Recall bias

回忆偏差
  • 文章类型: Journal Article
    非定量的基于列表或公开的24小时召回(24-HRs)已被证明高估了女性最低饮食多样性(MDD-W)的患病率,与直接定量观察相比。然而,错误的主要来源是未知的。
    为了评估MDD-W的代理数据收集方法的测量协议,与称重食物记录(WFR)相比。
    应用非劣效性设计,数据来自埃塞俄比亚431名未怀孕女性.通过McNemar卡方检验,将两种代理数据收集方法的MDD-W估计值与WFR患病率进行了比较,Cohen\'sKappa,和接收器操作员特征分析。通过Bland-Altman地块比较了十点食物组多样性得分(FGDS),Wilcoxon配对测试,加权Kappa.食物组误分类被划分为与受访者偏见或问卷编制相关的错误。
    基于列表和开放式24-HR的MDD-W报告了8和4个百分点,分别,与WFR相比(目标MDD-W患病率:8%)。此外,基于列表的24-HR高估了FGDS0.4点(协议限制[LOA]:-1.1,2.0),而开放24-HR导致0.3点(LOA:-1.2,1.7)高估。使用代理数据收集方法最有可能被误报的食物组是“脉冲”,“\”坚果和种子,乳制品,\"和\"其他水果。“在所有食物类别中,消费漏报的女性比例均低于4%。此外,受访者的偏见是食品集团过度报告的主要原因,除了“豆类”和“其他蔬菜”食物组外,其中食品项目错误地列入食品清单是错误的主要来源。
    通过代理数据收集方法对食品组消费量的错误分类主要归因于女性由于受访者的偏见或食品计数标准而夸大了消费量,而不是埃塞俄比亚食品清单的次优发展。为了在(次)国家一级获得精确和准确的MDD-W估计,严格的特定环境食品清单开发,问卷调查试点测试,建议使用枚举器培训来减轻已识别的偏见。
    UNASSIGNED: Nonquantitative list-based or open 24-h recalls (24-HRs) have been shown to overestimate the prevalence of Minimum Dietary Diversity for Women (MDD-W), as compared with direct quantitative observations. However, the main sources of error are unknown.
    UNASSIGNED: To assess the measurement agreement of proxy data collection methods for MDD-W, as compared with weighed food records (WFRs).
    UNASSIGNED: Applying a noninferiority design, data were collected from 431 nonpregnant females in Ethiopia. MDD-W estimates from both proxy data collection methods were compared with the WFR prevalence by McNemar\'s chi-square tests, Cohen\'s Kappa, and receiver operator characteristic analyses. Ten-point food group diversity scores (FGDS) were compared by Bland-Altman plots, Wilcoxon matched-pairs tests, and weighted Kappa. Food group misclassifications were partitioned into errors related to respondent biases or the questionnaire development.
    UNASSIGNED: List-based and open 24-HRs overreported MDD-W by 8 and 4 percentage points, respectively, as compared with WFR (objective MDD-W prevalence: 8%). Furthermore, list-based 24-HRs overestimated FGDS by 0.4 points (limits of agreement [LOA]: -1.1, 2.0), whereas open 24-HRs led to a 0.3 point (LOA: -1.2, 1.7) overestimate. Food groups most likely to be misreported using proxy data collection methods were \"pulses,\" \"nuts and seeds,\" \"dairy products,\" and \"other fruits.\" Underreporting of consumption occurred among <4% of females for all food groups. Furthermore, respondent biases were the predominant cause of food group overreporting, except for the \"pulses\" and \"other vegetables\" food groups, where food items incorrectly included on the food list were the main source of errors.
    UNASSIGNED: Food group consumption misclassifications by proxy data collection methods were mainly attributable to females overreporting consumption because of respondent biases or the criterion for foods to be counted, rather than the suboptimal development of the food list in Ethiopia. To obtain precise and accurate MDD-W estimates at the (sub)national level, rigorous context-specific food list development, questionnaire pilot testing, and enumerator training are recommended to mitigate identified biases.
