察和测量单位(横断面或纵向)提出了观察性研究的分类法。我们区分了描述性研究和分析性研究。然后,鉴于其特殊性,我们定义并提出了生态研究的分类。我们定义并考量了横断面研究、病例对照研究和队列研究的优缺点。我们分析了每种研究设计所提供证据的力度。我们通过考察应指导研究设计选择的因素来结束本文。

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