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36 Cards in this Set
- Front
- Back
Compares a group of people With disease to a group without
Asks "what happened |
Case Control Study
Odds/ Ratio |
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Compares a group with a given risk factor to a group without to assess wheather the risk factor increases the likelihood of disease
Asks what will happen |
Cohort study
Relative risk |
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What collects data from a group of people to assess frequency of disease (and related risk factors) at a particular point in time
Asks what is happening |
Cross-sectional study
Shows disease prevalence **can show risk factor association with disease but does not establish causality** |
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What phase?
Small number of patients usually healthy volunteers |
Phase I
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What phase?
Small number of patients with disease of interest |
Phase II
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What phase ?
Large number of patients randomly assigned either to the treatment under investigation or to the best available treatment (placebo) |
Phase III
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What?
Pools data from several studies to come to an overall conclusion. Achieves greater statistical power and integrates results of similar studies **highest echelon of clinical evidence** |
Meta Analysis
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Formula for Sensitivity
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True positives /
True positives + false Negatives |
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Formula for Specificity
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True Negatives /
True negatives + false positives |
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What is the Positive predictive value
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TP/ (TP+FALSE POSITIVES)
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What is the negative predictive value
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True negative /
False Negative + True Negative |
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What is Point prevalence
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Total cases in population
Divided by Total population at risk |
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What is the odds Ratio formula
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Odds of having disease in exposed group divided by odds of having disease in unexposed group
***Having the disease*** **a/b divided by c/d = ad/bc** |
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What is Relative Risk formula
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Relative probability of getting a disease in the exposed group compared to the unexposed group
***getting the disease*** |
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Nonrandom assignment to study group is what kind of Bias
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Selection
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Knowledge of presence of disorder alters recall by subjects is what kind of Bias
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Recall
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Subjects are not representative relative to general population; therefore results are not generalizable is what kind of Bias
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Sampling bias
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Information gathered at an inappropriate time is what kind of Bias
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Late-Look bias
**only patients that are still alive will be able to answer a survey about fatal disease** |
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Subjects in different groups are not treated the same is what kind of Bias
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Procedure bias
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Occurs with 2 closely associated factors; the effect of 1 factor distorts or confuses the effect of the other is what kind of Bias
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Confounding bias
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Early detection confused with increased survival time ; seen with improved screening is what kind of Bias
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Lead-time bias
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Occurs when a researchers belief in the efficacy of treatment changes the outcome of that treatment is what
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Pygmalion effect
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Occurs when the group being studied changes its behavior owing to the knowledge of being studied
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Hawthorne effect
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Hypothesis of no difference
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Null
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Hypothesis that there is some difference
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Alternative
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Stating that there IS an effect or difference when none exists P<.05 is what kind of error
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Type I (alpha)
False positive stating that there is a difference between 2 oranges when theres not |
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Stating that there IS NOT and effect or difference when one exists
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Type II error (beta)
Saying there is no difference between an apple and banana when there is False Negative |
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What do you do if the confidence interval includes 0
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There is no significant difference and null hypothesis is NOT rejected.
"bottled water and tap water are equally water" = True |
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Medicare is for who
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Elderly
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follows the outcome of a group of patients without any control group
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Case Series
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looks at two groups, one presently exposed to a risk factor and one presently not exposed, and follows them forward in time for the development of disease
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Cohort Study
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study looks at two groups, one with disease and one without, and looks back in time to identify exposures. The data is reported as the odds ratio
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Case Control
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study looks at one group of people at one point in time and identifies disease and risk factors for each member.
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Cross-Sectional
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What type of prevention is an intervention that decreases disease incidence in healthy individuals. Examples include vaccination, healthy lifestyle, aspirin and antibiotic prophylaxis
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Primary
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What type of prevention is used to decrease co-morbidities in people with chronic diseases. Examples include eye, kidney, neurological and foot examinations in diabetic patients and beta-blockers for patients with heart disease.
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Tertiary prevention
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What type of prevention uses Screening tests, such as fasting glucose levels and lipid profiles, are done on healthy individuals to detect early disease and provide early intervention if necessary
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Secondary
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