Bio Stats Flashcards
Lead-time bias
An artificial increase in survival time among tested patients who actually have an unchanged prognosis. Pts screened with more sensitive test only appear to live longer only bc the disease was detected earlier that it would have been clinically. Overall length of time from disease onset to death actually remains the same
***think of lead-time bias when you see “a new screening test” for poor prognosis disease
Incidence vs prevalence
Incidence is the measure of the appearance of new cases.
Prevalence is the measure of those w the disease in the population at a particular point in time.
In a stable population:
Prevalence= incidence x time
***time can refer to factors that prolong the duration of the disease (eg improved quality of care)
Observer bias
When the investigators decision is affected by prior knowledge of the exposure status
Recall bias
Inaccurate patient recall of past exposure
Selection bias
When subjects are selected for a study or from selective losses during follow up
Matching
Method used in the design stage of case control studies to control confounding. Initial step involves selecting variables that could be con founders (i.e. Age, race). Cases and controls are then selected based on the matching variables so that both groups have similar distribution in accordance with the variables