NID epidemiology Flashcards
(11 cards)
Retrospective association study
Examines exposure to and risk/protection factors in relation to outcome established at start of study
Retrospective study disadvantages
Errors
Bias
Lack of data
Prospective association study
Examines outcomes such as disease development during a study period
Examines risk/protection factors
Prostate cancer case study
UK
2012-14
Age risk factor
Incidence + mortality increase after 50
PSA
Prostate specific antigens
Produced by normal and cancerous cells
Levels increase with age
Above 3ng/mL = cancer
PSA disadvantages
False positives
Misdiagnosis
Prostate cancer screening trial outcome
Cases detected
Mortality remains roughly the same, causes worry, expensive
Testicular cancer case study
UK
2012-14
Age risk factor
Affects 25-34 - pubertal hormones
High survival rate
Other risks of ethnicity, undescended testes, late puberty, weight etc
Descriptive epidemiology
Studies the pattern + frequency of events
Person place time
Analytic epidemiology
Studies causes + risk factors associated with disease
Determine disease rates
Diabetes patterns
Highest prevalence in Middle East
Highest morbidity in LMICs
Increased likelihood in south asian + African carribean