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样本量不足研究的优势与缺陷

The power and pitfalls of underpowered studies.

作者信息

Carnahan Ryan M, Brown Grant D

机构信息

Department of Epidemiology, The University of Iowa College of Public Health, Iowa City, Iowa, USA.

Department of Biostatistics, The University of Iowa College of Public Health, Iowa City, Iowa, USA.

出版信息

Pharmacotherapy. 2024 Sep;44(9):698-700. doi: 10.1002/phar.4605. Epub 2024 Sep 3.

Abstract

This article reflects on the potential value and many pitfalls of underpowered studies to help authors and readers consider whether and how they contribute meaningfully to the published literature. A basic introduction to power and sample size calculations is provided. Several problems that can arise in analysis and publication of underpowered studies are described. In addition, features of underpowered studies that may provide value are proposed, including when the hypothesis test of interest is a limited part of the story, the data is rich enough to showcase interesting features of the population of interest, when the rarity or ubiquity of events is an important finding, and when the study is preregistered to reduce the impact of publication bias. Several reporting guidelines for underpowered studies are also suggested.

摘要

本文反思了功效不足研究的潜在价值和诸多缺陷,以帮助作者和读者思考它们是否以及如何对已发表文献做出有意义的贡献。文中提供了功效和样本量计算的基本介绍。描述了功效不足研究在分析和发表过程中可能出现的几个问题。此外,还提出了功效不足研究可能具有价值的一些特征,包括当感兴趣的假设检验只是整个研究的一部分时、数据丰富到足以展示感兴趣人群的有趣特征时、事件的罕见性或普遍性是一项重要发现时,以及研究进行了预注册以减少发表偏倚的影响时。还给出了一些针对功效不足研究的报告指南。

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