Berry Donald A
Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Cancer. 2014 Sep 15;120(18):2784-91. doi: 10.1002/cncr.28795. Epub 2014 Jun 12.
Observational studies present inferential challenges. These challenges are acute in cancer screening studies, in which lead-time and length biases are ever present. These biases can make any study worthless. Moreover, a flawed study's impact on the public can be deleterious when its conclusions are publicized by a naïve media. Flawed studies can also make the public learn to be wary of any article or reports of articles claiming to be scientific. Here, the author addresses these and related issues in the context of a study published in Cancer.
观察性研究存在推理方面的挑战。这些挑战在癌症筛查研究中尤为突出,因为在这类研究中,领先时间偏倚和长度偏倚始终存在。这些偏倚会使任何研究变得毫无价值。此外,当一项存在缺陷的研究结论被单纯的媒体公布时,其对公众的影响可能是有害的。存在缺陷的研究还可能使公众学会对任何声称是科学的文章或文章报道保持警惕。在此,作者在发表于《癌症》杂志的一项研究背景下探讨了这些及相关问题。