Journal Information
Vol. 4. Issue 18.
Pages 112-117 (May - June 1990)
Vol. 4. Issue 18.
Pages 112-117 (May - June 1990)
Open Access
Riesgo Atribuible: Sus Formas, Usos e Interpretación
Atributable Risk: Types, Utilization Ano Interpretation
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
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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
Métodos epidemiológicos
Estudios epidemiológicos
Estudios retrospectivos

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
Epidemiologic methods
Epidemiologic studies
Retrospective studies
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M. Susser.
Epidemiology today: “a thought-tormented work)”.
Ini J Epidemiol, 18 (1989), pp. 481-488
M.L. Levin.
The occurrence of lung cancer in man.
Acta Un Intern Cancer, 9 (1953), pp. 531-541
O.S. Miettinen.
Proportion of disease caused or prevented by a given exposure, trait or intervention.
Am J Epidemiol, 99 (1974), pp. 325-332
J. Berkson.
Smoking and lung cancer: some observations and two recent reports.
J Am Stat Assoc, 53 (1958), pp. 28-38
K.J. Rothman.
Modem epidemiology.
Little Brown, (1986),
J.M. Last.
Diccionario de epidemiologla.
Salvat, (1989),
J. Schlesselmann.
Case-Control Studies: design, conduct, analysis.
pp. 40-49
P. Cole, B. Mac Mahon.
Attributable risk percent in case-control studies.
Brit J Prev Soc Med, 25 (1971), pp. 242-244
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
S.K. Kuritz, J.R. Landis.
Attributable risk ratio estimation tram matchedpairs case-control data.
Am J Epidemiol, 125 (1987), pp. 324-328
S.D. Walter.
The estimation and interpretation of attributable risk in health research.
Biometrics, 32 (1976), pp. 829-849
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
R.J. Wonnacott, T.H. Wonnacott.
Introductory statistics.
4a. ed,
S.D. Walter.
The distribution of Levin’s measure of attributable risk.
Biometrika, 62 (1975), pp. 371-374
S. Greenland.
Variance estimators for attributable fraction estimates consistent in both large strata and sparse data.
Stat Med, 6 (1987), pp. 701-708
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
O.S. Miettinen.
Estimability and estimation in case-referent studies.
Am J Epidemiol, 103 (1976), pp. 226-235
A.M. Lilienfield, D.E. Lilienfield.
Foundations of epidemiology.
2.a ed, Oxford, (1980),
C.A. González, G. López-Abente, M. Errezola, et al.
Occupation and bladder cancer in Spain: a multi-centre case-control study.
Int J Epidemiol, 18 (1989), pp. 569-577
K.J. Rothman.
Synergy and antagonism in cause-effect relationships.
Am J Epidemiol, 99 (1974), pp. 385-388
A.M. Walker.
Proportion of disease attributable to the combined effect of two factors.
Int J Epidemiol, 10 (1981), pp. 81-85
A.J. Sasco.
Etiologic fraction in case-control studies for the evaluation of screening.
J Chron Dis, 40 (1987), pp. 368
S.D. Walter.
Prevention for multifactorial diseases.
Am J Epidemiol, 112 (1980), pp. 409-416
S.D. Walter.
Effects of interaction, confounding and observational error on attributable risk estimation.
Am J Epidemiol, 117 (1983), pp. 598-604
S.W. Duffy, L. Tabar.
Screening for breast cancer (letter).
J Chron Dis, 40 (1987), pp. 907-908
S. Greenland, J.M. Robins.
Conceptual problems in the definition and interpretation of attributable fractions.
Am J Epidemiol, 128 (1988), pp. 1185-1197
T.R. Dawber.
The Framingham study: the epidemiology of atherosclerotic disease.
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
J.M. Shultz.
Smoking-Attributable mortality, morbidity, and economic costs. Computer sofware and documentation center for nonsmoking and health.
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
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