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  • 文章类型: Journal Article
    峰值结束规则,一种记忆启发式方法,其中体验中最情绪化的部分(即,峰值)和经验的结论(即,结束)在汇总评估中权重更大,在心理健康环境中被研究不足。最近密集的纵向方法的增长提供了新的机会来检查高峰结束规则在回顾性回忆的精神健康症状,包括基于测量的护理计划中经常使用的措施。此外,峰值-结束规则的原则具有应用于基于暴露的治疗程序的巨大潜力。需要更多的研究来更好地理解,以及为谁服务的人,峰值规则带来了更大的偏见风险,最终改善评估策略和临床护理。
    The peak-end rule, a memory heuristic in which the most emotionally salient part of an experience (i.e., peak) and conclusion of an experience (i.e., end) are weighted more heavily in summary evaluations, has been understudied in mental health contexts. The recent growth of intensive longitudinal methods has provided new opportunities for examining the peak-end rule in the retrospective recall of mental health symptoms, including measures often used in measurement-based care initiatives. Additionally, principles of the peak-end rule have significant potential to be applied to exposure-based therapy procedures. Additional research is needed to better understand the contexts in which, and persons for whom, the peak-end rule presents a greater risk of bias, to ultimately improve assessment strategies and clinical care.
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  • 文章类型: Journal Article
    目的:本文讨论了对事件发生时间和假设危险因素进行流行病学关联分析的方法学挑战。在某些情况下,结果开始时的年龄/时间可能会丢失,结果自我报告时通常会遇到的情况。
    方法:一项长期随访的队列研究,以确定预后,例如儿童癌症幸存者研究(CCSS),一项针对1970-1999年诊断的5年儿童癌症幸存者的大型队列研究,在调查中自我报告了各种慢性健康状况(CHCs)的发生率和发病年龄.讨论了处理缺失发病年龄的简单方法及其在暴露-结果关联推断中的潜在偏倚。讨论了间隔删失方法作为解决此问题的一种补救措施。通过蒙特卡罗模拟比较了这些方法的有限样本性能。来自CCSS的例子包括四个CHC(糖尿病,心肌梗塞,骨质疏松/骨质减少,和生长激素缺乏)。
    结果:使用标准统计软件在实践中可以使用间隔删失方法。模拟研究表明,“间隔删失”方法的回归系数估计始终显示出降低的偏差,在大多数情况下,较小的标准偏差,导致较小的均方误差,与那些简单的方法相比,不管有感兴趣事件的受试者的比例,缺失发病年龄的比例,和样本量。
    结论:当发病年龄可能缺失时,间隔删失方法是一种对自我报告的事件发生时间数据进行关联分析的统计学有效和实用的方法。虽然将此类数据强制转换为完整数据的更简单方法可能使标准分析方法能够适用,相对于间隔删失方法,准确性和精密度都有相当大的损失。
    OBJECTIVE: This paper discusses methodological challenges in epidemiological association analysis of a time-to-event outcome and hypothesized risk factors, where age/time at the onset of the outcome may be missing in some cases, a condition commonly encountered when the outcome is self-reported.
    METHODS: A cohort study with long-term follow-up for outcome ascertainment such as the Childhood Cancer Survivor Study (CCSS), a large cohort study of 5-year survivors of childhood cancer diagnosed in 1970-1999 in which occurrences and age at onset of various chronic health conditions (CHCs) are self-reported in surveys. Simple methods for handling missing onset age and their potential bias in the exposure-outcome association inference are discussed. The interval-censored method is discussed as a remedy for handling this problem. The finite sample performance of these approaches is compared through Monte Carlo simulations. Examples from the CCSS include four CHCs (diabetes, myocardial infarction, osteoporosis/osteopenia, and growth hormone deficiency).
