Información de la revista
Vol. 4. Núm. 18.Mayo - Junio 1990
Páginas 91-125
Respuestas rápidas
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 4. Núm. 18.Mayo - Junio 1990
Páginas 91-125
DOI: 10.1016/S0213-9111(90)71007-2
Open Access
Riesgo Atribuible: Sus Formas, Usos e Interpretación
Atributable Risk: Types, Utilization Ano Interpretation
Visitas
17833
F. Javier Nieto García1,*, Armando Peruga Urrea2
1 Departamento de Epidemiología, The Johns Hopkins University, School of Hygiene and Public Health, Baltimore, MD, EE.UU
2 Comisión de Salud Pública, Washington, DC, EE.UU
Este artículo ha recibido
17833
Visitas

Under a Creative Commons license
Información del artículo
Resumen

El concepto de riesgo atribuible, descrito por primera vez hace más de tres décadas, es raramente usado en el análisis e interpretación de estudios epidemiológicos, a pesar de su interés y de los considerables avances teórico-metodológicos desarrollados en los últimos años. El presente trabajo describe las diferentes formas de riesgo atribuible, sus aplicaciones y las limitaciones en su interpretación. Asimismo, se discuten las posibles razones que podrían explicar por qué la epidemiología académica moderna ha relegado su uso en la práctica.

Palabras clave:
Riesgo atribuible
Riesgo
Métodos epidemiológicos
Estudios epidemiológicos
Estudios retrospectivos
Summary

The concept of Attributable Risk, described for the first time more than three decades ago, is rarely used in the analysis and interpretation of epidemiologic studies, despite its interest and importance in methodologic developments of the last years. This paper describes the different forms of Attributable Risk, their applications, and the limitations tor their use. The possible reasons that could explain why its use has been set aside by modem academic epidemiology are also discussed.

Key words:
Attributable risk
Risk
Epidemiologic methods
Epidemiologic studies
Retrospective studies
El Texto completo solo está disponible en PDF
Bibliogrífia
[1.]
M. Susser
Epidemiology today: “a thought-tormented work)”
Ini J Epidemiol, 18 (1989), pp. 481-488
[2.]
M.L. Levin
The occurrence of lung cancer in man
Acta Un Intern Cancer, 9 (1953), pp. 531-541
[3.]
O.S. Miettinen
Proportion of disease caused or prevented by a given exposure, trait or intervention
Am J Epidemiol, 99 (1974), pp. 325-332
[4.]
J. Berkson
Smoking and lung cancer: some observations and two recent reports
J Am Stat Assoc, 53 (1958), pp. 28-38
[5.]
K.J. Rothman
Modem epidemiology
Little Brown, (1986)
[6.]
J.M. Last
Diccionario de epidemiologla
Salvat, (1989)
[7.]
J. Schlesselmann
Case-Control Studies: design, conduct, analysis
pp. 40-49
[8.]
P. Cole, B. Mac Mahon
Attributable risk percent in case-control studies
Brit J Prev Soc Med, 25 (1971), pp. 242-244
[9.]
P. Bruzzi, S.B. Green, D.P. Byar, L.A. Briton, C. Schairer
Estimating the population attributable risk tor multiple risk factors using case-control data
Am J Epidemiol, 122 (1985), pp. 904-914
[10.]
S.K. Kuritz, J.R. Landis
Attributable risk ratio estimation tram matchedpairs case-control data
Am J Epidemiol, 125 (1987), pp. 324-328
[11.]
S.D. Walter
The estimation and interpretation of attributable risk in health research
Biometrics, 32 (1976), pp. 829-849
[12.]
J. Wahrendorf
An estimate of the proportion of colo rectal and stomach cancers which might be prevented by certain changes in dietary habits
Int J Cancer, 40 (1987), pp. 625-628
[13.]
R.J. Wonnacott, T.H. Wonnacott
Introductory statistics
4a. ed,
[14.]
S.D. Walter
The distribution of Levin’s measure of attributable risk
Biometrika, 62 (1975), pp. 371-374
[15.]
S. Greenland
Variance estimators for attributable fraction estimates consistent in both large strata and sparse data
Stat Med, 6 (1987), pp. 701-708
[16.]
D.W. Denman, J.J. Schlesselman
Interval estimation of the attributable risk for multiple exposure levels in case-control studies
Biometrics, 39 (1983), pp. 185-192
[17.]
O.S. Miettinen
Estimability and estimation in case-referent studies
Am J Epidemiol, 103 (1976), pp. 226-235
[18.]
A.M. Lilienfield, D.E. Lilienfield
Foundations of epidemiology
2.a ed, Oxford, (1980)
[19.]
C.A. González, G. López-Abente, M. Errezola
Occupation and bladder cancer in Spain: a multi-centre case-control study
Int J Epidemiol, 18 (1989), pp. 569-577
[20.]
OMS/IARC
[21.]
K.J. Rothman
Synergy and antagonism in cause-effect relationships
Am J Epidemiol, 99 (1974), pp. 385-388
[22.]
A.M. Walker
Proportion of disease attributable to the combined effect of two factors
Int J Epidemiol, 10 (1981), pp. 81-85
[23.]
A.J. Sasco
Etiologic fraction in case-control studies for the evaluation of screening
J Chron Dis, 40 (1987), pp. 368
[24.]
S.D. Walter
Prevention for multifactorial diseases
Am J Epidemiol, 112 (1980), pp. 409-416
[25.]
S.D. Walter
Effects of interaction, confounding and observational error on attributable risk estimation
Am J Epidemiol, 117 (1983), pp. 598-604
[26.]
S.W. Duffy, L. Tabar
Screening for breast cancer (letter)
J Chron Dis, 40 (1987), pp. 907-908
[27.]
S. Greenland, J.M. Robins
Conceptual problems in the definition and interpretation of attributable fractions
Am J Epidemiol, 128 (1988), pp. 1185-1197
[28.]
T.R. Dawber
The Framingham study: the epidemiology of atherosclerotic disease
[29.]
W.B. Kannel
Hypertension, blood lipids, and cigarette smoking as co-risk factors for coronary heart disease
Ann NY Acad Sci, 304 (1978), pp. 128-139
[30.]
J.M. Shultz
Smoking-Attributable mortality, morbidity, and economic costs. Computer sofware and documentation center for nonsmoking and health
[31.]
The steering committee of the physicians health study research group
Prefimmary report: findings from the aspirin component of the ongoing physicians health study
New Eng J Med, 318 (1988), pp. 262-264 http://dx.doi.org/10.1056/NEJM198801283180431
Copyright © 1990. Sociedad Española de Salud Pública y Administración Sanitaria
Idiomas
Gaceta Sanitaria

Suscríbase al Newsletter

Opciones de artículo
Herramientas
es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?