Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC; Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC; Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC.
Semin Radiat Oncol. 2014 Jan;24(1):5-13. doi: 10.1016/j.semradonc.2013.09.002.
Comparative effectiveness research (CER) is a broad category of outcomes research encompassing many different methods employed by researchers and clinicians from numerous disciplines. The goal of cancer-focused CER is to generate new knowledge to assist cancer stakeholders in making informed decisions that will improve health care and outcomes of both individuals and populations. There are numerous CER methods that may be used to examine specific questions, including randomized controlled trials, observational studies, systematic literature reviews, and decision sciences modeling. Each has its strengths and weaknesses. To both inform and serve as a reference for readers of this issue of Seminars in Radiation Oncology as well as the broader oncology community, we describe CER and several of the more commonly used approaches and analytical methods.
比较疗效研究(CER)是一个广泛的结果研究类别,涵盖了来自众多学科的研究人员和临床医生使用的许多不同方法。以癌症为重点的 CER 的目标是生成新知识,以帮助癌症利益相关者做出明智的决策,从而改善个人和人群的医疗保健和结果。有许多 CER 方法可用于检查具体问题,包括随机对照试验、观察性研究、系统文献综述和决策科学建模。每种方法都有其优缺点。为了向本刊 Seminars in Radiation Oncology 的读者以及更广泛的肿瘤学领域提供信息并作为参考,我们描述了 CER 以及几种更常用的方法和分析方法。