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26 Cards in this Set

  • Front
  • Back
What is prevalence?
number of instances of a disease in a population at a designated time
How is point prevalence different than period prevalence?
Point prevalence is the occurrences at a given instant, while period prevalence is all the occurrences within a certain time period
What is incidence?
New cases that occur in a specified population over a particular time period
What three things do you need to know to determine the incidence?
number of new cases
time period they occur in
number of animals total at the beginning
What do you do if animals leave the population during the time period you are calculating the incidence for?
if they are removed NOT due to the disease, adjust the denominator by subtracting 1/2 of the number of animals removed
What is the incidence rate?
number of new cases over the sum of ALL individuals' times spent in the population at risk
(think cat months)
What is the mortality risk?
number of animals that die of the disease over the suceptible population for that time period
What is the case fatality risk?
number of animals that die of the disease over the number of animals that got the disease in the time period
What is a risk ratio?
risk of the even occuring in the exposed group over the risk of the even occurring in the non-exposed group
What values can be seen for risk ratios and what do they mean?
R from 0<1 exposure was protective
R = 1 exposure had no effect
R>1 exposure is associated with the disease
What is an odds ratio?
ad/bc

the odds of the event occurring in the exposed group over the odds of the event occurring in the nonexposed group
How are odds ratios interpreted?
same as RR
OR<1 is protective
OR= 1 no correlation
OR>1 correlated with disease
When is it appropriate to use a risk ratio?
prospective studies (cohorts and clinical trials)
*DO NOT use with cross sectional and case control studies
When is it appropriate to use an odds ratio?
can be calculated for anything, but mostly used for cross sectional and case control studies where RR cannot be used
What p values are considered statistically significant? What does that mean?
<= 0.05
it means there is less than a 5% likelihood that the results were due to chance
What is a confidence interval?
indicates the reliability of an estimate
at the 95% confidence interval the true mean would fall within the interval 95 out of 100 times
How do you know if the confidence interval is significant?
it must not include 1 (can be below or above, but not including)
What is the absolute risk difference?
incidence in the exposed group minus the incidence in the nonexposed group
What is the attributable fraction?
proportion of the disease burden among exposed animals that can be attributed to the exposure
Why is the absolute risk difference calculated?
removes background risk, since not all disease is usually caused by the exposure
How is absolute risk difference interpreted?
AR< 0 protective
AR= 0 no effect
AR>0 exposure correlated with disease

*CI should not include 0 to be significant in this case
How is the absolute risk difference different than a risk ratio?
risk ratios do not remove background risk, so it doesn't give the magnitude of the effect of a causal factor
This is important in determining between two preventive programs, etc
how is the attributable fraction calculated?
(RR-1)/RR
What is the population absolute risk difference and how is it different than the absolute risk difference?
Population absolute risk difference includes nonexposed animals, and thus is always lower than AR it is the incidence in the total population minus the incidence in the unexposed animals
What is the number needed to treat?
number of animals that need to be treated to prevent one case

1/AR
*this is the same as number needed to harm, which is number of animals that must be exposed to cause disease in one
When do you use NNT versus NNH?
if the exposure is occrelated with the outcome, use NNH
If the exposure is protective, use NNT