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Biostatistics
n/a
31
Medical
Graduate
05/18/2012

Additional Medical Flashcards

 


 

Cards

Term
cluster analysis
Definition
A grouping of different data into similar categories; it usually involves randomization at the level of groups and not individuals.
Term
Latent Period
Definition
The time from an exposure to disease outcome. This is not a type of bias, but instead shows how long you must have an exposure or intervention before one appreciates an outcome. The latent period is especially important in chronic disease epidemiology.
Term
When designing a study, there are 3 methods of controlling confounders:
Definition
matching, restriction, and randomization
Term
When analyzing a set of data, there are 2 methods for controlling confounders:
Definition
stratification and modeling.
Term
The correlation coefficient:
Definition
A number from -1 to 1 that assesses the linear relationship between two variables. 0 is the null value, and means that there is no association. A positive value indicates that there is a positive correlation b/w two variables (ie, as one increases so does the other), while a negative value indicates the opposite. The closer the value is to its margins, the stronger the association.
Term
Effect modification
Definition
when the effect of a main exposure on an outcome is modified by another variable. This is not a bias.
Term
The Hazard Ratio***
Definition
This is a cousin to the odds-ratio, however, while the odds-ratio looks at the odds of getting a disease if you have an exposure versus the odds of getting a disease if you don't have an exposure, the hazard ratio looks at the odds of getting an adverse outcome if you have an intervention for your disease versus the odds of an outcome if you have no intervention for your disease.
Term
Susceptibility bias:
Definition
A subgroup of selection bias that occurs when the treatment regimen selected for a patient depends on the severity of the patient's condition. This bias negates the benefit of randomization.
Term
How is randomization achieved and why do we do it?
Definition
Randomization is to eliminate bias from treatment assignments. We do this by striving for: equal patient group sizes, low selection bias, and a low probability of confounding variables. Confounding variables can be explored though baseline characteristics of patients. If patients have very similar baseline characteristics in similar randomization groups, it is hard to rule out confounding variables.
Term
Reliability:
Definition
similar results on repeat measurements.
Term
Factorial design:
Definition
2 or more experimental interventions, each with 2 or more variables that are studied independently.
Term
Observer's and ascertainment bias
Definition
bias due to misclassification of the outcome due to flaws in the study design
Term
Attributable risk percent:
Definition
The excess risk in a population that can be explained by exposure to a particular risk factor.
Term
How do I calculate ARP?
Definition
Most easily derrived from the relative risk: ARP = (RR-1)/RR
Term
"Matching" in a study
Definition
a method of selecting controls so that youevenly distribute confounding variables in a study population. E.g., picking controls from the same neighborhood as your subjects.
Term
Generalizability (or external validity):
Definition
The applicability of the obtained results beyond the cohort that was studied. It answers the question, "how generalizable are the resuls of a study to another population?" For example, if you included only middle-aged women in your study, you would not be able to apply the results to middle-aged men.
Term
The Chi Squared Test
Definition
This test is used to compare the proportions of a categorized outcome. I.e., if we had 102 that were 'low' and 45 that were 'high,' chi squared will compare those proportions. A 2x2 table may be used to compare the observed value with the expected value.
Term
ANOVA test
Definition
compares 3 or more variables
Term
In a bell curve, what percentage of the results are within 1 SD of the mean?
Definition
68%
Term
2 SD from the mean?
Definition
95%
Term
3 SD from the mean?
Definition
99.7%
Term
Sensitivity:
Definition
TP/(TP+FN)

a/(a+c)
Term
Specificity:
Definition
TN/(TN+FP)

d/(b+d)
Term
Lead time bias:
Definition
When there is an incorrect assumption or conclusion of prolonged apparent survival and better prognosis due to a screening test.

Whenever you see a screening test and improved outcome, beware of this bias. Early detection may seem like it improves outcome, when instead it diagnoses diseas earlier. It does not change the prognosis of a disease at any given stage.
Term
Cohort:
Definition
A study where investigators have a RISK FACTOR and are looking for downstream effects from that risk factor. (Analyzed with relative risk.) This study may be prospective or retrospective.
Term
Case-control:
Definition
When investigators have a DISEASE, and they are looking for exposures in diseased versus undiseased people that happened in the past. (Odds ratio.)
Term
z-test
Definition
This test compares the means of 2 variables, but populations are studied instead of sample variance. (Limited applicability.)
Term
Risk:
Definition
a measure of the incidence of a disease. Risk shows the probability of getting a disease over a certain time period. R = diseased subjects/subjects at risk in a population. (This will used one side of your 2x2 table.)
Term
Relative risk:
Definition
the risk of developing a disease in an exposed group divided by the risk of developing a disease in an unexposed group.

A RR greater than 1 indicates a positive association between the studied risk factor and the studied outcome. A RR less than one shows a negative association.
Term
When can the odds ratio approximate relative risk?
Definition
When a diseas is not very prevalent in the population.
Term
Criteria for confounding variables:
Definition
(a) the confounding variable is associated with the independent variable

(b) the confounding variable is a risk factor for the outcome of interest.
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