BIostat Flashcards

1
Q

what is an example of continuous data

A

logical order with values that increase or decrease by the same amount - HR 120 is x2 of HR 60

interval data- no meaningful 0 ( 0 equals something) 0 degree C
ratio data- meaningful 0( 0 means 0) HR is 0

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2
Q

what is an example of discrete data or categorical data

A

nominal- male female, yes no
ordinal- order = 1,2,3,4,5 pain scales, NYGH i-IV

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3
Q

what is the SD of data

A

it shows how spread out the value is from the mean, the lwoere the more closer to the mean

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4
Q

what are some charecteristics of normal or gaussian distribution

A

mean median and mode are the same and are at the center
68% of the values fall within 1 SD and 95 % of the values fall within 2 SD

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5
Q

when is better to use a median and how to even better the measurement

A

when the data is skewed adn to better add more participants

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6
Q

skewed meaning

A

data is in the direction of the outlier ( right meaning skewed to the right higher values)

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7
Q

what are independant variables

A

changed manipulated by the researcher for example drugs, dose, placebos, patients , age etc

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8
Q

what are dependant variables

A

effected by independant variables
- HF progression, HBA1c, BP cholesterol values

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9
Q

what is the alpha level

A

alpha level is the max permissable error margin commonly sett at 5%

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10
Q

what is a confidence interval

A

1- alpha
most of the time 95% confident data is true
if value touches 0 data is not statistically significant

RRR, OR, HR
result is statistically significant if data doesnt cross 1

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11
Q

what is a type I error

A

error where null is rejected but actually it should be accepted
false positive

** alpha <5 means 95 % correct and 5 % chance for TI error

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12
Q

what is a type II error

A

where null is rejected shouldve accepted
false negative

Power is used to avoid a type II error
P= 1-b
Power 90% means 90% of avoiding type 2 error

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13
Q

treatment relative risk meaning

A

if > 1 the treatment is risk with the endpoints
<1 treatment is safer wtih the endpoints than control group
“as likely” as the control group

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14
Q

what is the Relative risk reduction

A

% of patient less likely to have a disease after treated
“less likely” than control

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15
Q

What is the absolute risk reduction

A

includes reduction in risk and the incidence rate of the outcome
X amount of pt will benefit from the treatment
can be used to find NNT and NNH

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16
Q

Number needed to treat

A

1/ ARR round up

example - for every 9 pt who recieve the treatment per year 1 pt can prevent the disease

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17
Q

Number needed to harm

A

1/ARR rounded down
example- for every 90 pt treated with the treatment 1 patient can get harmed

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18
Q

what is an odds ratio

A

an event will occur verses the probability that it will not occur
used mostly in case control studies

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19
Q

what and when is hazard ratio used

A

when there is a disease progression or death
similar to RR

20
Q

when is a T test used

A

a student t test is when there is continuous data and 2 variable a treatment and a control group

21
Q

when is ANOVA or F test used

A

when there is continuous data with 3 or more samples

22
Q

Chi square is used when

A

there is discrete/ categorical data ( such as pain scale) between treatment and control

23
Q

sensitivity determines

A

the true positive, higher the sensitivity the better reults

24
Q

specificity determines

A

the true negative
the more specific it is the more able it is to differentiate

25
interntion to treat vs per protocol
ITT is participants who were unable to trat but considered in the trail (all participants) Per protocol is the study participants
26
when are forest plots used
in meta analysis
27
types of medical studies from top to bottom
systematic reviews and meta analysis randomized control trial cohort studies case controlled studies case series and case reports expert opinion
28
which study is prospective
RCT
29
which studies are retrospective
case control
30
which study can be both retrospective and prospective
cohort studies
31
benefits of case controlled study
data is easy to obtain unethical intervention (pesticide use that caused some problems) less expensive *** less reliable
32
benefits of cohort study
Unethical interventions ** can be influenced by confounders
33
benefits of RCT
preffered and reliable to find cause and effect less potential for bias ** time consuming and expensive
34
what are the various cost analysis
cost-effective cost minimization cost utility cost benefit
35
what is ECHO
economic clinical humanistic outcomes
36
what are some direct medical costs
Drug prep hospital admin office clinic visits
37
what are some direct non medical costs
travel to the hospital/clinic caregiver cost home health aides
38
what are some indirect costs
lost work time lost productivity morbidity mortality
39
what are some intangible costs
pain suffering anxiety fatigue
40
what is the average cost effective ratio
average treatment cost to generate successful outcome
41
incremental cost ratio
C2-C1/E2-E1 if the result is 100 then C2 requires 100$ more for each additional tratment success
42
what is a cost minimization analysis
>2 intervention has equal outcome and cost is being compared
43
what is a cost benefit analysis
comparing benefits and cost of 2 treatment options measured in dollar outcome in dollar
44
what is a cost effective analysis
not equal therapeutic but compares two interventions with costs measured in dollars and outcome is measure in natural units such as %, mmhg BP etc)
45
cost utility analysis
DALY for disability QALY for quality of life measurement of cost but outcome is QALY