APPLY Flashcards

1
Q

what is critical appraisal?

A

assessing and interpreting evidence by systematically considering its validity, results, and relevance

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2
Q

what is an abstract?

A

a condensed version of the full test, useful for getting the gist of the full test, but not for truly assessing the study quality

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3
Q

what is found in the background and rationale?

A

what is known and not known about the topic and the context and rationale for doing the study

poses questions and hypothesis

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4
Q

what is found in the methods section?

A
  • study design
  • should answer each PICO component
  • statistical methods used to analyze the data and randomization and masking procedures
  • should contain IRB and ethical approval
  • should address informed consent
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5
Q

what is found in the results?

A
  • actual data tables
  • averages/means/medials
  • percentages
  • estimates of association between intervention and outcome (risk difference)
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6
Q

what is a confidence interval?

A

measure of the precision of an estimate

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7
Q

what is the p-value?

A

probability that we could have obtained the observed results if there was no association between the intervention and outcome

P=0.05 means that there is only a 5% chance of the effect happening due to chance

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8
Q

what is the null hypothesis?

A

no association between the intervention and outcome

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9
Q

results are statistically significant when ___

A

P <0.05

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10
Q

what is a confounding variable?

A

factors related to both the intervention and an outcome

“healthy woman effect” - SES and better access to health care probably made them healthier

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11
Q

what is seen in the Discussion section?

A
  • context of study
  • implications of results
  • study limitations
  • references
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12
Q

strong associations are more likely to indicate ___

A

causation

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13
Q

what is the consistency of an observed association?

A

there must be a repeated observation of association in various populations

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14
Q

what is the specificity of an association?

A

linking one cause to one effect is not always true

smoking can cause several negative effects

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15
Q

what is temporal sequence of events?

A

causality must precede effect

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16
Q

what is dose-response relationship?

A

as dose increases, risk of disease increases

17
Q

what is biologic plausibility?

A

not understood at the time a relationship is identified

18
Q

what is experimental evidence?

A

removal of a factor should lead to a decrease in condition

19
Q

what is an analogy?

A

are there other examples of similar causal associations that can lend validity to ours

20
Q

what is an alpha level?

A

the probability of rejecting the null hypothesis when the null hypothesis is true

21
Q

what is a power?

A

the probability that it will reject the null hypothesis when the null is in fact false

22
Q

what is internal validity?

A

the extent to which the design and conduct of a study are likely to have prevented bias

23
Q

what is external validity?

A

inferences drawn from the study population are unbiased when applied to target populations

24
Q

what is a Type 1 error?

A

saying the treatment works, when it DOES NOT.

rejecting the null when it is actually true

25
Q

What is a Type 2 error?

A

saying the treatment doesnt work when IT DOES

not rejecting the null when you should

26
Q

what is the primary outcome?

A

the one the authors intended to find - the most important

27
Q

what is the secondary outcome?

A

outcome used to evaluate additional effects of the intervention deemed as a priority but as less important that the primary

28
Q

what is a surrogate endpoint?

A

In clinical trials, an indicator or sign used in place of another to tell if a treatment works. Surrogate endpoints include a shrinking tumor or lower biomarker levels.

29
Q

what is the purpose of a CONSORT?

A

a method for reporting uniform consent and standards in research studies