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统计学显著性与临床相关性:医学研究数据解读中的关键考量因素

Statistical Significance versus Clinical Relevance: Key Considerations in Interpretation Medical Research Data.

作者信息

AbdulRaheem Yousif

机构信息

Chairman of the Scientific Council for Family and Community Medicine Specialties - Iraqi Board for Medical Specializations, Baghdad, Iraq.

出版信息

Indian J Community Med. 2024 Nov-Dec;49(6):791-795. doi: 10.4103/ijcm.ijcm_601_23. Epub 2024 Oct 17.

Abstract

Medical research plays a crucial role in advancing our understanding of various aspects related to health, including disease, risk factors, and patient management. However, the interpretation of research data becomes intricate when considering the notions of statistical significance and clinical relevance. It is not uncommon to interpret findings that demonstrate statistical significance as indicative of clinical relevance. To explain it in a more straightforward way, statistical significance, ascertained through statistical tests using the value, indicates that an observed difference or association is improbable to occur by chance alone. Conversely, clinical relevance focuses on the practical implications of a finding in real-world contexts and determines whether an observed difference or relationship holds practical meaning. Recently, there have been issues and debates surrounding the idea of statistical significance as certain experts argue that its mathematical representation can be misleading when it comes to practical understanding. These experts propose the inclusion of additional measures like effect sizes and confidence intervals. A sound comprehension of both statistical and clinical dimensions is vital in order to ensure precise interpretation of data and facilitate well-informed decision-making in the practice of medicine. By doing so, it positively influences the health of individuals and communities.

摘要

医学研究在增进我们对与健康相关的各个方面的理解方面发挥着关键作用,这些方面包括疾病、风险因素和患者管理。然而,在考虑统计学显著性和临床相关性的概念时,研究数据的解读变得错综复杂。将显示出统计学显著性的研究结果解读为具有临床相关性的情况并不罕见。更直白地解释就是,通过使用p值的统计检验确定的统计学显著性表明,观察到的差异或关联不太可能仅仅是偶然发生的。相反,临床相关性关注的是研究结果在现实世界中的实际影响,并确定观察到的差异或关系是否具有实际意义。最近,围绕统计学显著性的概念出现了一些问题和争论,因为一些专家认为,就实际理解而言,其数学表述可能会产生误导。这些专家提议纳入效应量和置信区间等额外的衡量指标。为了确保对数据进行准确解读,并促进医学实践中的明智决策制定,对统计学和临床维度都有透彻的理解至关重要。这样做会对个人和社区的健康产生积极影响。

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