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Statistics, The Literature, Hospital Data And Patient Profiles: A Survival Guide

机译:统计,文献,医院数据和患者资料:生存指南

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INTRODUCTION Continuing self-education and appraisal of the medical literature are simultaneously a responsibility and a joy for the physician who intends to keep abreast of new developments and incorporate new research findings into clinical practice. It is a responsibility, given the tremendous accrual of new knowledge. It is a joy because this stimulus keeps one’s mind alive and renews the original feelings that prompted the study of medicine.(1) Feinstein notes, ``The statistician brings a long tradition of intellectual neglect of the significance of management of clinical data. He finds as his collaborators, clinicians who have a long tradition of intellectual fear of statistics.’‘(2) He also noted that the numerical method was introduced into clinical medicine in 1836 by Pierre Louis, who helped end the popularity of blood-letting by counting and comparing the results of patients treated in various ways. Louis was both attacked and vilified according to Feinstein who refers to Louis’ experience as, “A caveat for any clinician who questions an accepted therapy of his era and who urges his colleagues to make better use of their senses and statistics in evaluating therapy.’‘ He also quotes Louis, ``Let those, who engage hereafter in the study of therapeutics, pursue an opposite course to that of their predecessors. Let them labor to demonstrate rigorously the influence and the degree of influence of any therapeutic agent, on the duration, progress, and termination of a particular disease.’‘ Thus, one faces strong positive and negative stimuli to pursue the goals of this chapter.
机译:简介继续自我教育和医学文献评估对打算跟上新进展并将新研究结果纳入临床实践的医师而言既是一种责任,也是一种喜悦。鉴于大量积累的新知识,这是一种责任。之所以感到高兴是因为这种刺激使人的大脑保持活力并更新了促使医学研究的原始感受。(1)Feinstein指出:``统计学家长期以来一直在智力上忽略了临床数据管理的重要性。他发现自己是协作者,长期以来一直对统计知识有智力上的恐惧。''(2)他还指出,皮埃尔·路易斯(Pierre Louis)于1836年将数值方法引入临床医学,他帮助结束了放血的流行通过计数和比较以各种方式治疗的患者的结果。费恩斯坦称路易斯对他的经历既受到攻击又受到侮辱,他称路易斯的经历是:“对任何质疑其时代公认的疗法并敦促其同事在评估疗法时更好地利用自己的理智和统计数据的临床医生来说,这是一个警告。”他还引用了路易(Louis)的话:``让那些从事治疗学研究的人走上与前任相反的道路。让他们努力确切地展示出任何治疗剂对特定疾病的持续时间,进展和终止的影响和影响程度。’因此,人们将面临强烈的积极和消极刺激,以追求本章的目标。

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