加强药物遗传学研究的报告:STROPS 指南的制定

2023-10-01 Equator Network PLoS Med. 2020;17(9):e1003344 发表于加利福尼亚

背景:通常需要大样本量来检测药物遗传学标记物与治疗反应之间具有统计学意义的关联。 可以进行荟萃分析来综合多项研究的数据,增加样本量,从而提高检测显着遗传效应的能力。 然而,由于研究报告中关键数据的报告

中文标题:

加强药物遗传学研究的报告:STROPS 指南的制定

发布机构:

Equator Network

发布日期:

2023-10-01

简要介绍:

背景:通常需要大样本量来检测药物遗传学标记物与治疗反应之间具有统计学意义的关联。 可以进行荟萃分析来综合多项研究的数据,增加样本量,从而提高检测显着遗传效应的能力。 然而,由于研究报告中关键数据的报告不佳,对药物遗传学研究的数据进行稳健的综合通常具有挑战性。 目前尚无使用广泛接受的稳健方法来报告药物遗传学研究的指南。 该项目的目标是制定加强药物遗传学研究报告 (STROPS) 指南。

方法和结果:我们制定了一份初步清单,列出了考虑纳入指南的报告项目。 我们邀请了主要利益相关群体的代表参加德尔福的两轮调查。 共有 52 人参与了两轮调查,对项目纳入 STROPS 指南的重要性进行评分。 然后我们召开了一次共识会议,会上有 8 个人考虑了德尔菲调查的结果,并就每个项目是否应包含在最终指南中进行了投票。 STROPS 指南由 54 项组成,并附有解释和阐述文件。 该指南包含在药物遗传学领域特别重要的项目,例如感兴趣的药物治疗方案以及在进行的分析中是否考虑了对治疗的依从性。 该指南还要求对结果进行明确定义和论证,因为在药物遗传学研究中,可能比其他类型的研究(例如疾病基因关联研究)有更多数量的可能结果。 该项目的一个限制是,我们的共识会议涉及少数人,其中大多数来自英国。

结论:STROPS 指南的目标是提高药物遗传学研究报告的透明度,并促进高质量系统评价和荟萃分析的进行。 我们鼓励作者在发表药物遗传学研究时遵守 STROPS 指南。

