Evidence Based Flashcards
Ratio
Numerator does not need to be a subset of the denominator
ex. ratio of men to women
Proportion
diving one number by another, where the numerator is a subset of the denominator
ex. the proportion of men in a population calculated as the number of men divided by the total population
Rate
similar to ratios and proportions, rates are calculated by dividing one number by another, and additionally have a time component of the denominator
ex. the number of people who developed influenza in 2017, the birth rate per year in a population, the mortality rate per year in a population
Observation bias
the bias arises from systematic differences in the way information on exposure or disease is obtained from the study groups
occurred only after the participants have entered the study
Methods of controlling for confounding
randomization, restriction, matching, standardization, stratification, and conducting a multivariable analysis
Reliability
aka repeatability
- repeated measures are close to one another but still misses the bull eye
Validity
a screening test is the ability of a test to accurately identify diseases and non-diseases individuals
Lead time bias
overestimation of survival duration attributable to earlier detection by screening than by clinical presentation
Length bias
screening is more likely to detect cases that are progressing slowly compared with those with rapid progression of disease, who manifest clinically
- slow progressing cases are usually milder and more likely to survive, leading to an overestimation of survival as a result of screening
Descriptive statistics
performed on a small subset of a population, known as a sample
- builds on descriptive statistics and allows researchers to draw conclusions on the population based on information collected from the sample
nominal variables
data are collected on the category in which the participants falls. The categories have no inherent order (ie. race)
Dichotomous variables
variables have only two possible values (i.e. exposure status: exposed or unexposed)
ordinal variables
categories have an inherent order (i.e. level of education)
Interval variable
- type of continuous variable
- have a distinct order
- lacks a true zero
(i.e. pH)
Ratio variable
- type of continuous variable
- true zero
- values of the variable act as true ratios of one another
(i.e. temperatures in kelvin)
Z scores table
Probabilities for the likelihood that a certain value or a more extreme value would be observed are tabulated through this table
- often uses inferential statistics analyses
Poisson distribution
count data is the number of occurrences in a group
- distribution is right-skewed because higher counts are less likely to be observed
Confidence interval
show the strength of association between the exposure and the outcome
Pearson correlation of coefficient (r)
-1 to +1
reveals both the fit of the data to the regression line and the direction of association between the variables
- negative r = the values of independent variable increase, while dependent variable decrease
- positive r = independent variable increase, while the values of the dependent variable also increase
- 0 reveals the strength of the relationship
- +0.9 or -0.9 = strong positive and negative linear relationship
- +0.1 or -0.1 reveals a weak positive and negative linear relationship
Coefficient of determination (r^2)
for simple linear regressions, this is the squared value of the pearson product moment correlations coefficient
- standardizes the value to be used as a metric of the fit of the linear regression model for both positively and negatively associated variables
- 0 to 1
Case fatality ratio
of deaths / # of cases
Distribution
describes who gets the disease, where people with the disease are located, and how these aspects of the disease change overtime
When should sensitivity be increased
when the penalty associated with missing a case is high
- when the subsequent diagnostic evaluations are associated with minimal cost and risk
When should specificity be increased
when the costs associated with further diagnostic techniques are substantial
preclinical phase
period between the initial biological onset of a disease and the emergence of any noticeable symptoms or clinical signs.
clinical phase
period during which a disease manifests noticeable symptoms and signs that are detectable through standard diagnostic methods or observable changes in a person’s health