《TARGET声明:模拟目标试验的观察性研究的透明报告》:指南翻译与解读

Translation and interpretation of the TARGET Statement: Transparent Reporting of Observational Studies Emulating a Targeted Trial

  • 摘要: 随机对照试验是评估干预效果的金标准,但在伦理、可行性或时效性受限的情况下,利用观察性数据进行因果推断成为重要的替代途径。然而,观察性研究常面临混杂偏倚、选择偏倚等方法学挑战。目标试验框架通过模拟随机对照试验,为观察性研究提供了结构化的因果推断方法,但在实际应用中,目标试验的报告质量参差不齐。为此,国际专家组制定了《TARGET声明:模拟目标试验的观察性研究的透明报告》(TARGET指南),旨在提升此类研究的透明度、可重复性和因果解释力。本文对TARGET指南进行翻译与解读,介绍其制定背景、核心条目及其在医学研究中的应用要点,并探讨其在我国真实世界研究中的推广价值与实施策略,为推动高质量因果推断研究提供方法学支持。

     

    Abstract: Randomized controlled trials (RCTs) are the gold standard for evaluating intervention effects. But when constrained by ethical, feasibility, or time limitations, causal inference using observational data becomes a critical alternative approach. However, observational studies often face methodological challenges such as confounding bias and selection bias. The target trial framework provides a structured causal inference methodology for observational studies by simulating RCTs, yet the quality of target trial reporting varies significantly in practice. To address this, an international expert group developed “Transparent Reporting of Observational Studies Emulating: the TARGET Statement” to enhance the transparency, reproducibility, and causal interpretability of such studies. This article translates and interprets the TARGET Statement, introduces its development backtground and core items, outlines key points for application in medical research. And explores its promotional value and implementation strategies in real-world studies in China, thereby providing methodological support for advancing high-quality causal inference research.

     

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