Study designs Flashcards

1
Q

Key features of sample

A

Unbiased
Representative
Precise

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2
Q

Descriptive epidemiology

A

Sampling to infer back on population

hard to achieve perfect sample to represent population

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3
Q

Analytical epidemiology

A

Compare like for like samples

hard to achieve similar samples

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4
Q

Ecological study How?

A

Snapshot in time
Count cases by GROUPS (eg cases within a country)
Define characteristics (exposure and outcome)
Decide data involved - categorical or continuous

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5
Q

Measurement scales ecological study

A

Discrete/Qualitive - nominal (distinct categories) or ordinal (ordered categories)

Continuous/Quantitive - interval (meaningful differences) vs ratio

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6
Q

Issues for ecological studies

A

Definition of characteristics

Measurement variation

Confounding (ecological fallacy: falsely inferring individual association from group level association)

Chance (random error)

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7
Q

What is ecological fallacy?

A

falsely inferring individual association from group level association

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8
Q

Cross sectional studies

A
Snapshot of now
Individual level (can be a series of studies over time)
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9
Q

Cross sectional survey, who are we generalising to?

A

Population

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10
Q

What population can w get access to CSS

A

Study population - GP practice?

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11
Q

How can we get access to population CSS

A

Sampling frame (census)

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12
Q

Who is in your study CSS?

A

The sample

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13
Q

Issues for cross sectional studies?

A

Sampling bias
Responder/participant bias
Chance - random error

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14
Q

Case control study

A

Find cases (eg diseased)
Find controls (eg not diseased)
Look back to past to find exposures
Compare

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15
Q

Issues with case control study

A

Selection bias (controls should reflect population and be comparable to cases)

Information bias (poor recall, missclassification)

Confounding

Chance - random error

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16
Q

Case control stud odds ratio

A

Odds ratio is not rate ratio

looking back in time, NOT future

17
Q

Cohort study concept

A

Find exposed and unexposed (OUTCOME FREE INDIVIDUALS)
Group according to exposure
WAIT
Look to future to compare and contrast outcomes

18
Q

Issues with cohort study

A

Loss from follow up (differential loss/survivor bias)

Information bias (misclassification)

Confounding

Chance - random error

19
Q

Measurement cohort study

A

Incidence rate

Odds ratio OR rate ratio (case control is just odds)

20
Q

Describing a study

A

PICO

P - population
I - intervention / exposure
C - comparison / control
O - outcome

21
Q

Descriptive epidemiology studies

A

Ecological - group analysis

Cross-sectional - individual analysis

22
Q

Analytical epidemiology studies

A

Case control - odds ratio

Cohort - odds ratio or rate ratio

23
Q

Time for studies and cost

A

LOW -
Ecological study

Medium:
Cross sectional
Case control

High:
Cohort

24
Q

Bias present for ecological

A

Sampling
Confounding (high)
Random error

25
Q

Bias present for cross sectional survey

A

Sampling
Recall
Confounding
Random error