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Defining representativeness of study samples in medical and population health research.

作者信息

Rudolph Jacqueline E, Zhong Yongqi, Duggal Priya, Mehta Shruti H, Lau Bryan

机构信息

Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.

出版信息

BMJ Med. 2023 May 16;2(1):e000399. doi: 10.1136/bmjmed-2022-000399. eCollection 2023.


DOI:10.1136/bmjmed-2022-000399
PMID:37215072
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10193086/
Abstract

Medical and population health science researchers frequently make ambiguous statements about whether they believe their study sample or results are representative of some (implicit or explicit) target population. This article provides a comprehensive definition of representativeness, with the goal of capturing the different ways in which a study can be representative of a target population. It is proposed that a study is representative if the estimate obtained in the study sample is generalisable to the target population (owing to representative sampling, estimation of stratum specific effects, or quantitative methods to generalise or transport estimates) or the interpretation of the results is generalisable to the target population (based on fundamental scientific premises and substantive background knowledge). This definition is explored in the context of four covid-19 studies, ranging from laboratory science to descriptive epidemiology. All statements regarding representativeness should make clear the way in which the study results generalise, the target population the results are being generalised to, and the assumptions that must hold for that generalisation to be scientifically or statistically justifiable.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f3/10193086/30a5deb62bf1/bmjmed-2022-000399f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f3/10193086/9a0c54b5ab6a/bmjmed-2022-000399f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f3/10193086/30a5deb62bf1/bmjmed-2022-000399f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f3/10193086/9a0c54b5ab6a/bmjmed-2022-000399f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f3/10193086/30a5deb62bf1/bmjmed-2022-000399f02.jpg

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本文引用的文献

[1]
Covid-19 Vaccine Effectiveness in New York State.

N Engl J Med. 2022-1-13

[2]
Molnupiravir for Oral Treatment of Covid-19 in Nonhospitalized Patients.

N Engl J Med. 2022-2-10

[3]
Prevalence and correlates of SARS-CoV-2 seropositivity among people who inject drugs in the San Diego-Tijuana border region.

PLoS One. 2021

[4]
SARS-CoV-2 infection is effectively treated and prevented by EIDD-2801.

Nature. 2021-3

[5]
Estimating Human Immunodeficiency Virus (HIV) Prevention Effects in Low-incidence Settings.

Epidemiology. 2019-5

[6]
PROBAST: A Tool to Assess the Risk of Bias and Applicability of Prediction Model Studies.

Ann Intern Med. 2019-1-1

[7]
Target Validity and the Hierarchy of Study Designs.

Am J Epidemiol. 2019-2-1

[8]
Transportability of Trial Results Using Inverse Odds of Sampling Weights.

Am J Epidemiol. 2017-10-15

[9]
Generalizing Study Results: A Potential Outcomes Perspective.

Epidemiology. 2017-7

[10]
Commentary: Representativeness is usually not necessary and often should be avoided.

Int J Epidemiol. 2013-8

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