2017 Nashville Flashcards
Power calculation
estimates the number of subjects required to find a clinically significant difference between exposure groups
Confounding factors
factors that confuse analytical study results because they influence both independent and dependent variables.
prevalence
number of cases in the population of interest at a given time
point prevalence
prevalence at once specific time
period prevalence
prevalence of a condition over a specific defined time period
incidence
number of new cases that develop a condition over a defined time period, none of which had the condition at the instant the defined time period begins.
incidence proportion also called cumulative incidence
proportion of animals that developed a condition over that period
incidence rate
takes into consideration the time component; ints numerator is the same as in incidence proportion ( the number of patients who developed the condition) but the denominator is different and is expressed in # patients x time at risk (patient-hours or patient-days etc)
Hypothesis-Generating Studies
Observational Study Designs:
Descriptive
Analytical
Case-control
Descriptive studies
Case Report: description of singe case with a novel course of a known disease
- can provide information about emerging diseases or new diagnostic or treatment options
- information cannot be generalized to other individuals
Case Series:
description of multiple cases without a comparison group
Same advantages and disadvantages as case report
Analytical Studes
compare > or = to 2 groups and allow associations between variables to be made
Cross-sectional study: all measurements taken at a single time point without a flow up period of a population of animals divided into those affected by X condition and those unaffected
Variables can be sex, breed, other putative risk factors and are compared between affected and unaffected groups.
Variables and contain X are generally expressed as an odds ratio.
They can determine prevalence but not incidence since they are a snapshot in time
Case-control study: ALWAYS retrospective and longitudinal as they follow subjects over time. Good for studying rare diseases or outcomes because the researcher first identifies affected cases and selects the matched control after.
No prevalence or incidence information can be generated and by design only a single outcome can be investigated.
Hypothesis-Testing Clinical studies
ALL ARE ANALYTICAL
Observational study:
Cohort study: divide an at-risk population into groups based on their exposure vs non exposure to X putative causal factor and flow them over time.
Can be prospective or retrospective
Prospective can determine incidence
Cohorts are more statistically reliable than case control studies as pertains to determination of causality because the researcher starts with the putative causal factor and looks forward for the outcome of interest
Interventional Studies:
Controlled clinical trial: determine superiority of a treatment or intervention by comparing outcomes between groups that receive different assigned treatments.
Randomized and Nonrandomized