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29 Cards in this Set

  • Front
  • Back
Describe selection bias.
Different criteria for cases vs controls.
Describe observational bias
Info on disease outcome obtained in a noon-comparable manner btwn exposed & unexposed.
Describe confounding bias.
Failure to take into account other variables associated with both disease & the exposure. i.e. smoking
Describe case-control studies
Retrospective. Identify a group of workers w/ disease & examine their work history for potential exposures.
Describe cohort studies
Prospective. Identify a workers by exposure, watch for disease (most powerful)

Retrospective cohort: go back in time and Identify people by exposure and follow them to the present time looking fir the development of a disease.
Incidence Rate
Number of new cases of a disease per worker per unit time.

Focused only on new cases
Prevalence Rate
Total number of cases in a worker population at a specfic time.
Relative Risk
Comparison of disease prevalence between exposed and unexposed worker population.
Attributable Risk
Difference in risk between and exposed group and an unexposed group
Odds Ratio
Comparison of the odds of getting a diease in an exposed group to the odds of getting a disease in an unexposed group.
Case Control Study

Prospective or retrospective?

Cases are identified from ?

How are controls selected?

Cases and controls compare what?

End results is ?
Case Control Study

Retrospective- looking at people who already have disease

Cases are identified from a specific population.

Controls are people from same population that do not have disease.

Compare exposure btwn cases and controls.

End result is an odds ratio.
What results is given in a case control study
odds ratio
Cohort Study

Prospective or retrospective?

How are cohort studies structured?
Cohort Study

Prospective. Identify a population prospectively and follow them over time.

Measure exposure and disease over time.

Most power type of study other than clinical trials.
What study is the most powerful type other than clinical trials?
Cohort studies
Cross-Sectional Study

Population based on?

How and when are disease and exposure measure over time?

AKA?
Cross-Sectional Study

Study of population regardless of exposure or disease status.

Take a cross-section of population.

Diease and exposure measured at the same time.

AKA - prevalence study
Mortality Studies

Comparison of ?

What is SMR?

An SMR of 100 = ?

Incorrect to compare SMR across?
Compare mortality rate of a population relative to the standard population.

SMR: standard mortality rate

SMR = 100 indicates no relationship
A study followed a group of electrical utility workers over time. The researchers studied their exposure to EMF and the development of prostate cancer. What type of study is this?
Cohort study
What is the null hypothesis?
The null hypothesis is the belief that no exposure:disease relationship exists.

Often states Ho:
- Smoking is not associated with lung cancer.
-Benzene is not asssociated with leukemia.
What is the alternate hypothesis?
The alternate hypothesis is that there IS an exposure:disease relationship.

Often stated H1 or Ha:
-Smoking is associated with lung cancer.
Type 1 error
Rejection of the null hypothesis when the null hypothesis is true.

-Believing there is a disease exposure relationship when no relationship exists.
Type II error
Accepting the null hypothesis when the null hypothesis is not true.
Which type of error?

Smoking is not associated w cancer?
Type II error.

Accepting the null hypothesis when the null hypothesis is not true.
Which type of error?

Saccharin is a human carcinogen
Type I error.

Rejection of the null hypothesis when the null is true. (Believing there is a diease exposure relationship when no relationship exists)
Which typeof error?

Ethanol consumption is not associated with liver disease?
Type II error.

Accepting the null hypothesis when the null hypothesis is not true.
Alpha (α)

Beta (β)
α = the probability of making a random type I error.

β = probability of committing type II error.
α = ?

Confidence = ?
α is probably of a random type 1 error.

α = 0.05

Confidence = 1 - α
Typically 95%
p-value

p-value is the probably of ?
p-value is the probably of committing a random type 1 error.

If p-value < α, then results is declared statistically significant.
Beta (β) is the probably of ?
β is the probably of committing type II error.

Power of test = 1 - β
Confidence Interval

Results from test relying on statistical methods are reported with a confidence intervale.

RR and OR are reported with an interval.

If the interval includes 1, then ?

If the interval does not include 1, then?
If the interval includes 1, then it is NOT statistically signficant. Eg. (0.62, 1.18)

If the interval does not include 1, then it IS statistically significant. E.g. (2.69, 5.05)