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Epidemiolgy Test 2
Case Studies
42
Other
Graduate
10/04/2010

Additional Other Flashcards

 


 

Cards

Term
bias
Definition
error by researcher in design/conducting of study that leads to a falsse asocation btwn disease and exposure
Term
confouding
Definition
reflects the fact that epi research is conducted among free=living ppl w/ unevely distirbuted charaterisitcs
Term
validity
Definition
lack of bias and confounding
Term
factors that help epis determine best study design
Definition
1) hypothesis 2) state of knowledge 3) frequencey of the exposure 4) freq of disease 5) expected strength of association
Term
observational study
Definition
studies causes, preventions, and treatments for disease; investigator passively observes nature
Term
cohort studdy
Definition
examines multiple health effects of an exposure; suhject are defined according to their exposure levels and followe for disease occurrence
Term
case study
Definition
examine multiple exposures in relation to a diseasel subjects are defined as cases and control and exp histories are compared
Term
ecological stuy
Definition
examines rlsp btwn exp and disease prev in pop at a single point in time
Term
cross-sectional stuy
Definition
examines rlsp btwn exp and disease prev with population level rather than individual level
Term
Experimental study
Definition
studies role of some agent in prevention/treament of disease
Term
Experimental types
Definition
preventative/prophylactiv vs theraputic
Term

Experimental analysis

 

Definition
intent-to-treat vs efficiency
Term
Case Control studdy
Definition
study a single disease in relation of one or two exposures
Term
Case Control groups
Definition
defined as cases vs controls; exposure histories are recorded
Term

Case Control

 

 

population control:

Definition

(+) "would"

 

 

(-) $

time,

less likely to want to participate,

more healthy therefore less accurate recall

Term

Case Control

 

hospital/clinic controls:

Definition

 (+) accurate recall b/c sick;

easier to locate;

similar to case population (sick)

 

(-) had to identify which other illness to include

Term

Case Control

 

 

survivor sampling- 

Definition
those who are not sick at end of period
Term

Case Control

 

 

 

case base/case cohort sampling-

Definition
 control selected from pop at risk at beginning before period
Term

Case Control

 

 

risk set sampling- 

Definition
selected from pop at risk while cases are being diagnosed
Term
Case Control measure
Definition
probability that it will occur/probablity is wont occur
Term
Case Control Plus
Definition

Plus:

little I know about etiology of disease so produce risk factors;

less time/$ than cohort;

better rare disease and long induction/latent periods (b/c less people);

when exposure data hard to collect (b/c less people); dynamic pop

Term
Case Control Minus
Definition
retrospective=bias; had to determine temporal rlsp
Term
cohort study
Definition
examines one(+) health effects of exposure to a single aspect
Term
cohort study
Definition
paticipants defined according to exposure and followed over time to measure disease incidence
Term
cohort
Definition
group of ppl w/ similar characteristics
Term

cohort

 

 

 

unexposed

Definition
= reference/comparison group
Term
cohort also called...
Definition
"follow-up" "longitudinal" "incidence"
Term

cohort

 

 

fixed cohort:

Definition
 based on irrevocapble exposure that cant change over time (i.e. surgery)
Term

cohort

 

closed cohort:

Definition
 fixed cohort with no loss to follow-up
Term

cohort

 

 

prospective:

Definition
 past/current exposure w8 for disease to occure
Term

cohort

 

 

retorspective:

Definition
 both exposure/disease have occurred, only looks at past
Term

cohort

 

 

ambidirectional: 

Definition
both pro and retro
Term

cohort

 

 

choice of type of cohort study based

Definition
 on $, time, research question, and population/info availibility
Term

cohort

 

 

determination of exposed group based on

Definition
 research question, exposure frequency, and feasibility (i.e. follow-up, availibility of records)
Term

cohort

 

 

special cohorts: 

Definition
used to study health effects of uncommon exposures VS general cohorts
Term

cohort

 

three sources for comparison group:

Definition
 internal, general pop, cohort
Term

cohort

 

 

internal comparison group:

Definition
 unexposed memebrs of same cohort; BEST
Term

cohort

 

 

general population

Definition
 used when no internal comp avaible, based on past history
Term

cohort

 

MEASURES

Definition
usually CI or IR/ absolute or relative difference in rlsp
Term

cohort

 

 

Advnatages

Definition

 

provide info on large pop of health effects

used when little know about effects of exposure

rare exposure (less 20%)

Term

cohort

 

 

Retrospective

Definition


= (+) Long latent periods;

(-) less info, less rlsp

 

 

 

 

|investigate prior outcomes

Term

cohort

 

Perspective


Definition

 (+) short latent, current exposure, higher quality date

(-) more time/$, need to follow-up |

 

 

 

 

investigates future outcomes

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