STROPS reporting guideline.
Category # Criteria
Abstract
Abstract 1 Provide in the abstract an informative and balanced summary of what was done and what was found.
Introduction
Background/
rationale
2 Explain the scientific background and rationale for the investigation being reported.
3 Provide reasons for choosing the genes and SNPs genotyped.
Objectives 4 State specific objectives, including any prespecified hypotheses.
5 State if the study is the first report of a pharmacogenetic association, a replication effort, or both.
Methods
Study design 6 Present key elements of study design early in the paper.
Setting 7 Describe the setting, locations, and relevant dates, including periods of recruitment, follow-up, and data collection.
Participants 8 Give the eligibility criteria and the sources and methods of selection of participants. For a cohort study, describe methods of follow-up. For a case-control study, state whether true controls or population controls were used. Give the rationale for the choice of cases and controls.
9 Report the drug and regime participants were exposed to and the length of exposure.
  • 10
  • For a matched case-control study, give matching criteria and the number of controls per case.
11 Give information on the criteria and methods for selection of subsets of participants from a larger study, when relevant.
12 If other publications report results for the same patient cohort or a subset of the patient cohort, provide information on this patient cohort overlap and references to the relevant publications.
13 Report disease/clinical indication of patients using a standardized ontology when possible.
Variables 14 Clearly define all outcomes, potential confounders, and effect modifiers. Give diagnostic criteria, if applicable.
15 Provide justification for choice of outcomes.
16 Clearly define genetic exposures (genetic variants) using a widely used nomenclature system.
17 Report the rs number of each genotyped SNP.
18 Clearly state how haplotypes or star alleles were defined.
19 If referring to the minor, major, wild-type, mutant, reference, risk or effect allele of a variant, state which allele this is and for which given population/cohort.
Data sources/ measurement 20 For each variable of interest, give sources of data and details of methods of assessment (measurement). Describe comparability of assessment methods if there is more than one group.
21 Describe laboratory methods, including source and storage of DNA, genotyping methods and platforms (including the allele calling algorithm used, and its version), error rates, and call rates. State the laboratory/center where genotyping was done. Describe comparability of laboratory methods if there is more than one group. Specify whether genotypes were assigned using all of the data from the study simultaneously or in smaller batches.
22 Describe genotype quality control methods and findings.
23 For quantitative outcome variables, specify if any investigation of potential bias resulting from pharmacotherapy was undertaken. If relevant, describe the nature and magnitude of the potential bias, and explain what approach was used to deal with this.
24 Report how adherence to treatment was assessed, and report the results of the assessment.
Study size 25 Explain how the study size was arrived at, or provide details of the a priori power to detect effect sizes of varying degrees.
Quantitative variables  26 Explain how quantitative variables (confounders and effect modifiers) were handled in the analyses. If applicable, describe which groupings were chosen, and why.
Statistical methods 27 Address the following:
(a) Describe methods used to control for confounding.
(b) Describe any methods used to examine subgroups and interactions.
(c) Explain how missing data were addressed.
(d) Cohort study—If applicable, explain how loss to follow-up was addressed.
(e) Case-control study—If applicable, explain how matching of cases and controls was addressed.
(f) Describe any sensitivity analyses.
28 State whether Hardy–Weinberg equilibrium was considered, and if so, how.
29 Describe any methods used for inferring genotypes or haplotypes.
30 Describe any methods used to assess or address population stratification.
31 Describe any methods used to assess and correct for relatedness among subjects. Report results of assessments for relatedness.
32 Describe any methods used to address multiple comparisons or to control risk of false positive results due to (a) multiple genetic variants, (b) multiple outcomes, and (c) multiple assumptions regarding mode of inheritance.
33 Describe any methods used to adjust for extent of adherence in the analyses.
Results
Participants 34 Report the numbers of individuals at each stage of the study—e.g., numbers potentially eligible, examined for eligibility, confirmed eligible, included in the study, completing follow-up, and analyzed.
SNPs 35 Report any SNPs that were excluded from analysis, and provide reasons for these exclusions.
Descriptive data 36 Give characteristics of study participants (e.g., demographic, clinical, social, ethnicity) and information on potential confounders.
37 Cohort study—Summarize follow-up time, e.g., average and/or total amount.
38 Where HWE tests have been undertaken, highlight SNPs that deviate from HWE.
39 Where population stratification is assessed, report the results.
Outcome data 40a For a cohort study, report all outcomes (phenotypes) investigated for each genotype category over time.
40b For a case-control study, report numbers in each genotype category for all outcomes investigated.
40c For a cross-sectional study, report all outcomes (phenotypes) investigated for each genotype category.
41 If a study includes more than one ethnic group, provide the summary data specified in (40) per ethnic group. 
Main results 42 Give unadjusted estimates, and if applicable, confounder-adjusted estimates and their precision (e.g., 95% confidence intervals). Make clear which confounders were adjusted for and why they were included.
43 Report category boundaries when continuous variables were categorized.
Other analyses 44 Report other analyses done—e.g., analyses of subgroups and interactions, and sensitivity analyses.
45 If numerous genetic exposures (genetic variants) were examined, summarize results from all analyses undertaken.
46 If detailed results are available elsewhere, i.e., in supplementary materials, state how they can be accessed.
Discussion
Key results 47 Summarize key results with reference to study objectives.
Limitations 48 Discuss limitations of the study, taking into account sources of potential bias or imprecision. Discuss both direction and magnitude of any potential bias.
Interpretation 49 Give a cautious overall interpretation of results considering objectives, limitations, multiplicity of analyses, results from similar studies, and other relevant evidence.
Generalizability 50 Discuss the generalizability (external validity) of the study results.
Other information
Study registration 51 State whether the study has been registered. If the study has been registered, provide details of the registry.
Ethical approval 52 Report whether ethical approval was obtained for the collection of genetic data.
Funding 53 Give the source of funding and the role of the funders for the present study, and if applicable, for the original study on which the present article is based.
Databases 54 State whether databases for the analyzed data are or will become publicly available, and if so, how they can be accessed.

