Causal Inference Flashcards

1
Q

a cause consists of BOTH ___ agents and __ conditions

A

a cause consists of BOTH active agents and static conditions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

why do we care about causality?

A

if we find a cause, we can intervene to reduce or prevent disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

goal of epidemiology

A

to determine factors that cause distribution of disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

2 steps to review evidence

A
  1. is there an association btwn exposure and risk of disease
  2. is it likely to be causal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

investigating correlation between dietary fat intake and breast cancer: what 2 studies should be done?

A
  1. ecologic
  2. retrospective cohort
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

benefits of observational studies

A

cheaper
fewer ethical issues
faster (sometimes)
can test multiple hypotheses and associations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

benefits of experimental studies

A

variables of interest are more controlled
other extraneous variables are controlled

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

sequence of studies in humans (5)

A
  1. clinical observations
  2. available data
  3. case-control
  4. cohort
  5. randomized trials
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

meaning of spurious

A

association that is false
due to confounders/selection bias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

causality is based on strenght of __

A

causality is based on strenght of evidence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

is one study enough to develop a causal relationship?

A

sometimes, but not usually

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

when looking for a causal relationship, we must consider

A

generalizability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

direct causal pathway

A

a fator directly causes a disease without an intermediate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

indirect causal pathway

A

factor causes a disease but only through an intermediate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

4 types of causal relationships

A
  1. necessary AND sufficient
  2. necessary BUT NOT sufficient
  3. sufficient BUT NOT necessary
  4. NEITHER sufficient NOR necessary
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

necessary AND sufficient

A

factor A –> disease
pathogenic TB exposure –> TB

17
Q

necessary BUT NOT sufficient

A

factor A + factor B + factor C –> disease
toxin + diet –> disease

18
Q

sufficient BUT NOT necessary

A

factor A or factor B or factor C –> disease

19
Q

NEITHER sufficient NOR necessary

A

factor A + B or factor C +D or factor E + F –> disease
diet, exercise

20
Q

when alpha = 0.05, type I errors happen

A

5% of the time

21
Q

specificity of association

A

specific exposure associated with only one disease indicates causality
Henle-Koch

22
Q

absence of specificity doesn’t mean __

A

no causal relationship

23
Q

conclusion 1: categorize evidence by quality

A

1) clinical trials
- randomized, blinded
- randomized
- non-randomized
2) cohort/case-control
3) other (case series)

24
Q

conclusion 2: major guideliens for evaluating causality (4)

A
  1. temporal relationship
  2. biologic plausability
  3. consistency
  4. alternate explanations explored
25
Q

3 other considerations for causality

A
  1. dose repsonse
  2. strength of association
  3. cessation of effects