Clinical trials and research Flashcards

1
Q

What is at the bottom of study designs?

A

editorials and expert opinions

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2
Q

What are case reports?

A

individual reports usually published by doctors or 1 or more patients w a condition who are found to respond to a particular treatment

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3
Q

Why are case reports not regarded as strong scientific evidence?

A

anecdotal nature

lack of control groups

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4
Q

what are case controlled studies?

A

cases of people with a condition are compared with similar cases who donโ€™t

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5
Q

What are cohort studies?

A

comparing large groups or its w or w/o a condition over time

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6
Q

Why donโ€™t case-controlled and cohort studies have strong evidence/

A

show correlation or association but not causation

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7
Q

What are RCTs?

A

similar patients are randomly assigned to an intervention or control group to study the effect of the intervention

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8
Q

What are benefits of RCT

A

low risk of bias and confounding

can infer causality

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9
Q

What are disadvantages of RCTs?

A

time consuming
expensive
unrepresentative study population

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10
Q

what are benefits of case-controlled studies?

A

quick - as outcome has already happened

Good for rare outcomes

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11
Q

What are disadvantages of case-controlled studies?

A

difficult finding appropriately matched controls

prone to selection and information bias

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12
Q

What are cross-sectional studies?

A

Observational study collecting data from a population and a specific point in time
snapshot of a group e.g. census or patient survery

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13
Q

What are benefits of cross sectional studies?

A

๐Ÿ˜ Large sample size

๐Ÿ˜ Provides data on prevalence

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14
Q

What is a disadvantage of cross sectional studies?

A

Risk of reverse causality- which came first?

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15
Q

What are cohort studies?

A

Longitudinal study in similar groups but with different risk factors/treatments. Follows them up over time

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16
Q

What are benefits of cohorts?

A

๐Ÿ˜ Can follow up rare exposure e.g. natural disaster

๐Ÿ˜ Allow identification of risk factors (exposure causing outcome)

17
Q

What is a disadvantage of cohorts?

A

Takes a long time, people drop out

18
Q

What are critical appraisals?

A

looking at the validity, the reliability and the applicability of someoneโ€™s research.

19
Q

What are systematic reviews?

A

clearly formulated question, comprehensive search strategies, explicit inclusion/exclusion criteria.

20
Q

What is the p value?

A

the probability of obtaining the test statistic from the data, assuming that the null hypothesis is true.

21
Q

What does it mean if the P value is <0.05

A

statistically significant, reject H0.

22
Q

What does it mean if the P value is >0.05

A

not statistically significant, insufficient evidence to reject H0.

23
Q

What type of error are false positives?

A

1

24
Q

What type of error are false negatives?

A

2

25
Q

What is logical fallacy/??

A

ways that people will present rubbish as fact. This can be to try and persuade someone.
google it!!

26
Q

What is validity?

A

how close to the truth something is

27
Q

What is reliability

A

how consistent results are

28
Q

what is applicability?

A

how relevant a study is to clinical medicine

29
Q

What are the types of QUALITATIVE research?

A
  • ethnography - emerging oneself into a particular lifestyle or group
  • interviews
  • documentary analyssi
30
Q

What are problems with qualitative research?

A

meaning imposition - not truly understanding what someone else is thinking
crisis of representation - research cannot capture lived experiences
reflexivity - personalisation of data
generalisation

31
Q

What are methods of qualitative research?

A

intellectual puzzles
reading data
interview