Final Flashcards
(18 cards)
Cohort studies
compare disease incidence over time between groups that differ on exposure.
Select subjects based on exposure and follow them longitudinally over time
compare disease incidence over time between groups that differ on exposure.
Select subjects based on exposure and follow them longitudinally over time
cohort study
Prospective cohort study
study started before outcome had occur
retrospective cohort studies
study started after outcome has occurred. All data already collected
Cohort study initiation
must exclude subjects with outcome
What does cohort study use for association
relative risk
Advantages of cohort studies
great for rare exposure. Can obtain incidence rates of disease. Assured that exposure occurred before onset of disease (temporality) can study multiple diseases related to one exposure
Disadvantages of cohort studies
inefficient for rare outcomes. Inefficient for long latency from exposure to onset of disease
possible bias of cohort studies
CONFOUNDING - if you don’t measure the confounders you cant control for them
Exposed and unexposed may not be representative of ALL subjects leading to a biased result (selection bias); measurement error; healthy worker effect (the ppl who are at work are the healthy ones. sick ppl are at home)
The point in which a rational and informed person has no preference among 2 or more interventions in an RTC refers to what condition?
Equipoise
Equipoise
not decided as whether or not the intervention may be better than existing
reasonable doubt about which option is good
Stratification
used in small RCTs. increased likelihood you will have more even distribution
RCTs are always
prospective
What might be a valid criterion for including or excluding a patient from a RCT
comorbidity
Surrogate endpoint
You chose an endpoint that may be earlier than outcome (like death or cardiovascular disease)
What distinguished a systematic review from a meta analysis?
a meta analysis combines data from 2 or more studies of similar design
a systematic review does not have to be quantitative
Systematic reviews improve upon narrative reviews in what way
Systematic reviews offer a transparent and reproducible summary of existing research on managing a focused clinical situation
What kind of bias involves including only positive studies during the search for evidence to support systematic reviews
?