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13 Cards in this Set

  • Front
  • Back
Case control study
Looks in the past

Do these ppl w/the disease have a Hx of this risk factor compared to another group w/out the disease?

Calculate: Odds ratio
OR = ad/bc
Cohort study
Looks to the future

Has two groups of ppl, one w/risk factors and the other w/out, and see if they get the disease

Calculate: Relative risk
RR = a/(a+b)
________
c/(c+d)
Cross-sectional study
Looks at data from a population and relative risk factors

Calculate: Prevalence
Prev. = incidence X disease duration
Prevalence = ?
total cases/total population
Incidence = ?
new cases in a period of time/ total population at risk

exclude ppl that already have the disease
Compare prevalence to incidence
total cases/total population

Higher than incidence in chronic disease, same as incidence in acute disease
Phase I, II, III of clinical trial
I: healthy volunteers, small group

II: diseased volunteers, small group

III: large group of patients, randomly assigned treatment or placebo (better if double-blinded)
Sensitivity
Rules OUT

TP / TP+FN

or

1-false negative rate (high FN = not sensitive)
Specificity
Rules IN

TN / TN + FP

or

1-false positive rate (high FP = not specific)
Positive predictive value
TP / TP + FP

high prevalence = high PPV
Negative predictive value
TN / TN + FN

high prevalence = low NPV
Number needed to treat/harm
1 / absolute risk increase

where absolute risk increase = event rate of treatment - event rate of placebo
attributable risk = ?
a/a+b - c/c+d