biostats Flashcards
What is the definition of sensitivity?
Probability of a disease person testing positive
What is the formula for sensitivity?
TP/TP+FN
What is the definition of specificity?
Probability of a non diseases person testing negative
What is the formula for specificity?
TN/TN+FP
What is the definition for positive predictive value?
Probability that the disease is present when you have a positive result
What is the definition for negative predictive value?
Probability that the disease is absent when you have a negative result
What is the definition for positive likelihood ratio?
Likelihood of having a disease with a positive test result
What is the definition of negative likelihood ratio?
Likelihood of not having a disease with a negative test result
What is the formula for positive likelihood ratio?
sensitivity/ 1- specificity
What is the formula for negative likelihood ratio?
1-sensitivity/specificity
What is primary prevention?
Educating and screening a patient to prevent disease. Action taken before patient develops disease
What is secondary prevention?
Attempt to halting progression of disease
What type of study should you calculate odds ratio?
case control studies
What type of study should you calculate relative risk?
cohort study
What is the definition of relative risk?
Risk of developing disease in exposed group/ risk of developing disease in the unexposed group
What is the formula for relative risk?
(a/a+b)/(c/c+d)
What is the formula for NNT?
1/ARR
What is the formula of ARR?
(Events from controlled group) - (Events from treatment group)
What is the formula for ARP?
Risk in exposed- risk in unexposed or RR-1/RR
What is the formula for PARP?
Risk in total population - Risk in unexposed/ Risk in total population
What is the formula for RRR?
1- RR
What is the purpose of intention to treat analysis?
Protects randomization
What is length time bias?
When you have a highly aggressive disease that is not able to be picked up by screening test. (Picks up benign cases)
What is lead time bias?
When a screening test picks up a disease earlier than it would have been diagnosed leading to the assumption the patient has survived longer
What is sensitivity analysis?
repeating primary analysis calculation after modifying certain criteria or variables
What is propensity scoring and matching?
Ensuring balance between variables in treatment and control groups
What is the standardized mortality ratio (SMR)?
Observed # of deaths/ expected # of deaths
What is the net clinical benefit of a study?
The benefits and harms of a study
What is verification bias?
When a study uses a gold standard test selectively
What is the purpose of funnel plots?
helps in assessing publication bias
What is analysis of variance?
Means of several groups are being compared
What is the fisher exact test?
Study association between 2 variables with a small sample size
What is accuracy?
Looks at how close you come to the gold standard
What is precision?
looks at how often you get the same readings
What is type 1 error?
when you say there is a association when there is really no association
What is type 2 error?
When you say there is no association when an association actually exist
Alpha is what type of error?
type 1 error
Beta is what type of error?
type 2
What is the formula for power?
1- beta
What is the standardized incidence ratio?
determines if the occurrence of cancer in a small population is high or low relative to an expected value derived from a larger comparison population
What is the formula for standardized incidence ratio?
observed cases/expected cases
Which tests are most appropriate for screening?
Highly sensitive test
Which tests are most appropriate for confirmatory test?
Highly specific tests
What are factorial study designs?
utilizes 2 or more interventions and all combinations of the interventions
What can threaten the internal validity of a study?
cofounding
What is the case fatality rate?
refers to the proportion of patient with a particular disease who die from the disease