Epi/Biostats Flashcards
Cross-sectional Study
observational
assesses frequency of disease at a particular point in time
measures disease prevalence
Case-control Study
observational
compares group with disease to a group without disease to look for exposure
measures odds ratio
Cohort Study
observational
compares group with exposure that without
measures relative risk
prospective OR historical
Twin Concordance Study
compares frequency of disease in MZ or DZ twins
nature vs nurture
Adoption Study
compares siblings with bio vs adoptive parents
nature vs nurture
Phase I clinical trial
small # healthy volunteers
safety, tox, PK, PD
Phase II clinical trial
small # of pts with disease
efficacy, dosing, AE
Phase III clinical trial
Large # of pts, random assignment
compare to standard therapy
Phase IV clinical trial
post-marketing surveillance
AE
Sensitivity
True Positive Rate=TP/(TP+FN)
probability of a positive test when the disease is present
high = low FN rate
SN-N-OUT (highly SeNsitive test, when Negative, rules OUT disease)
Specificity
True Negative Rate=TN/(TN+FP)
probability of a negative test when the disease is absent
high=low FP rate
SP-P-IN (highly SPecific test, when Positive, rules IN disease)
confirm after + screening test
Positive predictive value
PPV=TP/(TP+FP)
probability that a person with a + test actually has the disease
varies directly with disease prevalence
Negative predictive value
NPV=TN/(TN+FN)
probability that a person with a - test actually does not have the disease
varies indirectly with disease prevalence
Incidence
# of new cases/# at risk during a specified time period
Prevalence
# of existing cases/total# at a point in time