Department of Quantitative Health Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, OH; Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Department of Quantitative Health Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, OH; Department of Population and Quantitative Health Sciences, Case Western Reserve University, School of Medicine, Cleveland, OH.
Chest. 2020 Jul;158(1S):S57-S64. doi: 10.1016/j.chest.2020.03.009.
Case-control studies are one of the major observational study designs for performing clinical research. The advantages of these study designs over other study designs are that they are relatively quick to perform, economical, and easy to design and implement. Case-control studies are particularly appropriate for studying disease outbreaks, rare diseases, or outcomes of interest. This article describes several types of case-control designs, with simple graphical displays to help understand their differences. Study design considerations are reviewed, including sample size, power, and measures associated with risk factors for clinical outcomes. Finally, we discuss the advantages and disadvantages of case-control studies and provide a checklist for authors and a framework of considerations to guide reviewers' comments.
病例对照研究是进行临床研究的主要观察性研究设计之一。与其他研究设计相比,这些研究设计具有相对较快的执行速度、经济性、易于设计和实施的优点。病例对照研究特别适用于研究疾病爆发、罕见疾病或感兴趣的结果。本文描述了几种类型的病例对照设计,并提供了简单的图形显示,以帮助理解它们的差异。本文回顾了研究设计的考虑因素,包括样本量、功效以及与临床结果相关的风险因素的度量。最后,我们讨论了病例对照研究的优缺点,并为作者提供了一份检查表和一个考虑因素框架,以指导评论者的意见。