lecture 4: study designs Flashcards
observe the outcomes without intervening to affect them
observational study
The researcher manipulates the exposure (usually a drug or treatment) to compare it to the standard of care
Experimental studies
types of observational studies
cohort
case control
cross-section
Subjects are selected based their exposure status
Cohort studies
compares disease prevalence in the exposed and unexposed
Prospective cohort
begin with the exposure of interest and probe back for exposure information
Retrospective cohort
disadvantages of cohort studies
expensive
Inefficient for rare diseases
long follow up
Diagnostic trends
Subjects are selected based on their disease status
Case-Control Studies
Cases and controls should be different only on their past exposure
Case-Control Studies
Can demonstrate risk indicators and not risk factors due the retrospective nature of the study design
Case-Control Studies
The exposure has to be assessed retrospectively and the proportions of cases and controls who are exposed are unknown at the beginning of the study
Case-Control Studies
must have had an equal chance of being exposed case-control studies
cases and controls
Efficient for rare diseases
Case-coontrol studies
Inefficient for rare diseases
cohort studies
allow for the evaluation of multiple exposures that may increase risk for a specific disease
case-control
Cannot directly compute incidence of disease in exposed and non-exposed persons
case-control studies