causal association

因果关联
  • 文章类型: Journal Article
    目的:评估一般人群中父母和后代饮酒相关性研究中因果关系推断能力的证据。
    方法:系统搜索,和叙事分析,饮酒后果的前瞻性队列研究,除非只在产前评估,或临床衍生的仪器。主要结果指标是后代饮酒或相关问题,在父母饮酒的暴露措施后至少3年收集。系统评价包括21项研究,包括26,354个家庭或亲子双体,每个研究都有定量效应测量。因果推理能力的标准包括(1)理论驱动的方法和分析;(2)分析严谨;(3)最小化偏差源。
    结果:21项纳入的研究中有4项填补了几项,但不是全部,标准,并被评估为具有一定的因果推断能力。这四项研究发现了一些证据,表明父母饮酒可以预测青春期后代的饮酒行为。其余17项研究几乎没有这种能力。
    结论:有相当多且一致的文献表明,父母饮酒更多与后代饮酒有关。尽管如此,现有证据不足以保证现阶段的因果关系。
    OBJECTIVE: To evaluate evidence of the capacity for causal inference in studies of associations between parental and offspring alcohol consumption in the general population.
    METHODS: A systematic search for, and narrative analysis of, prospective cohort studies of the consequences of drinking, except where assessed prenatally only, or with clinically derived instruments. Primary outcome measures were alcohol use or related problems in offspring, which were collected at least 3 years after exposure measures of parental drinking. The systematic review included 21 studies comprising 26,354 families or parent-child dyads with quantitative effect measures available for each study. Criteria for capacity of causal inference included (1) theory-driven approach and analysis; (2) analytical rigour; and (3) minimization of sources of bias.
    RESULTS: Four of the 21 included studies filled several, but not all, criteria and were assessed to have some capacity for causal inference. These four studies found some evidence that parental drinking predicted drinking behaviour in adolescent offspring. The remaining 17 studies had little or no such capacity.
    CONCLUSIONS: There is a fairly large and consistent literature demonstrating that more parental drinking is associated with more drinking in offspring. Despite this, existing evidence is insufficient to warrant causal inferences at this stage.
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  • 文章类型: Journal Article
    背景:子宫内膜异位症和卵巢癌之间可能的病因学关联已在文献中反复报道。
    目的:我们的目的是评估有关此问题的已发表的流行病学数据。
    方法:我们对MEDLINE中的文献进行了广泛的搜索,在2014年2月之前发表的文章中,使用关键词“子宫内膜异位症”和“卵巢”以及标题中的以下术语之一:“癌症”或“恶性肿瘤”或“恶性肿瘤”或“肿瘤”或“肿瘤”或“肿瘤”。“检索的论文被检查进一步的相关出版物。
    结果:总体而言,我们的搜索产生了1项前瞻性队列研究,10个回顾性队列,5项病例对照研究。对这些研究进行荟萃分析被认为是不合适的,由于数据报告的差异,研究设计,以及对混杂因素的调整。
    结论:研究发现的主要局限性,除了一个例外,是缺乏子宫内膜异位症的手术确认。
    结论:在大多数研究中,子宫内膜异位症与透明细胞和子宫内膜样卵巢癌的相关性是一致的。另一方面,现有的将子宫内膜异位症与卵巢癌联系起来的流行病学证据不足以改变目前的临床实践.前瞻性队列研究,与先前的腹腔镜确认,本地化,需要对子宫内膜异位症进行分期,为了进一步澄清这个问题。
    BACKGROUND: A possible etiological association between endometriosis and ovarian cancer has been repeatedly reported in the literature.
    OBJECTIVE: Our aim was to evaluate published epidemiological data on this issue.
    METHODS: We conducted an extensive search of the literature in MEDLINE, of articles ever published until February 2014, using the key-words \"endometriosis\" and \"ovarian\" and one of the following terms in the title: \"cancer\" or \"malignancy\" or \"malignant\" or \"tumor\" or \"neoplasia\" or \"neoplasm\" or \"transformation.\" Retrieved papers were checked for further relevant publications.
    RESULTS: Overall, our search yielded 1 prospective cohort study, 10 retrospective cohort, and 5 case-control studies. A meta-analysis of these studies was not considered to be appropriate, due to differences in data reporting, study design, and adjustment for confounding factors.
    CONCLUSIONS: The main limitation of studies found, with one exception, was the lack of operative confirmation of endometriosis.
    CONCLUSIONS: An association of endometriosis with clear-cell and endometrioid ovarian cancer was a consistent finding in most studies. On the other hand, existing epidemiological evidence linking endometriosis with ovarian cancer is insufficient to change current clinical practice. Prospective cohort studies, with prior laparoscopic confirmation, localization, and staging of endometriosis are needed, in order to further clarify this issue.
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