Rothman K J
Am J Epidemiol. 1981 Aug;114(2):253-9. doi: 10.1093/oxfordjournals.aje.a113189.
Induction and latent periods are distinguishable concepts referring respectively to the period between causal action and disease initiation, and the period between disease initiation and detection. A disease cannot be characterized as having a long or short induction period, except in relation to a specific etiologic component. Inappropriate assumptions, explicit or implicit, about the length of the combined induction and latent period (the "empirical induction period") in an analytic study result in nondifferential misclassification and bias toward the null. Repeated analyses, varying the assumptions about the length of the empirical induction period, can be used to minimize such misclassification, thereby providing estimates for an undiluted measure of effect and the mode of the empirical induction period.
诱导期和潜伏期是不同的概念,分别指病因作用与疾病发生之间的时期,以及疾病发生与检测之间的时期。一种疾病不能被描述为具有长或短的诱导期,除非相对于特定的病因成分而言。在分析研究中,对诱导期和潜伏期合并时长(“经验性诱导期”)的长短做出不恰当的显性或隐性假设,会导致无差异性错误分类和向无效值偏移。通过反复分析,改变对经验性诱导期时长的假设,可以尽量减少此类错误分类,从而提供对未稀释效应量度的估计以及经验性诱导期的模式。