Lecture 11 CONCLUSIONS Flashcards

1
Q

Epidemiological studies are susceptible to…..

A

many sources of error

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2
Q

_______ may suggest an association where none exists

A

confounding factors

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3
Q

bias may be introduced in which 3 ways?

A

-In the selection of cases or controls
-In the reporting of exposures or outcomes
-Through disproportionate loss of subjects

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4
Q

can epidemiology prove cause and effect?

A

NO

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5
Q

Which are more likely to be valid - studies with large numbers of subjects or smaller?

A

large numbers of subjects

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6
Q

A high relative risk and a high odds ratio indicates what?

A

likely to indicate a true cause and effect relationship

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7
Q

a _______ relationship that shows increasing risks from higher exposures adds to the validity of the study

A

dose-response relationship

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8
Q

a known _______ for an association between an exposure and a disease makes epidemiological evidence more convincing

A

a known biological explanation

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9
Q

Do observational studies have a large amount of potential for harming people?

A

no - very little potential for harm

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10
Q

many ethical questions have been raised about…

A

clinical trials

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11
Q

clinical trials and other epidemiological studies are required to be approved by committees known as….

A

IRBs - Institutional Review Boards

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12
Q

Why do IRBs exist?

A

to ensure that patient’s rights will be protected

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13
Q

Despite its flaws, epidemiology is _______ to Public Health

A

central

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14
Q

Why is epidemiology central to public health?

A

epidemiological data - when confirmed by repeated, well-designed studies and supported by the results of biomedical science- provides POWERFUL INDICATORS ABOUT THE CAUSES AND CURES OF HUMAN DISEASE

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15
Q

Because epidemiological studies studies humans…..

A

there are many limits to how research can be conducted and there are many pitfalls in interpreting results

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16
Q

2 limits of epidemiological studies:

A

-ethical issues
-researchers cannot control the behavior of their subjects

17
Q

what are 2 strict ethical rules on current studies on humans funded by the federal government?

A

-informed consent by the patients
-review of the study design by institutional review boards