EAB: Introduction Flashcards
What is the general statistic approach?
- Design experiment to answer a clear question question (Hypothesis)
- Design clear analysis plan
- Gather data/perform experiment
- Assess associations/differences (effect size)
- Assess uncertainty in measures (confidence intervals)
- Assess significance (p-value)
- Interpret clinically/scientifically
What’s changed in general statistic approach?
- Previous models were static, our model is dynamic and updating, so the prognosis changes if a patient’s condition changes for worse or better.
- A practical high performance statistical model, for the first time, to make individual and updated survival predictions with over 90% precision.
- New online app to collect the data world-wide and to further validate and fine-tune the model
What are the different study types?
- Observational/Epidemiological
- Dignostic (Method Comparison/Evaluation)
- Treatment/Translation (Clinical Trial)
- Randomization
- Blinding
- Intention to treat analysis
- Per protocol analysis
What is randomisation in an clinical trial?
- Random allocation into an experimental group and a control group
- Avoids selection bias
- Successful randomisation makes different groups have similar characteristics at baseline
What is blinding in an clinical trial?
- A blind experiment is an experiment in which information about the test is masked (kept) from the participants
- Aim: to reduce or eliminate bias
- Bias may be intentional or unconscious
What are the different types of blinding in clinical trials?
Unblinded / open label - All parties are aware of the treatment allocation
Single blind / single-masked- Participants are unaware of the treatment they receive
Double blind / double-masked - Participants and clinicians / data collectors are unaware of the treatment participants receive
Triple blind - Participants, clinicians / data collectors and data analysts are all unaware of the treatment participants receive
Factors that suggest causation include:
Factors that suggest causation include:
* Strength of association (high relative risk or odds ratio)
* Dose-response relationship (more exposure, greater risk)
* Temporality (cause before effect)
* Consistency (multiple studies confirm association)
* Experimental evidence (e.g. animal experiments, randomised controlled trials, natural experiments)
* Specificity (one cause one effect, though not always as smoking causes many diseases)
* Plausibility (a plausible mechanism exists)