Clinical Epidemiology 3 - Abnormality Flashcards
Degree to which the data measure what they were intended to measure
Validity / Accuracy
The extent to which repeated measurements of a stable phenomenon by different people and instruments get similar results
Reliability/ Precision
The absolute value of the average difference of individual values from the mean
Standard Deviation
Measure of central tendency which is well suited for mathematical manipulation
Mean
Measure of central tendency not easily influenced by extreme values, good for skewed data
Median
Frequency distribution of repeated measurements of the same physical object by the same instrument
Normal Distribution
What percent of the observations in a normal distribution fall within 1 standard deviation from the mean? (-1 to 1)
66.66% (2/3)
To be exact, 68%
What percent of the observations in a normal distribution fall within 2 standard deviations from the mean? (-2 to 2)
95%
What percent of the observations in a normal distribution fall within 3 standard deviations from the mean? (-3 to 3)
99%
Statistical definition of normality?
2 standard deviations from the mean
Three definitions of abnormality in clinical epidemiology
Unusual (Statistically more than 2 SDF away)
Associated with disease
Treating condition leads to better outcome
Phenomenon when abnormal test result is repeated, the second result is often closer to normal?
What is logic behind it?
Regression to the Mean
Abnormal test result is usually “high” (many SD away from mean) so on repeat test, higher probability of being closer to normal value