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基于检验效能的诊断性试验Meta分析及系统评价方法
引用本文:刘鸿,周洁,冯巧灵,顾海涛.基于检验效能的诊断性试验Meta分析及系统评价方法[J].转化医学杂志,2015,4(1):51-55.
作者姓名:刘鸿  周洁  冯巧灵  顾海涛
作者单位:南京医科大学第一附属医院胸心外科,南京医科大学第一附属医院超声诊断科,重庆医科大学检验医学院教育部临床检验诊断学重点实验室,南京医科大学第一附属医院胸心外科
基金项目:国家知识产权局发明专利项目(ZL201403116404);江苏省普通高校研究生实践创新计划项目(SJZZ-2014-0118);南京市专利专项基金项目(NJ-14-KJZX6404)
摘    要:本研究提供一种基于检验效能的诊断性试验Meta分析及系统评价的方法,其特征在于以检验效能为主线贯穿于以诊断性试验Meta分析为主体的系统综述评价中,实现检验效能与传统Meta分析中纳入研究的质量评估、总效应量合并、敏感性分析以及Meta分析后效评价的一体化整合。该方法实现了对纳入研究质量评估从定性到定量的转变,弥补了基于样本量权衡合并效应量导致的不足,是检验效能在循证医学领域的拓展和延伸,也有利于诊断性试验Meta分析更加科学规范化、精确具体化和综合全面化。

关 键 词:检验效能  Meta分析  循证医学  诊断试验

Method of power based meta analysis for diagnostic accuracy test
Authors:LIU Hong  ZHOU Jie  FENG Qiaoling and GU Haitao
Institution:Department of Cardiothoracic Surgery, First Affiliated Hospital of Nanjing Medical University,Nanjing Jiangsu 210039, China;,Department of Diagnostic Ultrasound, First Affiliated Hospital of Nanjing Medical University, Nanjing Jiangsu 210039, China;,Key Laboratory of Diagnostic Medicine of Education Ministry, Institute of Laboratory Medicine, Chongqing Medical University, Chongqing 400016, China and Department of Cardiothoracic Surgery, First Affiliated Hospital of Nanjing Medical University,Nanjing Jiangsu 210039, China;
Abstract:This study puts forward a method for power-based meta-analysis of diagnostic accu racy test and systematic review, which is characterized by the familiar integration of power and diagnostic accuracy test for meta-analysis. The advantage of of the method is that it contributes to integration of quality assessment of studies included, the pooling of effect size, sensitivity analysis and reevaluation in the process of meta-analysis. The method contributes to improve the quality assessment of studies included from qualitative analysis to quantitative analysis, makes up for the shortage from the sample size-based pooling of effect size, which results in not only the development and extension of power analysis in the field of evidence-based medicine, but also in scientization and standardization, preciseness and quantification, and comprehension.
Keywords:Power analysis  Meta analysis  Evidence based medicine  Diagnostic accuracy test
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