Lecture 3: Measures Of Association Flashcards

1
Q

Creating possible alternatives to events that already happened, for example someone got a disease instead of not having had it.

A

Counterfactual thinking/theory

Counter-to the-facts

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2
Q

What assumption does counterfactual theory require?

A

Assumption of exchangeability

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3
Q

What is always in the columns of a 2x2 chart?

A

Disease/Outcome

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4
Q

Absolute differences is found by doing what with frequencies?

A

Subtracting

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5
Q

Relative differences is found by doing what with frequencies?

A

Dividing

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6
Q

True or False:

Absolute differences are always larger than relative differences

A

False

Absolute is smaller

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7
Q

Define ‘risk’

A

The probability of an outcome in an individual group, exposed or not exposed

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8
Q

Is risk considered a proportion or ratio?

A

Proportion

It is a simple percentage

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9
Q

Absolute risk reduction formula

A

Subtracting the absolute risk of those exposed - AR not exposed

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10
Q

Relative risk reduction formula

A

ARR
——
Absolute Risk of the unexposed

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11
Q

What does NNT stand for

A

Number needed to treat

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12
Q

What does NNH stand for?

A

Number needed to harm

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13
Q

Doe we want NNH or NNT to be smaller?

A

We want NNT to be small

We want NNH to be huge

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14
Q

Give an example of NNT

A

It would take 8 patients on a drug for 1 person to get positive benefits

1 in 8 patients on this drug will get positive benefits

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15
Q

How to calculate NNT/NNH?

A

1 divided by Absolute risk reduction

1
——
ARR

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16
Q

how to calculate risk ratio?

A

risk of outcome in exposed//////risk of outcome non-exposed=placebo

17
Q

The exposure or treatment group of interest, is always in the denominator when calculating risk ratio. T/F

A

false

always in numerator

18
Q

if risk ratio is >1

A

the outcome is more likely to occur in the study than in the unexposed group

19
Q

if risk ratio is <1

A

the outcome is less likely to occur in the study group than the unexposed group

20
Q

if risk ratio = 1

A

outcomes are equally likely in both groups

21
Q

other names for risk ratio

A

odds ratio

hazard ratio

22
Q

interpret a RR = 1.53

A

53% more likely

23
Q

interpret a OR = 2.35

A

outcome is 2.35 times more likely

24
Q

interpret a HR = 0.75

A

outcome is 25% less likely to occur

25
Q

when interpreting a RR/OR/HR, there are 3 things you must include in your interpretation…..

A
  1. groups you are comparing
  2. direction of your results
  3. magnitude
26
Q

visual representation of ratio data, horizontal plot allowing the comparison of multiple ratios and their differences from 1.0

A

forest plot

27
Q

OR INTERPRETATION: association between baseline characteristics of firearm and pedestrian motor vehicle injury hospitalizations. Reference: white, Hispanic OR = 1.43

A

hospitalization due to firearm injury or pedestrian motor vehicle injury, is 43% more likely to occur in Hispanic ethnicities than white.

28
Q

Odds is a ……?

A

ratio

29
Q

define ‘odds’

A

frequency of an outcome occurring vs. not occurring
or
frequency of exposure vs. frequency of not being exposed
or
occurring/not occurring within one group

30
Q

relate odds calculation to a 2x2 table

A

A/C or B/D

31
Q

odds ratio calculation formula

A

odds of exposure in non-diseased

32
Q

how is odds ratio different from odds

A

odds is within same group

OR; ratio of odds from 2 different groups

33
Q

what is the easiest way to calculate OR?

A

cross multiply

34
Q

in a 2x2 table: odds of exposure formula

A

A/C

35
Q

in a 2x2 table: odds of exposure in controls

A

B/D

36
Q

in a 2x2 table: odds ratio formula

A

AD/BC

37
Q

when reading a research study, how do you know which 2 groups are being compared?

A

one of the groups will be listed as a reference or their RR will be = 1.0