Bradford Hill Criteria Flashcards
what are the Bradford Hill criteria?
the criteria by which one can drawn an association between a specific infectious agent and a disease state
what are the 9 Bradford Hill criteria?
- temporality
- strength and association
- biological gradient (dose-response)
- consistency
- plausibility
- specificity
- evidence
- analogy
- coherence
describe temporality
there is a time relationship between cause and effect (effect after cause) with some expected delay between cause and effect
describe strength and association
cause and effect may only be observed by statistical correlation between these in repeated events ot experments (full strength has coefficient of 1)
describe biological gradient (dose response)
in treatment, there might be expected to be a relationship between the dose given and the reaction of the patient
describe consistency
one apparent success does not prove a general cause and effect in wider contexts; to prove a tx is useful, it must give consisten results in a wide range of circumstances
describe plausibility
the apparent cause and effect must make sense in light of current theories and results; if a causal relationship appears to be outside of current science then significant additional hypothesizing and testing will be required before a true cause and effect can be found
describe specificity
a specific relationship is found if there is no other plausible explanation; not always the case in medicine
describe evidence
a very strong proof of cause and effect comes from the results of experiments, where many significant variables are help stable to prevent interference
describe analogy
when something is suspected of causing an effect, then other factors similar or analogous to the supposed cause should also be considered and identified as a possible cause or otherwise eliminated
describe coherence
if laboratory experiments in which variables are controlled and external everyday evidence are in alognment, then it is said that there is coherence