用通俗易懂的语言为各方面的学习者简化证据等级的概念:简要回顾

Abdullah Al Noman , Onusree Sarkar , Tanzia Mohsin Mita , Khadiza Siddika , Fahmida Afrose
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引用次数: 0

摘要

证据等级是在做出医疗保健选择时评估证据优劣的基本结构。它根据医学研究的结构、可信度和相关性对其进行评估。不同程度的证据通常以三角形表示,最有力的证据位于最高点。金字塔分为两个主要部分:综合多项研究信息的精炼数据(系统评价、荟萃分析),以及由原始研究组成的原始数据(随机试验、队列研究、病例系列)。系统评价采用全面、可复制的方法,浓缩了针对某一主题的各种研究结果。元分析通过数学方法整合了来自类似研究的信息。病例研究提供有关特定病人的信息。病例对照研究对患有某种疾病和未患有某种疾病的不同人群的发病情况进行研究。在随机对照实验中,对随机分配的干预组和对照组进行比较,以观察其结果的差异。队列研究则是在一段时期内对群体进行追踪,以调查各种因素与结果之间的联系。金字塔的上层通常被视为更值得信赖的证据,因为它们具有全面的组合或研究结构。不过,每个层次都能提供有价值的信息。认识到各种研究方法的积极方面,个人在做出与医疗保健相关的选择时就能评估信息的可信度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Simplifying the concept of level of evidence in lay language for all aspects of learners: In brief review

The level of evidence is a fundamental structure for assessing the excellence of evidence while making healthcare choices. It assesses medical research according to its structure, credibility, and relevance. The different degrees of proof are frequently represented as a triangle shape, with the most powerful proof on the highest point. The pyramid is divided into two primary parts: refined data (systematic reviews, meta-analyses) that combines information from multiple studies, and raw data (randomized trials, cohort studies, case series) that consists of original research. Systematic evaluations condense results from various investigations on a subject using thorough, replicable approaches. Meta-analyses mathematically integrate information from similar research studies. Case studies provide information about a specific patient. Case-control studies examine the occurrences in separate groups of people who have a particular illness and those who do not. Randomly assigned intervention and control groups are compared in randomized controlled experiments to observe the differences in their outcomes. Cohort studies track groups over a period to investigate connections between factors and results. The upper levels of the pyramid are typically seen as more trustworthy proof because of thorough combination or research structure. However, every level provides valuable information. Recognizing the positive aspects of various research methods enables individuals to assess the credibility of information when making choices related to healthcare.

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