segunda-feira, 5 de abril de 2010

Sete erros frequentes em epidemiologia


ResearchBlogging.org
Para quem trabalha com populações humanas (isto inclui grupos de pacientes) recomendo a leitura do artigo Seven mistakes and potential solutions in epidemiology, including a call for a World Council of Epidemiology and Causality publicado no Emerging Themes in Epidemiology (2009, 6:6) e que foi classificado como Highly accessed.
O artigo indica sete áreas de erros frequentes no relato de estudos epidemiológicos. Ver os exemplos e as formas de corrigi-los pode ser bastante útil para todos os que escrevem artigos que relatam estudos com populações ou grupos populacionais.
Os erros principais e suas soluções:

Erro
Solução
Failing to provide the context and definitions of study populations
Describe the study population in detail
Insufficient attention to evaluation of error
Don't pretend error does not exist
Not demonstrating comparisons are like-for-like
Start with detailed comparisons of groups
Either overstatement or understatement of the case for causality
Never say this design cannot contribute to causality or imply causality is ensured by your design
Not providing both absolute and relative summary measures
Give numbers, rates and comparative measures, and adjust summary measures such as odds ratios appropriately
In intervention studies not demonstrating general health benefits
Ensure general benefits (mortality/morbidity) before recommending application of cause-specific findings
Failure to utilise study data to benefit populations
Establish a World Council on Epidemiology to help infer causality from associations and apply the work internationally
Leia o artigo com exemplos e comentários que ajudam muito.

Bhopal, R. (2009). Seven mistakes and potential solutions in epidemiology, including a call for a World Council of Epidemiology and Causality Emerging Themes in Epidemiology, 6 (1) DOI: 10.1186/1742-7622-6-6

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