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15 Cards in this Set

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  • Back

exposure?

variable whose causal effect is to be estimated

outcome?

used to describe all possible results that may arise from exposure to a causal factor

risk fact?

attribute or exposure that is associated with an increased probability of a specified outcome.

incidence risk ratio formula?


RR=1 risk of the outcome in both exposed and non exposed groups are equal


RR>1 then exposure increases the outcome risk


RR<1 exposure reduces the outcome risk and exposure is said to be protective

RE+ = a/(a + b)


RE-= c/(c + d)


RR = RE+/RE-




estimate of how many times more likely exposed individuals are to experience the outcome of interest, compared with non-exposed exposed individuals

2 * 2 table



limitations of incidence RR?

can't be estimated in caste control studies because these studies don't allow us to calculate risks

incidence rate ratio?

the ratio of the incidence rate in the exposed group to that in the non-exposed group. interpreted that same way as Incident RR.



relative risk?

synonym for incidence risk ratio and incidence rate ratio

odds ratio - cohort studies


exposure positive/negative come first, then subjects are followed over time to determine their outcome status (outcome positive, outcome negative)

OE+ = a/b


OE- = c/d




odd ratio = OE+ / OE- or AD/BC




note: odds ratio provides a very close estimate of the incidence risk ratio

odds ratio - case-control studies (disease positive, disease negative) is defined first. the history provided by each study subject then provides information about exposure status.

OD+ = a/c


OD- = b/d




OR = OD+/OD-

cohort studies vs case control studies

in a cohort study we talking about the odds of disease being x times greater (or less) in the exposed, compared with the unexposed. In a case control study we talk about the odds of exposure being X times greater (or less) in cases compared with controls.

Attributable risk (or rate)

defined as the increase/decrease in the risk/rate of the outcome in the exposed group that is attributable to exposure




AR = (RE+) - (RE-)




aka attributable risk reduction or attributable risk increase in the exposure group

(NNT)

number needed to treat is a useful way of expressing attributable risk. The NNT is the number of subjects who would have to be given the exposure treatment to prevent a negative outcome from occuring.


avoid expressing attributable risk or rate estimates as percentage because they are too easily misinterpreted

attributable fraction AKA the attributable proportion in the exposed, is the proportion of outcome positive subjects in the exposed group that is due to exposure



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Summary