Epidemiology Flashcards

1
Q

Equation for Relative Risk with chart

A

[A/(A+B)] / [C/(C+D)]

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2
Q

What does an RR of 1 signify

A

Same risk in both groups
no association between exposure and outcome

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3
Q

What does an RR > 1 signify?

A

exposure is a risk factor for developing the condition

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4
Q

What does an RR= 0 signify?

A

exposure is protective against the condition

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5
Q

What is the equation for absolute risk reduction?

A

ARR = [A/(A+B)] - [C /(C+D)]

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6
Q

What is the significance of ARR = 0

A

no association

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7
Q

What is the significance of ARR > 0

A

positive causal relationship between exposure and disease

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8
Q

What is the significance of ARR < 0

A

exposure is protective

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9
Q

What is the equation for NNT?

A

NNT = 1/ARR

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10
Q

What is the equation for relative risk reduction

A

RRR = 1-RR

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11
Q

Equation for Odd’s Ratio

A

OR = (A x D) / (B x C)

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12
Q

What type of study can use an odd’s rattio

A

All

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13
Q

What type of study CANNOT calculate a relative risk?

A

case-control study

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14
Q

What is the significance of OR = 1

A

No association between exposure and disease

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15
Q

What is the significance of OR < 1

A

exposure protects against disease

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16
Q

What is the significance of OR > 1

A

exposure increases chance of disease

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17
Q

Calculation for sensitivity

A

A / (A+C)

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18
Q

Calculation for specificity

A

D / (B+D)

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19
Q

Equation for positive predictive value

A

A / (A+B)

20
Q

Equation for Negative predictive value

A

D / (C+D)

21
Q

What is the positive predictive value

A

probability of having the disease if you have a positive test

22
Q

What is the negative predictive value

A

Probability of not having a disease if you have a negative test

23
Q

Equation for positive likelihood ratio

A

= sensitivity / (1-specificity)

24
Q

Equation for negative likelihood ratio

A

= (1-sensitivity) / specificity

25
Q

What are the types of selection bias?

A

sampling bias
recruitment bias
volunteer bias
indication bias
survival bias

26
Q

What are the types of observation bias?

A

recall bias
Hawthorne effect
Evaluation bias
Loss to follow up
Classification errors

27
Q

Types of descriptive studies

A

Correlation studies
Case report/series
cross-sectional studies
cohort studies

28
Q

Types of analytic studies

A

Case-control
case-crossover
cohort
randomized control trial

29
Q

Disadvantage of correlation study

A

unable to determine cause/effect
high confounding factors

30
Q

Disadvantages of case report/series

A

no control group
less generalizable
can’t determine cause/effect association

31
Q

Advantage of cross-sectional studies

A

evaluates participants individually therefore more nuance re: independent variables

32
Q

Disadvantages of cross-sectional studies

A

no evaluation of temporality of risk factors
cannot evaluate incidence

33
Q

Advantages of case-control studies

A

**rare diseases
exposure occurred a long time ago
evaluate multiple variables/exposures
good for hypothesis testing
identify risk factors related to a condition

34
Q

Disadvantages of case-control studies

A

can’t define incidence
selection bias
recall bias
can’t use relative risk

35
Q

What is a case-crossover study?

A

determine if a transitory exposure increases risk of having a disease in that time of exposure (eg. increased risk of heart attack during intense activity)

36
Q

Advantages of case-crossover studies

A

reduce interindividual variability because each person is their own control

37
Q

Disadvantage of case-crossover studies

A

recall bias

38
Q

How is a cohort study done?

A

Participants chosen based on whether or not they’ve been exposed to a chosen variable then compare incidence of new pathology in the different groups

39
Q

Advantages of cohort studies

A

better temporal relationship understanding
can evaluate rare exposures
can study risk factors that would otherwise be unethical
can estimate incidence based on exposure
less selection bias

40
Q

Disadvantages of cohort studies

A

longer term and more costly
risk of losing patients to follow-up

41
Q

What is a sampling bias?

A

participants not representative of general populaion

42
Q

What is recruitment bias

A

recruited participants have certain characteristics related to the disease

43
Q

What is indication bias

A

exposure studied is part of diagnostic criteria for a disease

44
Q

What is the hawthorne effect

A

people act differently when observed

45
Q

What is evaluation bias

A

evaluator is preferentially looking for certain exposures

46
Q

What are the features of a confounding factor?

A

factor that is associated to the exposure and associated to the issue but the association is independent of the exposure