Evidence Based Dentistry Flashcards

1
Q

what is a confidence interval?

A

tells us the range of values that a true population treatment effect is likely to lie

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2
Q

what are types of controlled studies?

A
  • cohort

- case control

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3
Q

what type of study would apply to the following scenario: researchers watch what happens to a group of people, a group of patients has disease A and is treated with drug X

A

observational uncontrolled study

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4
Q

what type of study would be done when identifying new disease outcomes or a hypothesis generation?

A

case report/case series

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5
Q

what are the disadvantages of a case report/case series?

A
  • cannot demonstrate valid statistical associations

- lack of control group

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6
Q

what is a case report/case series?

A

a report on a single patient of series of patients with an outcome of interest (no control group involved)

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7
Q

what is a cross-sectional study?

A

the observation of a defined population at a single point in time
- exposure and outcome are determined at the same time

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8
Q

if you were estimating prevalence of a disease or investigating potential risk factors, what type of study would you use?

A

cross-sectional study

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9
Q

what are the disadvantages of a cross-sectional study?

A
  • causality (everything collected at once)
  • confounding factors
  • recall bias
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10
Q

what is a case-control study?

A

the study of people with a disease and a suitable control group of people without the disease

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11
Q

if you were looking at potential causes of disease, what type of study would be used?

A

case-control study

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12
Q

what are some disadvantages of case control studies?

A
  • confounding factors
  • recall/selection bias
  • selection of controls
  • time relationships
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13
Q

what is a cohort study?

A
  • establish a group of individuals in population
  • measure exposures
  • follow up over period of time
  • identify those that develop disease
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14
Q

if you were:

  • estimating incidence of disease
  • investigating causes of disease
  • determining prognosis
  • studying timing and direction of events

what type of study would you use?

A

cohort study

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15
Q

what are some disadvantages of cohort studies?

A
  • controls difficult to identify
  • confounding factors
  • blinding difficult
  • for rare diseases, large samples needed
  • very time consuming/expensive
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16
Q

what are the best kind of studies to undertake?

A

randomised control studies

17
Q

what are the four design elements of randomised control trials?

A
  • specification of participants (inclusion/exclusion criteria)
  • control/comparison groups
  • randomisation
  • blinding/masking
18
Q

what is the function of blinding/masking in RCTs?

A

to prevent bias

19
Q

what are some disadvantages of randomised control trials?

A

more difficult to design and conduct that observational studies

  • ethical issues
  • feasibility
  • costs