van der Windt D A, van Poppel M N
Vrije Universiteit, Instituut voor Extramuraal Geneeskundig Onderzoek, Amsterdam.
Ned Tijdschr Geneeskd. 1998 Oct 10;142(41):2245-7.
The results of subgroup analyses can be very informative, in particular for clinicians interested in evidence pertaining most directly to a particular patient. However, subgroup analyses may also be potentially misleading. The strength of evidence for subgroup effects depends on the question whether hypotheses have been defined prior to analysis, whether potential problems regarding multiple comparisons have been considered and whether there is biological plausibility of the effects. Using these guidelines the reader of a trial report should be able to decide if presented subgroup effects are of clinical importance or if the overall result is a better estimate of treatment effect.
亚组分析的结果可能会提供非常丰富的信息,尤其对于那些对与特定患者最直接相关的证据感兴趣的临床医生而言。然而,亚组分析也可能具有潜在的误导性。亚组效应的证据强度取决于以下问题:分析之前是否已定义假设、是否考虑了多重比较的潜在问题以及效应是否具有生物学合理性。依据这些准则,试验报告的读者应该能够判定所呈现的亚组效应是否具有临床重要性,或者总体结果是否是对治疗效果的更好估计。