    RESULTS: The interval-censored method is useable in practice using the standard statistical software. The simulation study showed that the regression coefficient estimates from the \'Interval censored\' method consistently displayed reduced bias and, in most cases, smaller standard deviations, resulting in smaller mean square errors, compared to those from the simple approaches, regardless of the proportion of subjects with an event of interest, the proportion of missing onset age, and the sample size.
    CONCLUSIONS: The interval-censored method is a statistically valid and practical approach to the association analysis of self-reported time-to-event data when onset age may be missing. While the simpler approaches that force such data into complete data may enable the standard analytic methods to be applicable, there is considerable loss in both accuracy and precision relative to the interval-censored method.
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  • 文章类型: Journal Article
    评估了跨国MOBI-Kids病例对照研究中手机使用(MPU)的潜在差异和非差异召回错误。我们将自我报告的MPU与网络运营商长达3个月的计费记录数据进行了比较,1年,采访日期前2年,来自8个国家的702名年龄在10至24岁之间的受试者。斯皮尔曼等级相关性,使用Kappa系数和几何平均比率(GMR)。病例和对照组之间的MPU召回估计没有实质性差异。在最近3个月中,自报告和记录的MPU之间的Spearman等级相关系数对于呼叫号码和呼叫持续时间分别为0.57和0.59。分别。参与者平均低估了通话次数(GMR=0.69),而通话持续时间被高估(GMR=1.59)。国家,自从开始使用手机以来,面试时的年龄,性别似乎并不影响呼叫号码或呼叫持续时间的回忆准确性。在自我报告的MPU水平下,可以看到召回错误的趋势,对于呼叫的数量和持续时间,在较低的级别上低估了使用,而在较高的级别上高估了使用。尽管在参与者中观察到自我报告的MPU中存在系统和随机误差,没有证据表明病例和对照之间存在不同的回忆错误.尽管如此,这些暴露测量误差的来源需要在解释MOBI-Kids病例对照研究结果时考虑儿童使用手机与潜在脑癌风险之间的关联.
    Potential differential and non-differential recall error in mobile phone use (MPU) in the multinational MOBI-Kids case-control study were evaluated. We compared self-reported MPU with network operator billing record data up to 3 months, 1 year, and 2 years before the interview date from 702 subjects aged between 10 and 24 years in eight countries. Spearman rank correlations, Kappa coefficients and geometric mean ratios (GMRs) were used. No material differences in MPU recall estimates between cases and controls were observed. The Spearman rank correlation coefficients between self-reported and recorded MPU in the most recent 3 months were 0.57 and 0.59 for call number and for call duration, respectively. The number of calls was on average underestimated by the participants (GMR = 0.69), while the duration of calls was overestimated (GMR = 1.59). Country, years since start of using a mobile phone, age at time of interview, and sex did not appear to influence recall accuracy for either call number or call duration. A trend in recall error was seen with level of self-reported MPU, with underestimation of use at lower levels and overestimation of use at higher levels for both number and duration of calls. Although both systematic and random errors in self-reported MPU among participants were observed, there was no evidence of differential recall error between cases and controls. Nonetheless, these sources of exposure measurement error warrant consideration in interpretation of the MOBI-Kids case-control study results on the association between children\'s use of mobile phones and potential brain cancer risk.
