THE IMPACT OF CONFOUNDER SELECTION CRITERIA ON EFFECT ESTIMATION

THE IMPACT OF CONFOUNDER SELECTION CRITERIA ON EFFECT ESTIMATION
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DOI:
10.1093/oxfordjournals.aje.a115101
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发表时间:
1989-01-01
影响因子:
5
通讯作者:
GREENLAND, S
GREENLAND, S
中科院分区:
医学2区
文献类型:
--
作者:
MICKEY, RM;GREENLAND, S

文献摘要

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关于混杂因素控制中变量选择的正确方法存在很多争议。许多作者谴责任何显着性检验的使用,一些作者鼓励这种检验,还有一些作者提出了混合方法。本文介绍了几个混杂因素选择标准的蒙特卡罗模拟结果,包括估计变化和折叠性测试标准。比较这些方法对有关研究因素效果的推论的影响,通过测试规模和功效、偏倚均方误差和置信区间覆盖率来衡量。在最佳决策(是否调整)并不总是显而易见的情况下,估计变化标准往往更优越,但如果将显着性水平设置为远高于常规水平(达到 0.20 或更高的值),则显着性检验方法的表现可以接受。
Much controversy exists regarding proper methods for the selection of variables in confounder control. Many authors condemn any use of significance testing, some encourage such testing, and others propose a mixed approach. This paper presents the results of a Monte Carlo simulation of several confounder selection criteria, including change-in-estimate and collapsibility test criteria. The methods are compared with respect to their impact on inferences regarding the study factor''s effect, as measured by test size and power, bias mean-squared error, and confidence interval coverage rates. In situations in which the best decision (of whether or not to adjust) is not always obvious, the change-in-estimate criterion tends to be superior, though significance testing methods can perform acceptably if their significance levels are set much higher than conventional levels (to values of 0.20 or more).