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For a cohort study, describe methods of follow-up. For a case-control study, state whether true controls or population controls were used. Give the rationale for the choice of cases and controls.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">9</td> <td colspan="1" rowspan="1" align="left">Report the drug and regime participants were exposed to and the length of exposure.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left"> <ul class="simple"> <li> <div>10</div> </li> </ul> </td> <td colspan="1" rowspan="1" align="left"> <ul class="simple"> <li> <div>For a matched case-control study, give matching criteria and the number of controls per case.</div> </li> </ul> </td> </tr> <tr> <td colspan="1" rowspan="1" align="left">11</td> <td colspan="1" rowspan="1" align="left">Give information on the criteria and methods for selection of subsets of participants from a larger study, when relevant.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">12</td> <td colspan="1" rowspan="1" align="left">If other publications report results for the same patient cohort or a subset of the patient cohort, provide information on this patient cohort overlap and references to the relevant publications.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">13</td> <td colspan="1" rowspan="1" align="left">Report disease/clinical indication of patients using a standardized ontology when possible.</td> </tr> <tr> <td colspan="1" rowspan="6" align="left">Variables</td> <td colspan="1" rowspan="1" align="left">14</td> <td colspan="1" rowspan="1" align="left">Clearly define all outcomes, potential confounders, and effect modifiers. Give diagnostic criteria, if applicable.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">15</td> <td colspan="1" rowspan="1" align="left">Provide justification for choice of outcomes.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">16</td> <td colspan="1" rowspan="1" align="left">Clearly define genetic exposures (genetic variants) using a widely used nomenclature system.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">17</td> <td colspan="1" rowspan="1" align="left">Report the rs number of each genotyped SNP.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">18</td> <td colspan="1" rowspan="1" align="left">Clearly state how haplotypes or star alleles were defined.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">19</td> <td colspan="1" rowspan="1" align="left">If referring to the minor, major, wild-type, mutant, reference, risk or effect allele of a variant, state which allele this is and for which given population/cohort.</td> </tr> <tr> <td colspan="1" rowspan="5" align="left">Data sources/ measurement</td> <td colspan="1" rowspan="1" align="left">20</td> <td colspan="1" rowspan="1" align="left">For each variable of interest, give sources of data and details of methods of assessment (measurement). Describe comparability of assessment methods if there is more than one group.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">21</td> <td colspan="1" rowspan="1" align="left">Describe laboratory methods, including source and storage of DNA, genotyping methods and platforms (including the allele calling algorithm used, and its version), error rates, and call rates. State the laboratory/center where genotyping was done. Describe comparability of laboratory methods if there is more than one group. Specify whether genotypes were assigned using all of the data from the study simultaneously or in smaller batches.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">22</td> <td colspan="1" rowspan="1" align="left">Describe genotype quality control methods and findings.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">23</td> <td colspan="1" rowspan="1" align="left">For quantitative outcome variables, specify if any investigation of potential bias resulting from pharmacotherapy was undertaken. If relevant, describe the nature and magnitude of the potential bias, and explain what approach was used to deal with this.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">24</td> <td colspan="1" rowspan="1" align="left">Report how adherence to treatment was assessed, and report the results of the assessment.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">Study size</td> <td colspan="1" rowspan="1" align="left">25</td> <td colspan="1" rowspan="1" align="left">Explain how the study size was arrived at, or provide details of the a priori power to detect effect sizes of varying degrees.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">Quantitative variables&nbsp;</td> <td colspan="1" rowspan="1" align="left">26</td> <td colspan="1" rowspan="1" align="left">Explain how quantitative variables (confounders and effect modifiers) were handled in the analyses. If applicable, describe which groupings were chosen, and why.