- 1、本文档共125页,可阅读全部内容。
- 2、原创力文档(book118)网站文档一经付费(服务费),不意味着购买了该文档的版权,仅供个人/单位学习、研究之用,不得用于商业用途,未经授权,严禁复制、发行、汇编、翻译或者网络传播等,侵权必究。
- 3、本站所有内容均由合作方或网友上传,本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺!文档内容仅供研究参考,付费前请自行鉴别。如您付费,意味着您自己接受本站规则且自行承担风险,本站不退款、不进行额外附加服务;查看《如何避免下载的几个坑》。如果您已付费下载过本站文档,您可以点击 这里二次下载。
- 4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等,请点击“版权申诉”(推荐),也可以打举报电话:400-050-0827(电话支持时间:9:00-18:30)。
查看更多
系统评价和Meta分析Systematic Review and Meta-analysis南昌大学公共卫生学院黄 鹏 问题的提出 对上述结果, 是不是难以判断并选择? 用X线进行乳腺癌筛查Mammography for breast cancer is an established screening method Is screening with mammography justifiable? Gotzsche Olsen [Nordic Cochrane Centre] conducted a systematic review in 2000 and updated it in 2001. They identified 8 large RCTs on this topic, with over 182,000 women randomized The authors found that no trial data were of high quality Two were of medium quality, and the rest were poor quality or flawed. When the results of the two medium quality trials were combined, the risk ratio was 1.00 (95% CI 0.96, 1.05) They concluded that “screening for breast cancer with mammography is unjustified” The US Preventive Services Task Force reviewed the same set of trials Recently, a 2001 Cochrane Collaboration review of the same trials concluded that six of the eight trials were flawed or of poor quality and that the pooled results from the remaining two better trials did not support a benefit from mammography. The meta-analysis performed for the USPSTF on the most current published data found that the pooled effect size of the combined trials was sizable and statistically significant: the summary relative risk (RR) of breast cancer death among women randomized to screening in seven trials that included women older than 50 was 0.77 (95 percent CI, 0.67-0.89). The USPSTF recommends screening mammography, with or without clinical breast examination, every 1-2 years for women aged 40 and older. 被动吸烟的危害 A topic of great debate and controversy for many years First few epidemiologic studies were published in 1918 Hackshaw et al. conducted a very comprehensive systematic review in 1997 They identified 37 published studies that reported risk of lung cancer among lifelong non-smoking women according to the husband’s smoking status Their meta-analysis revealed that the overall risk of lung cancer among lifelong
您可能关注的文档
- 小型垃圾车.ppt
- 小型民用无人机系统.ppt
- 小型汽轮机运行故障与分析.ppt
- 小型洒水车价格.ppt
- 小型水库、山塘、海塘.ppt
- 小型水源热泵中央空调系统性能特点.ppt
- 小型展览馆建筑设计课件.ppt
- 小学语文课程内容的螺旋组织方式.ppt
- 效益的合理分配.ppt
- 协昌电磁脉冲阀介绍.ppt
- 2025年度党风廉政建设工作计划.docx
- 关于整治群众身边不正之风和腐败问题工作情况的报告.docx
- 2025年巡察整改专题民主生活会主持词及总结讲话.docx
- 2025年乡镇妇联工作总结_1.docx
- 中国联通分公司总经理专题学习2025年政府工作报告心得体会文稿.docx
- 机关单位2025年深入贯彻中央八项规定精神学习教育工作方案文稿.docx
- 审计机关2025年法治宣传教育工作要点范文.docx
- 学习全国党校(行政学院)校长(院长)会议精神心得体会范文.docx
- 纪委书记等领导干部深入学习贯彻中央八项规定精神学习研讨发言材料文稿2篇.docx
- 纪检干部考察提拔个人三年工作总结_1.docx
最近下载
- 《论语》论君子课件.ppt VIP
- 佳能EOS5DMArkII(官方中文使用说明).pdf
- 了解被审计单位及其环境案例--万科集团讲解.doc
- 一种惰性气体保护气雾化设备的可调喷盘.pdf VIP
- 2025届四川省宜宾、自贡、乐山等市高三下学期3月二诊英语试题(含答案与解析).pdf VIP
- 山东省济南市高新区2023-2024学年八年级下学期数学期中考试试卷(含答案).pdf VIP
- 2025年高考物理复习考点解密追踪与预测(新高考)压轴题11 电磁感应综合问题(解析版).pdf VIP
- 供应商QCDS评分细则(管理文件15).doc VIP
- 土壤质地的测定比重计法.pptx VIP
- 媒资系统项目销售合同模版.docx VIP
文档评论(0)