Arnold Benjamin F, Ercumen Ayse, Benjamin-Chung Jade, Colford John M
From the Division of Epidemiology, University of California, Berkeley, CA.
Epidemiology. 2016 Sep;27(5):637-41. doi: 10.1097/EDE.0000000000000504.
Biomedical laboratory experiments routinely use negative controls to identify possible sources of bias, but epidemiologic studies have infrequently used this type of control in their design or measurement approach. Recently, epidemiologists proposed the routine use of negative controls in observational studies and defined the structure of negative controls to detect bias due to unmeasured confounding. We extend this previous study and define the structure of negative controls to detect selection bias and measurement bias in both observational studies and randomized trials. We illustrate the strengths and limitations of negative controls in this context using examples from the epidemiologic literature. Given their demonstrated utility and broad generalizability, the routine use of prespecified negative controls will strengthen the evidence from epidemiologic studies.
生物医学实验室实验通常使用阴性对照来识别可能的偏差来源,但流行病学研究在其设计或测量方法中很少使用这类对照。最近,流行病学家提议在观察性研究中常规使用阴性对照,并定义了阴性对照的结构以检测因未测量的混杂因素导致的偏差。我们扩展了先前的这项研究,定义了阴性对照的结构,以检测观察性研究和随机试验中的选择偏差和测量偏差。我们在这种背景下使用流行病学文献中的例子来说明阴性对照的优点和局限性。鉴于其已证明的效用和广泛的通用性,预先设定的阴性对照的常规使用将加强流行病学研究的证据。