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적응형 중첩 사례-대조 연구×Adaptive Cohort Study×
분야역학역학
계열Process / pipelineProcess / pipeline
기원 연도Base design 1977; adaptive extensions from 1990s onward2000s–2010s (systematic formalisation)
창시자Nested case-control: D. C. Thomas (1977); adaptive design framework: Peter Bauer & Klaus Kohne (1994)Extension of classic cohort methods; adaptive design principles formalised by regulatory and epidemiology communities in the 2000s–2010s
유형Observational epidemiological study with adaptive design elementsObservational / adaptive epidemiological design
원전Thomas, D. C. (1977). Addendum to: Methods of cohort analysis: Appraisal by application to asbestos mining. Journal of the Royal Statistical Society, Series A, 140(4), 469–491. DOI ↗VanderWeele, T. J., & Hernan, M. A. (2012). Results on differential and dependent measurement error of the exposure and the outcome using signed directed acyclic graphs. American Journal of Epidemiology, 175(12), 1303–1310. DOI ↗
별칭adaptive NCC, adaptive nested case-referent study, dynamic nested case-control, sequential nested case-controladaptive longitudinal study, flexible cohort design, adaptive prospective cohort, ACS
관련64
요약An adaptive nested case-control study embeds a case-control comparison within a defined cohort and incorporates pre-specified interim decision rules that allow modifications — such as control-to-case ratio adjustment or biomarker sub-sampling revision — based on accumulating data, without compromising the study's validity or inflating type I error. The design combines the efficiency of the nested case-control framework with the flexibility of adaptive methodology to optimise resource use when exposure assessment is costly.An adaptive cohort study is a longitudinal observational design that follows a defined group of individuals over time to assess exposure-outcome relationships, while incorporating pre-specified adaptation rules that allow protocol modifications — such as sample-size re-estimation, subgroup enrichment, or measurement schedule adjustments — based on accumulating interim data. Adaptations are made without compromising validity, guided by a statistical analysis plan agreed upon before data collection begins.
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