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  • DOI:
    文章类型: Journal Article
    背景:骶髂关节(SIJ)注射在评估SIJ病理学的诊断工具包中至关重要。召回偏倚是患者报告结果的重要组成部分,在SIJ注射中未得到很好的研究。
    目的:本研究的目的是表征准确性,方向,和SIJ类固醇注射后疼痛水平回忆偏差的程度,并研究影响患者回忆的因素。
    方法:前瞻性队列研究。
    方法:一级学术医学中心。
    方法:使用标准化问卷,在注射前对接受SIJ类固醇注射的患者记录基线数字评定量表(NRS-11)评分,注射后4小时,注射后24小时。在注射后至少2周,患者被要求回忆他们的注射前,4小时,注射后24小时NRS-11评分。使用配对t检验对每个时间间隔的实际和召回的NRS-11得分进行比较。多变量线性回归用于确定与一致性召回相关的因素。
    结果:纳入60例平均年龄66岁的患者(65%为女性)。与他们注射前的疼痛评分相比,患者在两个4小时均显示出相当大的改善(平均差异[MD]=3.28;95%CI,2.68-3.89),注射后24小时(MD=3.23;95%CI,2.44-4.03)。患者对注射前症状的回忆比实际严重(MD=0.65;95%CI,0.31-0.99)。患者在注射后4小时(MD=0.50;95%CI.04-1.04)以及24小时(MD=0.80;95%CI,0.16-1.44)时的症状回忆也比实际严重。回忆偏差的程度是轻微的,没有超过最小的临床重要差异。当比较注射前与注射后4小时NRS-11评分时,实际疼痛水平与回忆疼痛水平之间存在中度相关性(相关系数[r]=0.64;P<0.001),当比较注射前与注射后24小时NRS-11评分时,存在中度相关性(r=0.62;P<0.001)。线性回归模型显示,在预注射时,体重指数较低、同时存在精神病诊断的患者在回忆疼痛方面表现更好(P<0.05).与注射前和注射后4小时NRS-11评分相比,体重指数较高的患者疼痛缓解较少(P<0.05)。
    结论:回忆疼痛评分是通过电话调查获得的,这可能会导致面试偏见。一个病人死了,3人失去了随访。我们没有控制患者使用辅助疼痛缓解方式,这可能会调节对注射的整体反应。SIJ注射也可以诊断,因此,一些患者可能没有相同的注射指征或产生疼痛的诊断。
    结论:在实际和回忆调查中,患者对SIJ类固醇注射的疼痛水平反应良好。尽管患者在注射前表现出对绝对疼痛评分的不良回忆,注射后4小时,注射后24小时,他们在注射后4小时和24小时均表现出稳健的净疼痛评分改善.这些发现表明,使用患者回忆来描述骶髂关节功能障碍治疗后疼痛缓解的程度是有用的。
    BACKGROUND: Sacroiliac joint (SIJ) injections are crucial in the diagnostic toolkit for evaluating SIJ pathology. Recall bias is an important component in patient-reported outcomes that has not been well studied in SIJ injection.
    OBJECTIVE: The purpose of this study was to characterize the accuracy, direction, and magnitude of pain level recall bias following SIJ steroid injection and study the factors that affect patient recollection.
    METHODS: Prospective cohort study.
    METHODS: Level 1 academic medical center.
    METHODS: Using standardized questionnaires, baseline Numeric Rating Scale (NRS-11) scores were recorded for patients undergoing SIJ steroid injections at preinjection, at 4 hours postinjection, and at 24 hours postinjection. At a minimum of 2 weeks postinjection, patients were asked to recall their preinjection, 4-hour, and 24-hour postinjection NRS-11 scores. Actual and recalled NRS-11 scores were compared using paired t tests for each time interval. Multivariable linear regression was used to identify factors that correlated with consistent recall.
