METAANALYSIS OF EPIDEMIOLOGIC DOSE-RESPONSE DATA

METAANALYSIS OF EPIDEMIOLOGIC DOSE-RESPONSE DATA
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DOI:
10.1097/00001648-199305000-00005
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发表时间:
1993-05-01
期刊:
影响因子:
5.4
通讯作者:
GREENLAND, S
GREENLAND, S
中科院分区:
医学2区
文献类型:
--
作者:
BERLIN, JA;LONGNECKER, MP;GREENLAND, S

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我们讨论了总结剂量反应的流行病学研究的方法。这种研究的数据通常表现为一系列剂量特异性相对风险,其中一个类别作为共同的参考组。我们提出的方法估计剂量-反应参数从单一和多个研究报告,分配水平的暴露类别时,建模相对风险,并调查研究设计和受试者的特征对剂量-反应曲线的影响。最后,我们讨论了固定与随机效应模型的选择。我们用口服避孕药使用时间与乳腺癌风险之间关系的病例对照研究数据来说明我们的观点。
We discuss methods for summarizing epidemiologic studies of dose-response. The data from such a study typically appear as a series of dose-specific relative risks, with one category serving as the common reference group. We present methods for estimating the dose-response parameters from single and multiple study reports, for assigning levels to exposure categories when modeling relative risks, and for investigating the effects of study design and subject characteristics on dose-response curves. Finally, we discuss the choice of fixed vs random effects models. We illustrate our points with data from case-control studies of the relation between duration of oral contraceptive use and risk of breast cancer.