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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
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
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**
What phase?
Small number of patients usually healthy volunteers
Phase I
What phase?
Small number of patients with disease of interest
Phase II
What phase ?
Large number of patients randomly assigned either to the treatment under investigation or to the best available treatment (placebo)
Phase III
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
Formula for Sensitivity
True positives /
True positives + false Negatives
Formula for Specificity
True Negatives /
True negatives + false positives
What is the Positive predictive value
TP/ (TP+FALSE POSITIVES)
What is the negative predictive value
True negative /
False Negative + True Negative
What is Point prevalence
Total cases in population
Divided by
Total population at risk
What is the odds Ratio formula
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**
What is Relative Risk formula
Relative probability of getting a disease in the exposed group compared to the unexposed group
***getting the disease***
Nonrandom assignment to study group is what kind of Bias
Selection
Knowledge of presence of disorder alters recall by subjects is what kind of Bias
Recall
Subjects are not representative relative to general population; therefore results are not generalizable is what kind of Bias
Sampling bias
Information gathered at an inappropriate time is what kind of Bias
Late-Look bias

**only patients that are still alive will be able to answer a survey about fatal disease**
Subjects in different groups are not treated the same is what kind of Bias
Procedure bias
Occurs with 2 closely associated factors; the effect of 1 factor distorts or confuses the effect of the other is what kind of Bias
Confounding bias
Early detection confused with increased survival time ; seen with improved screening is what kind of Bias
Lead-time bias
Occurs when a researchers belief in the efficacy of treatment changes the outcome of that treatment is what
Pygmalion effect
Occurs when the group being studied changes its behavior owing to the knowledge of being studied
Hawthorne effect
Hypothesis of no difference
Null
Hypothesis that there is some difference
Alternative
Stating that there IS an effect or difference when none exists P<.05 is what kind of error
Type I (alpha)

False positive

stating that there is a difference between 2 oranges when theres not
Stating that there IS NOT and effect or difference when one exists
Type II error (beta)

Saying there is no difference between an apple and banana when there is
False Negative
What do you do if the confidence interval includes 0
There is no significant difference and null hypothesis is NOT rejected.

"bottled water and tap water are equally water" = True
Medicare is for who
Elderly
follows the outcome of a group of patients without any control group
Case Series
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
Cohort Study
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
Case Control
study looks at one group of people at one point in time and identifies disease and risk factors for each member.
Cross-Sectional
What type of prevention is an intervention that decreases disease incidence in healthy individuals. Examples include vaccination, healthy lifestyle, aspirin and antibiotic prophylaxis
Primary
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.
Tertiary prevention
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
Secondary