Department of Dermatology, Preventive Medicine and Medical Social Sciences, Northwestern University, Chicago, Illinois.
J Am Acad Dermatol. 2015 Nov;73(5):721-31; quiz 731-2. doi: 10.1016/j.jaad.2014.08.029.
A working knowledge of common research study designs and their advantages and disadvantages is necessary for critical reading of the literature by clinicians. However, understanding study designs and related statistical methodologies may be perceived as being complex and difficult to execute. This review aims to provide a practical foundation for basic study designs and to help physicians identify pitfalls that commonly occur in clinical studies and their level of evidence. Topics covered include the pros and cons of observational versus prospectively controlled studies, case-control, cohort, randomized controlled studies, adaptive controlled trials and metaanalyses, and the role of matching in studies.
临床医生要批判性地阅读文献,就必须对常见的研究设计及其优缺点有一定的了解。但是,理解研究设计和相关的统计方法可能会被认为是复杂和难以执行的。本文旨在为基本的研究设计提供一个实用的基础,并帮助医生识别临床研究中常见的陷阱及其证据水平。涵盖的主题包括观察性研究与前瞻性对照研究、病例对照、队列、随机对照研究、适应性对照试验和荟萃分析的优缺点,以及匹配在研究中的作用。