</td> </tr> <tr> <td colspan="1" rowspan="13" align="left">Statistical methods</td> <td colspan="1" rowspan="1" align="left">27</td> <td colspan="1" rowspan="1" align="left">Address the following:</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">(a)</td> <td colspan="1" rowspan="1" align="left">Describe methods used to control for confounding.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">(b)</td> <td colspan="1" rowspan="1" align="left">Describe any methods used to examine subgroups and interactions.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">(c)</td> <td colspan="1" rowspan="1" align="left">Explain how missing data were addressed.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">(d)</td> <td colspan="1" rowspan="1" align="left">Cohort study&mdash;If applicable, explain how loss to follow-up was addressed.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">(e)</td> <td colspan="1" rowspan="1" align="left">Case-control study&mdash;If applicable, explain how matching of cases and controls was addressed.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">(f)</td> <td colspan="1" rowspan="1" align="left">Describe any sensitivity analyses.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">28</td> <td colspan="1" rowspan="1" align="left">State whether Hardy&ndash;Weinberg equilibrium was considered, and if so, how.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">29</td> <td colspan="1" rowspan="1" align="left">Describe any methods used for inferring genotypes or haplotypes.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">30</td> <td colspan="1" rowspan="1" align="left">Describe any methods used to assess or address population stratification.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">31</td> <td colspan="1" rowspan="1" align="left">Describe any methods used to assess and correct for relatedness among subjects. Report results of assessments for relatedness.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">32</td> <td colspan="1" rowspan="1" align="left">Describe any methods used to address multiple comparisons or to control risk of false positive results due to (a) multiple genetic variants, (b) multiple outcomes, and (c) multiple assumptions regarding mode of inheritance.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">33</td> <td colspan="1" rowspan="1" align="left">Describe any methods used to adjust for extent of adherence in the analyses.</td> </tr> <tr> <td colspan="3" rowspan="1" align="left"><strong>Results</strong></td> </tr> <tr> <td colspan="1" rowspan="1" align="left">Participants</td> <td colspan="1" rowspan="1" align="left">34</td> <td colspan="1" rowspan="1" align="left">Report the numbers of individuals at each stage of the study&mdash;e.g., numbers potentially eligible, examined for eligibility, confirmed eligible, included in the study, completing follow-up, and analyzed.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">SNPs</td> <td colspan="1" rowspan="1" align="left">35</td> <td colspan="1" rowspan="1" align="left">Report any SNPs that were excluded from analysis, and provide reasons for these exclusions.</td> </tr> <tr> <td colspan="1" rowspan="4" align="left">Descriptive data</td> <td colspan="1" rowspan="1" align="left">36</td> <td colspan="1" rowspan="1" align="left">Give characteristics of study participants (e.g., demographic, clinical, social, ethnicity) and information on potential confounders.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">37</td> <td colspan="1" rowspan="1" align="left">Cohort study&mdash;Summarize follow-up time, e.g., average and/or total amount.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">38</td> <td colspan="1" rowspan="1" align="left">Where HWE tests have been undertaken, highlight SNPs that deviate from HWE.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">39</td> <td colspan="1" rowspan="1" align="left">Where population stratification is assessed, report the results.</td> </tr> <tr> <td colspan="1" rowspan="4" align="left">Outcome data</td> <td colspan="1" rowspan="1" align="left">40a</td> <td colspan="1" rowspan="1" align="left">For a cohort study, report all outcomes (phenotypes) investigated for each genotype category over time.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">40b</td> <td colspan="1" rowspan="1" align="left">For a case-control study, report numbers in each genotype category for all outcomes investigated.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">40c</td> <td colspan="1" rowspan="1" align="left">For a cross-sectional study, report all outcomes (phenotypes) investigated for each genotype category.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">41</td> <td colspan="1" rowspan="1" align="left">If a study includes more than one ethnic group, provide the summary data specified in (40) per ethnic group.