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倾向性评分方法在观察性研究中的应用

Application of propensity score methods in observational studies

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【作者】 黎国威张玲陈裕明陈耀龙王肖杰吴大嵘

【Author】 LI Guowei;ZHANG Ling;CHEN Yuming;CHEN Yaolong;WANG Xiaojie;WU Darong;Center for Clinical Epidemiology and Methodology (CCEM), Guangdong Second Provincial General Hospital;School of Public Health, Capital Medical University;School of Public Health, Sun Yat-sen University;Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University;Guangdong Provincial Hospital of Chinese Medicine, Guangdong Provincial Academy of Chinese Medical Sciences & 2nd Affiliated Hospital of Guangzhou University of Chinese Medicine;

【通讯作者】 黎国威;吴大嵘;

【机构】 广东省第二人民医院临床流行病与方法学中心首都医科大学公共卫生学院中山大学公共卫生学院兰州大学基础医学院循证医学中心广东省中医院广东省中医药科学院广州中医药大学第二附属医院

【摘要】 倾向性评分方法是通过综合系列已知的可测量的协变量来模拟随机对照试验的随机化、提高组间的均衡性,进而降低混杂因素影响的一种分析策略。倾向性评分方法在观察性研究中应用越来越广泛。本文介绍了倾向性评分方法的原理、类型及其在观察性研究中的应用,同时对倾向性评分方法与多元回归、临床试验方法进行了比较。当前对倾向性评分方法的选择尚缺乏有效推荐,倾向性评分方法得到的结果与传统的回归分析、随机对照试验的结果也可能存在差异。

【Abstract】 Propensity score methods belong to an analytical approach by incorporating the measured covariates and mimicking randomization to enhance the comparability between groups, hence reducing the impact of potential confounding in observational studies. Propensity score methods have been increasingly used in observational studies. This paper illustrates the principle and the methods based on the propensity score, in combination with its application in observational studies. It also compares results from propensity score methods with those from multivariable regression and randomized controlled trials. It was found that currently there has been a lack of recommendations for the selection of propensity score methods. Differences may exist when comparing results from propensity score methods with findings from typical regression analyses and randomized controlled trials.

【基金】 国家重点研发计划项目(编号:2019YFC1709800、2019YFC1709802)
  • 【文献出处】 中国循证医学杂志 ,Chinese Journal of Evidence-Based Medicine , 编辑部邮箱 ,2021年04期
  • 【分类号】R-03
  • 【被引频次】6
  • 【下载频次】575
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