Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA; Department of Population Medicine, Harvard Pilgrim Healthcare Institute, Boston, Massachusetts, USA.
Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA; Department of Population Medicine, Harvard Pilgrim Healthcare Institute, Boston, Massachusetts, USA.
J Invest Dermatol. 2019 Mar;139(3):502-511.e1. doi: 10.1016/j.jid.2018.12.023.
To bring evidence-based improvements in medicine and health care delivery to clinical practice, health care providers must know how to interpret clinical research findings and critically evaluate the strength of evidence. This requires an understanding of differences in clinical study designs and the various statistical methods used to identify associations. We aim to provide a foundation for understanding the common measures of association used in epidemiologic studies to quantify relationships between exposures and outcomes, including relative risks, odds ratios, and hazard ratios. We also provide a framework for critically assessing clinical research findings and highlight specific methodologic concerns.
为了将循证医学和医疗服务的改进应用于临床实践,医疗服务提供者必须了解如何解读临床研究结果并批判性地评估证据的强度。这需要理解临床研究设计的差异和用于确定关联的各种统计方法。我们旨在为理解流行病学研究中用于量化暴露与结果之间关系的常见关联度量提供基础,包括相对风险、优势比和风险比。我们还提供了批判性评估临床研究结果的框架,并强调了具体的方法学问题。