Rendón-Macías Mario Enrique, Zarco-Villavicencio Irma Susana, Villasís-Keever Miguel Ángel
Universidad Panamericana, Facultad de Medicina, Departamento de Salud Pública, Ciudad de México, México.
Rev Alerg Mex. 2021 Apr-Jun;68(2):128-136. doi: 10.29262/ram.v658i2.949.
Informing in the studies about the effect size of an intervention or the impact of the factor(s) about an outcome, allows better decision-making for the application of the results in clinical practice. This article presents different methods to analyze the effect size, which can be through direct or indirect statistical methods. Within the direct methods, there's the difference in means between groups and the difference of absolute or relative frequencies. Among the indirect methods, Cohen's "d" family (which are based on standard deviation values), the "r and R2" family, measures of association (e.g. OR, RR, HR), and impact measures (e.g. NNT) are shown. The decision to use any of these methods depends on the objectives of the study and the measuring scale that is used to assess the results, as well as the data distribution. In order to enhance the understanding of the methods described in this article, examples are included, and the need to include level of precision (e.g. confidence intervals) is highlighted, along with the clinical decision thresholds for a better interpretation.
在研究中报告干预措施的效应量或因素对结果的影响,有助于在临床实践中更好地应用研究结果进行决策。本文介绍了不同的效应量分析方法,可通过直接或间接统计方法进行。在直接方法中,有组间均值差异以及绝对或相对频率差异。在间接方法中,展示了科恩“d”族(基于标准差数值)、“r和R²”族、关联度量(如OR、RR、HR)以及影响度量(如NNT)。选择使用这些方法中的任何一种取决于研究目的、用于评估结果的测量尺度以及数据分布。为了增进对本文所述方法的理解,文中包含了示例,并强调了纳入精度水平(如置信区间)的必要性以及用于更好解释的临床决策阈值。