31. Epidemiology 2 Flashcards
Define ‘prevalence’
- 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
Equation for prevalence
number of existing cases of disease/total population
What is point prevalence?
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
Define ‘incidence’
- quantifies the number of new cases of disease that develop in population at risk during defined time period
Equation of cumulative incidence
number of new cases of disease during given time period/total population at risk
Equation for incident rate
number of new cases of a disease during given time period/total person-time of observation
What is an index?
- 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
Uses of indices
- 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
Desirable properties of Indices
- 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
Define ‘valid’
actually measures what test purports to measure
Define ‘reliable’
- consistency and repeatability in hands of an examiner or group of examiners
Define ‘chance’
- a possibility/probability of something happening
- an opportunity
What is chance’s relevance in epidemiology?
- measurements made are nearly always due to random variation
- so are research findings simply due to chance rather than an actual ‘true’ difference/similarity?
Define ‘bias’
- 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
Define ‘confounding’
- 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