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27 Cards in this Set

  • Front
  • Back
Define Number Needed to Treat

Equation?

If the Questions asked how many people needed to be treated to prevent 1 case?
This is the number of people that need to be treated to PREVENT ONE case of the disease

People at risk of getting the disease at a given time/ People with the disease

= NUMBER NEEDED TO TREAT
How will a new treatment effect the incidence duration and prevalence of a chronic disease
A new treatment will decrease the the time of symptoms for a disease, it will do nothing to the incidence but will decrease the prevalence of the disease
Point Prevalence problems

What is the definition

Who is included in the Denominator
Definition who has this disease out of the entire population RIGHT NOW?

The denominator includes ALL POSSIBLE PEOPLE EVEN THE ONES AFFECTED
INCIDENCE RATE QUESTONS

WHO is included in the nominator of incidence rate questions?

WHO is included in the denominator for incidence rate questions
For the nominator of an incidence rate questions people included must have GOTTEN the disease while in that period, people WHO ALREADY had the disease do not count.

everyone is included in the denominator.
Period Prevalence
People with the disease either got it before the period started and STILL HAVE IT or got it during the period of time
Birth Rate
Live births/ ALL populations x1000
in a calender year
Fertility Rate
Live births/ Women of child bearing age ( 13-55.2) x 1000 in a calender year
Mortality Rate
Deaths/Population x 1000 in a calender year
Infant mortality rate
death rates of children under 1 year/ all live births x1000 in the same year
Neonatal death rate
Infant deaths prior to 28 days/ all live births x1000
postneonatal death rate
after 28 days - 365 days/all live births
Infant mortality rate
neonate + postneotal death rate
Maternal Mortality Rate
yearly rate of deaths to woman from associated child birth

Maternal Deaths/Live births x 100,000
Case Fatality Rate
% of people with the disease that die from it compared to the overall number of cases of the disease

Deaths from disease/Number of cases x 100
Proportionate Death Rate
Deaths from one cause / all deaths x100
deaths from a specific cause per all deaths
Multipliers in Rates

Major VITAL STATISTICS: BIRTH RATE, DEATH RATE, INFANT MORTALITY RATE=

FOR INDIVIDUAL DISEASES

CASE SPECIFIC THINGS
X 1000

X100,000

X100
GOAL OF PRIMARY PREVENTION
DECREASE THE INCIDENCE

promote health behaviors
SECONDARY PREVENTION
Screening for risk factors and early detection of ASYMPTOMATIC people

permit timely and effective treatment

decrease the PREVALENCE od disease
Tertiary Prevention
Reduction in LONG term impairments and disabilities and prevention of repeated episodes

goal prevent RECURRENCE AND SLOW PREGRESSION.
Adjusted Rates of a disease
Must standardized the Data to account for any demographic quality that would cause a skew in the data

On a test question will see a significant difference in the rate of disease between two different groups of people with a key demographic variable

adjustment will tend to make the observed difference between the unadjusted rate disappear
Screening Tests use which classic table?

What goes on horizontal line

What goes on vertical line
2x2

Disease and Non disease

the results of the screening test
with Positve on top and negative on bottom
Define Sensitvity of a screening test

Equation
People with disease who are CORRECTLY Identified by the screening test to have the disease

True positives/ True Positves + false negatives
Define Specificity of a screening test

Equation
People who do not have the disease that are correctly Identified on the screening test as not having the disese

TRUE Negative / True + False positives

People found on the test not to have it/ everyone who really doesnt have it
Positve Predictive value definition

Equation
Everyone who has the disease and tested positive / everyone who tested positive( including false positive)

TP/ TP+FP
Negative Predictive Valeue Definition

Equation
Everyone who tested negative for the disease and really doesnt have it

True Negative/ True Negative + False Negative
Accuracy of a test

Equation
All true results + and - / total people screened
Prevelance
True Positives + False Negatives/ Everyone screened