31. Epidemiology 2 Flashcards

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1
Q

Define ‘prevalence’

A
  • proportion of individuals in population who have disease of interest at specific instant
  • provides estimate of probability/risk that an individual will be ill at a point in time
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2
Q

Equation for prevalence

A

number of existing cases of disease/total population

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3
Q

What is point prevalence?

A

prevalence at a given point in time
- point of time may be fixed calendar day or fixed point in series of events like 2nd post-op day of GA for lower 8s

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4
Q

Define ‘incidence’

A
  • quantifies the number of new cases of disease that develop in population at risk during defined time period
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5
Q

Equation of cumulative incidence

A

number of new cases of disease during given time period/total population at risk

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6
Q

Equation for incident rate

A

number of new cases of a disease during given time period/total person-time of observation

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7
Q

What is an index?

A
  • numerical value describing relative status of a population on a graduated scale
  • with definite upper and lower limits designed to permit and facilitate comparison
  • with other populations classified by same criteria and methods
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8
Q

Uses of indices

A
  • to describe the prevalence of disease/condition in population and describe severity of diseases/conditions
  • study and compare heath status of individual and population
  • to provide data for epidemiological studies
  • for planning oral health policy
  • to evaluate success of preventative interventions
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9
Q

Desirable properties of Indices

A
  • equally sensitive across scale to changes in disease severity and disease progression
  • simple to apply, objective, clear and unambiguous
  • should be valid (faithfully record disease supposed to identify)
  • should be reliable (consistent and repeatable)
  • measurements amenable to statistical analysis
  • acceptable to participant
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10
Q

Define ‘valid’

A

actually measures what test purports to measure

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11
Q

Define ‘reliable’

A
  • consistency and repeatability in hands of an examiner or group of examiners
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12
Q

Define ‘chance’

A
  • a possibility/probability of something happening
  • an opportunity
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13
Q

What is chance’s relevance in epidemiology?

A
  • measurements made are nearly always due to random variation
  • so are research findings simply due to chance rather than an actual ‘true’ difference/similarity?
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14
Q

Define ‘bias’

A
  • inclination or prejudice in favour of a particular person , thing or viewpoint to influence unfairly
  • a systematic error relating to measurement of a variable - e.g way things are measured, way ps are selected, way data were analysed
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15
Q

Define ‘confounding’

A
  • an error in the interpretation of measurement (even measurement is accurate)
  • confounder is prognostically linked to outcome of interest and is unevenly distributed between the study groups
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16
Q

How to manage confounding

A
  • randomise
  • stratify
  • match
  • statistical analysis
17
Q

dmft and DMFT difference

A
  • former is in primary teeth
  • both are for caries measurement
18
Q

What is ICDAS?

A
  • international caries detection and assessment system
  • for all levels of caries
19
Q

What is CPI?

A
  • community periodontal index
  • periodontal treatment need
20
Q

What is IOTN?

A
  • Index of Orthodontic Treatment Need
  • Need for Orthodontic Tx
21
Q

What is RCI?

A

root caries index
for root caries

22
Q

What’s Dean’s index for?

A

fluorosis

23
Q

5 problems with DMF/dmf

A
  • M and F are assumed to have been carious
  • were past treatment decisions to preventative or restorative reasons?
  • equal weight is given to D, M, F yet implications for dental health are different
  • F teeth score same as M so what’s the point in decayed teeth restored?
  • DMF/dmf score is irreversible
24
Q

Resources in health care are finite. What does this mean?

A
  • need to priortise who receives limited resources according to NEED, not demand
  • use index of orthodontic treatment need
  • dental and aesthetic component
  • higher scores - greater need
  • quantifies measurement to recognised scale
25
Q

Limitations of epidemiological data

A
  • potential for considerable misclassification of exposure status
  • use doesn’t take into account many individual factors for example a study into fluoride wouldnt look at personal intake