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病例对照研究的简化精确分析:匹配对;二分暴露

Simplified exact analysis of case-referent studies: matched pairs; dichotomous exposure.

作者信息

Liddell F D

出版信息

J Epidemiol Community Health. 1983 Mar;37(1):82-4. doi: 10.1136/jech.37.1.82.

Abstract

In a case-referent study of matched pairs with a single dichotomous exposure variable, the relative risk R is estimated from the "discordant pairs," r and s, by R = r/s. In this paper the exact (1 - alpha) confidence limits, RL and RU, have been simplified, and a new exact test of the null hypothesis that R = 1 has been derived. The exact methods depend on the F distribution; they are simple to calculate and all have been fully validated. Even after simplification, methods for obtaining approximations to RL and RU remain more unwieldy than the exact methods, and an evaluation shows that these approximations may occasionally be far from the truth. It is argued that there is no excuse for not using the exact methods.

摘要

在一项针对具有单个二分暴露变量的匹配对的病例对照研究中,相对风险R通过“不一致对”r和s估计,即R = r/s。本文简化了确切的(1 - α)置信限RL和RU,并推导了关于R = 1的原假设的新的确切检验方法。确切方法依赖于F分布;它们计算简单且均已得到充分验证。即使经过简化,获得RL和RU近似值的方法仍比确切方法更繁琐,并且一项评估表明这些近似值偶尔可能与实际情况相差甚远。有人认为没有理由不使用确切方法。

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