    RESULTS: Sixty patients with a mean age of 66 years (65% women) were included. Compared to their preinjection pain score, patients showed considerable improvement at both 4 hours (mean difference [MD] = 3.28; 95% CI, 2.68 - 3.89), and 24 hours (MD = 3.23; 95% CI, 2.44 - 4.03) postinjection. Patient recollection of preinjection symptoms was more severe than actual (MD = 0.65; 95% CI, 0.31 - 0.99). Patient recollection of symptoms was also more severe than actual at 4 hours (MD = 0.50; 95% CI .04 - 1.04) as well as at 24 hours postinjection (MD = 0.80; 95% CI, 0.16 - 1.44). The magnitude of recall bias was mild and did not exceed the minimal clinically important difference. There was a moderate correlation between actual and recalled pain levels when comparing preinjection with the 4-hour postinjection NRS-11 score (correlation coefficient [r] =0.64; P < 0.001) and moderate correlation when comparing preinjection with the 24-hour postinjection NRS-11 score (r = 0.62; P < 0.001). Linear regression models showed that at preinjection, patients with a lower body mass index and the presence of coexisting psychiatric diagnoses were better at recalling their pain (P < 0.05). Patients with a higher body mass index also experienced less pain relief when comparing preinjection with the 4-hour postinjection NRS-11 score (P < 0.05).
    CONCLUSIONS: Recall pain scores were obtained via telephone surveys, which can lead to interview bias. One patient died, and 3 were lost to follow-up. We did not control for patient use of adjunctive pain relief modalities, which may modulate the overall response to injection. SIJ injections can also be diagnostic, so some patients may not have shared the same indication for injection or pain-generating diagnosis.
    CONCLUSIONS: Patients had favorable pain level responses to their SIJ steroid injection for both actual and recall surveys. Although patients demonstrated poor recall of absolute pain scores at preinjection, 4-hour postinjection, and 24-hour postinjection, they demonstrated robust recall of their net pain score improvement at both 4- and 24-hours postinjection. These findings suggest that there is utility in using patient recollection to describe the magnitude of pain relief following treatment for sacroiliac joint dysfunction.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    背景:面向患者的湿疹测量(POEM)是特应性皮炎(AD)症状的推荐核心结果工具。通过回忆过去7天内存在/不存在7种症状来报告POEM。
    目的:评估由于召回不完善而导致的POEM记录中的测量误差。
    方法:使用来自247名年龄在12-65岁的AD患者的临床试验数据,我们分析了报告的POEM评分(r-POEM)和由相同7种症状的相应每日评分得出的POEM,而没有每周回忆(d-POEM).我们通过比较从207名患者中收集的777名患者周的r-POEM和d-POEM来量化召回误差,并估计了召回误差的两个组成部分:(1)由于测量中的系统误差引起的召回偏差,以及(2)由于测量中的随机误差引起的召回噪声,使用定制的统计模型。
    结果:POEM分数具有相对较低的召回偏差,但是召回噪音很高。估计r-POEM的召回偏差平均比d-POEM低1.2点,召回噪音为5.7分。例如,无召回POEM评分为11(中度)的患者,由于召回错误,可报告其POEM评分在5~14之间(概率为95%).模型估计表明,患者倾向于比经历更频繁地回忆瘙痒和干燥(小于1天的正偏差),但其他症状(出血,cracking,剥落,渗出/哭泣和睡眠障碍;1-4天的负面偏差)。
    结论:在本临床试验数据集中,我们发现患者在报告POEM时倾向于稍微低估他们的症状,每次报告POEM时,他们能够回忆起症状的频率有很大差异。在解释POEM分数时,应考虑较大的召回噪声。
    The Patient-Oriented Eczema Measure (POEM) is the recommended core outcome instrument for atopic dermatitis (AD) symptoms. POEM is reported by recalling the presence/absence of seven symptoms in the last 7 days.
    To evaluate measurement errors in POEM recordings due to imperfect recall.
    Using data from a clinical trial of 247 AD patients aged 12-65 years, we analysed the reported POEM score (r-POEM) and the POEM derived from the corresponding daily scores for the same seven symptoms without weekly recall (d-POEM). We quantified recall error by comparing the r-POEM and d-POEM for 777 patient-weeks collected from 207 patients, and estimated two components of recall error: (1) recall bias due to systematic errors in measurements and (2) recall noise due to random errors in measurements, using a bespoke statistical model.
