Del Priore G, Zandieh P, Lee M J
New York University School of Medicine, New York, USA.
Obstet Gynecol. 1997 Mar;89(3):351-4. doi: 10.1016/S0029-7844(96)00504-2.
To assess the treatment of continuous data in a sample of obstetric and gynecologic literature.
We reviewed articles in Obstetrics and Gynecology published in the first 4 months of 1985 and 1995. Data were tabulated on a data form created specifically for this purpose and reviewed for accuracy.
The sample set included 170 variables in 102 original articles from Obstetrics and Gynecology published from January to April 1995, inclusive (group A, contemporary articles), and 117 variables in 89 articles published between January and April 1985, inclusive (group B, historic articles). Fifty-three variables (31% of total variables) in group A and 27 variables (23% of total variables) in group B (chi 2, P = .05) were continuous predictor variables. The historic-period articles (63%) were significantly more likely to represent continuous data only as categoric variables than were articles in the contemporary period (38%) (Fisher exact test, P = .037). Correlation coefficients, r values, were provided where possible in ten articles in the contemporary period (83%) and four articles in the historic period (31%) (Fisher exact test, P = .008). In articles in which continuous predictors were treated only as categoric variables, an emphasis was placed on the findings based only on categories in four of 12 (33%) of these articles in 1995 and nine of 13 (69%) in 1985 (Fisher exact test, P = .05).
The treatment of continuous data has improved over the time period reviewed. However, clinicians should be aware that continuous data may be mischaracterized as categoric variables in some journal articles. We hope that in the future, editors will consider requesting r values for all continuous data relations. The quality-of-care implications of using discrete cutoffs of continuous data for patient care should be investigated.
评估妇产科文献样本中连续数据的处理情况。
我们回顾了1985年和1995年前4个月发表在《妇产科学》上的文章。数据被记录在专门为此目的创建的数据表上,并进行准确性审查。
样本集包括1995年1月至4月(含)发表在《妇产科学》上的102篇原创文章中的170个变量(A组,当代文章),以及1985年1月至4月(含)发表的89篇文章中的117个变量(B组,历史文章)。A组中有53个变量(占总变量的31%),B组中有27个变量(占总变量的23%)(卡方检验,P = 0.05)是连续预测变量。历史时期的文章(63%)比当代时期的文章(38%)更有可能仅将连续数据表示为分类变量(Fisher精确检验,P = 0.037)。当代时期的10篇文章(83%)和历史时期的4篇文章(31%)尽可能提供了相关系数r值(Fisher精确检验,P = 0.008)。在仅将连续预测变量视为分类变量的文章中,1995年的12篇此类文章中有4篇(33%),1985年的13篇此类文章中有9篇(69%)仅强调基于类别的研究结果(Fisher精确检验,P = 0.05)。
在所审查的时间段内,连续数据的处理有所改进。然而,临床医生应意识到在某些期刊文章中,连续数据可能被错误地归类为分类变量。我们希望未来编辑会考虑要求提供所有连续数据关系的r值。应研究将连续数据的离散临界值用于患者护理对医疗质量的影响。