HC.6/7: Onderzoeksvormen Flashcards
Experimental study
Intervention study
Investigator assigns exposure
Observational study
No intervention
Exposure assigned bij nature or participants
Types
- Cross-sectional
- Longitudianal (cohort or case-control
Case reports or case series
Side effects
New causes
New diseases
Cross-sectional study
Simultaneous measurement of determinant and outcome
- Prevalance
- Selection effects
- Reverse causality
Examples cross-sectional study
Meta-analysus
Diagnostic research, including screening
Ecological study
Follow-up (cohort) study
Exposure –> outcome
All measures of frequency and association can be obtained
Time-aspect
Retrospective: data from the past udes
Prospective: new data used
Ambispective
Closed cohort study
Static population
Number of persons can only decrease
Directly calculte CI and IR
Open cohort study
Dynamic population
Date of entry and exit differs
Number of person varies
Only IR can be calculated
Strengths and limitations cohort study
+ Rare exposures
+ Allows calculation of absolute and relative risks
+ Multiple outcomes
- Rare diseases
- Expensive
- Long-time investement
- Loss to follow-up
Case-control study
Compare the exposure odds among the cases with the exposure odds among the controls. Controls can be obtained through a nested design embedded within a cohort study. Controls can also be obtained through different sources than the case
Strengths and limitations case-control study
+ Rare diseases
+ Time-effecient
+ Feasible in setting of long induction period
- Rare determinants
- No absolute risks or rates
- More prone to bias