Prospective time periodic geographical disease surveillance using a scan statistic

Prospective time periodic geographical disease surveillance using a scan statistic
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DOI:
10.1111/1467-985x.00186
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发表时间:
2001-01-01
影响因子:
2
通讯作者:
Kulldorff, M
Kulldorff, M
中科院分区:
数学4区
文献类型:
--
作者:
Kulldorff, M

文献摘要

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大多数疾病登记至少每年更新一次。如果一个地理上局部的健康危害突然发生,我们希望有一个监测系统,可以尽快发现一个新的地理疾病集群,无论其位置和规模如何。与此同时,我们希望尽量减少假警报的数量。通过使用一个空间-时间扫描统计,我们提出并说明了一个系统,定期时间周期性疾病监测,以检测任何目前“活跃”的地理集群的疾病和测试的统计意义,这样的集群调整的众多可能的地理位置和大小,时间间隔和时间周期性分析。该方法是说明甲状腺癌之间的男子在新墨西哥州1973年至1992年。
Most disease registries are updated at least yearly. If a geographically localized health hazard suddenly occurs, we would like to have a surveillance system in place that can pick up a new geographical disease cluster as quickly as possible, irrespective of its location and size. At the same time, we want to minimize the number of false alarms. By using a space-time scan statistic, we propose and illustrate a system for regular time periodic disease surveillance to detect any currently 'active' geographical clusters of disease and which tests the statistical significance of such clusters adjusting for the multitude of possible geographical locations and sizes, time intervals and time periodic analyses. The method is illustrated on thyroid cancer among men in New Mexico 1973-1992.