&nbsp;</td> </tr> <tr> <td colspan="1" rowspan="2" align="left">Main results</td> <td colspan="1" rowspan="1" align="left">42</td> <td colspan="1" rowspan="1" align="left">Give unadjusted estimates, and if applicable, confounder-adjusted estimates and their precision (e.g., 95% confidence intervals). Make clear which confounders were adjusted for and why they were included.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">43</td> <td colspan="1" rowspan="1" align="left">Report category boundaries when continuous variables were categorized.</td> </tr> <tr> <td colspan="1" rowspan="3" align="left">Other analyses</td> <td colspan="1" rowspan="1" align="left">44</td> <td colspan="1" rowspan="1" align="left">Report other analyses done&mdash;e.g., analyses of subgroups and interactions, and sensitivity analyses.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">45</td> <td colspan="1" rowspan="1" align="left">If numerous genetic exposures (genetic variants) were examined, summarize results from all analyses undertaken.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">46</td> <td colspan="1" rowspan="1" align="left">If detailed results are available elsewhere, i.e., in supplementary materials, state how they can be accessed.</td> </tr> <tr> <td colspan="3" rowspan="1" align="left"><strong>Discussion</strong></td> </tr> <tr> <td colspan="1" rowspan="1" align="left">Key results</td> <td colspan="1" rowspan="1" align="left">47</td> <td colspan="1" rowspan="1" align="left">Summarize key results with reference to study objectives.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">Limitations</td> <td colspan="1" rowspan="1" align="left">48</td> <td colspan="1" rowspan="1" align="left">Discuss limitations of the study, taking into account sources of potential bias or imprecision. Discuss both direction and magnitude of any potential bias.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">Interpretation</td> <td colspan="1" rowspan="1" align="left">49</td> <td colspan="1" rowspan="1" align="left">Give a cautious overall interpretation of results considering objectives, limitations, multiplicity of analyses, results from similar studies, and other relevant evidence.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">Generalizability</td> <td colspan="1" rowspan="1" align="left">50</td> <td colspan="1" rowspan="1" align="left">Discuss the generalizability (external validity) of the study results.</td> </tr> <tr> <td colspan="3" rowspan="1" align="left"><strong>Other information</strong></td> </tr> <tr> <td colspan="1" rowspan="1" align="left">Study registration</td> <td colspan="1" rowspan="1" align="left">51</td> <td colspan="1" rowspan="1" align="left">State whether the study has been registered. If the study has been registered, provide details of the registry.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">Ethical approval</td> <td colspan="1" rowspan="1" align="left">52</td> <td colspan="1" rowspan="1" align="left">Report whether ethical approval was obtained for the collection of genetic data.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">Funding</td> <td colspan="1" rowspan="1" align="left">53</td> <td colspan="1" rowspan="1" align="left">Give the source of funding and the role of the funders for the present study, and if applicable, for the original study on which the present article is based.</td> </tr> <tr> <td colspan="1" rowspan="1" align="left">Databases</td> <td colspan="1" rowspan="1" align="left">54</td> <td colspan="1" rowspan="1" align="left">State whether databases for the analyzed data are or will become publicly available, and if so, how they can be accessed.</td> </tr> </tbody> </table> </div>, tagList=[TagDto(tagId=56402, tagName=临床药物遗传学检测), TagDto(tagId=101088, tagName=药物遗传学)], categoryList=[CategoryDto(categoryId=11, categoryName=药械, tenant=100), CategoryDto(categoryId=85, categoryName=指南&解读, tenant=100), CategoryDto(categoryId=21026, categoryName=医学科研, tenant=100), CategoryDto(categoryId=21100, categoryName=达仁堂循证e学界, tenant=100)], articleKeywordId=0, articleKeyword=, articleKeywordNum=6, guiderKeywordId=0, guiderKeyword=, guiderKeywordNum=6, haveAttachments=1, attachmentList=null, guiderType=0, guiderArea=共识, guiderLanguage=1, guiderRegion=10, opened=0, paymentType=, paymentAmount=20, recommend=0, recommendEndTime=null, sticky=0, stickyEndTime=null, allHits=455, appHits=0, showAppHits=0, pcHits=19, showPcHits=455, likes=0, shares=0, comments=0, approvalStatus=1, publishedTime=Fri Oct 13 11:27:25 CST 2023, publishedTimeString=2023-10-01, pcVisible=1, appVisible=1, editorId=0, editor=侠胆医心, waterMark=0, formatted=0, memberCards=[], isPrivilege=0, deleted=0, version=3, createdBy=null, createdName=侠胆医心, createdTime=Sat Oct 14 02:29:00 CST 2023, updatedBy=4754896, updatedName=侠胆医心, updatedTime=Mon Jan 01 05:22:41 CST 2024, courseDetails=[], otherVersionGuiders=[], isGuiderMember=false, ipAttribution=加利福尼亚, attachmentFileNameList=[AttachmentFileName(sort=1, fileName=pmed.1003344.pdf)])
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