    POEM scores have a relatively low recall bias, but a high recall noise. Recall bias was estimated at 1.2 points lower for the r-POEM on average than the d-POEM, with a recall noise of 5.7 points. For example, a patient with a recall-free POEM of 11 (moderate) could report their POEM score anywhere from 5 to 14 (with 95% probability) because of recall error. Model estimates suggested that patients tend to recall itch and dryness more often than experienced (positive bias of less than 1 day), but less often for the other symptoms (bleeding, cracking, flaking, oozing/weeping and sleep disturbance; negative bias ranging 1-4 days).
    In this clinical trial data set, we found that patients tended to slightly underestimate their symptoms when reporting POEM, with significant variation in how well they were able to recall the frequency of their symptoms every time they reported POEM. A large recall noise should be taken into consideration when interpreting POEM scores.
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  • 文章类型: Journal Article
    本研究旨在评估患者回顾性报告咳嗽评分时是否存在回忆偏差。
    在2021年7月至2021年11月期间接受肺部手术的患者被招募参加本研究。我们使用0-10数字评分量表回顾性评估了过去24小时和过去7天内咳嗽的严重程度。回忆偏差定义为两次评估报告的分数之间的差异。使用基于组的轨迹模型,根据手术前至出院后4周咳嗽评分的纵向变化对患者进行分组。利用广义估计方程探讨召回偏差的影响因素。
    总的来说,分析了199例患者,并证明了出院后咳嗽的三个不同轨迹:高(21.1%),中等(58.3%),和低(20.6%)。高轨迹患者在第2周发现了显着的回忆偏差(6.26vs5.10,P<0.01),中等轨迹患者在第3周发现了显着的回忆偏差(2.88vs2.60,P=0.01)。在所有回忆偏见中,41.8%被低估,和21.7%的高估。高轨迹组(β=1.14,P<0.01)和测量间隔(β=0.36,P<0.01)是低估的危险因素,而出院后时间(β=-0.57,P<0.01)和测量间隔(β=-0.13,P=0.02)是高估的保护因素。
    对接受肺部手术的患者出院后咳嗽进行回顾性评估会引入回忆偏差,有低估的倾向。高轨迹组,间隔时间和出院后时间是召回偏差的影响因素。对于出院时严重咳嗽的患者,监控应采用较短的召回期,由于召回期较长导致的较大偏差。
    UNASSIGNED: This study aimed to evaluate the presence of recall bias when patients retrospectively report cough scores.
    UNASSIGNED: Patients who underwent lung surgery between July 2021 and November 2021 were recruited for this study. We retrospectively assessed the severity of cough within the past 24 hours and the past 7 days using a 0-10 numerical rating scale. Recall bias was defined as the difference between the scores reported on the two assessments. Patients were grouped based on the longitudinal change in cough scores from pre-operation to 4 weeks after discharge using group-based trajectory models. Using generalized estimating equation to explore the factors influencing recall bias.
    UNASSIGNED: Overall, 199 patients were analyzed and demonstrated the three distinct trajectories of post-discharge cough: high (21.1%), medium (58.3%), and low (20.6%). Significant recall bias was found in week 2 for the high-trajectory patients (6.26 vs 5.10, P<0.01) and in week 3 for the medium-trajectory patients (2.88 vs 2.60, P=0.01). Among all recall bias, 41.8% were of underestimation, and 21.7% of overestimation. The high trajectory group (β=1.14, P<0.01) and measurement interval (β=0.36, P<0.01) were risk factors for underestimation, while post-discharge time (β=-0.57, P<0.01) and measurement interval (β=-0.13, P=0.02) were protective factors for overestimation.
    UNASSIGNED: Retrospective assessment of post-discharge cough in patients who underwent lung surgery will introduce recall bias, with a tendency of underestimation. The high-trajectory group, interval time and post-discharge time are influencing factors of recall bias. For patients with severe cough at discharge, a shorter recall periods should be employed for monitoring, due to the large bias that results from a longer recall period.
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