observational studies Flashcards
descriptive studies
describe a phenomena, not a test (for cause and effect)
ex: case reports and case series, ecological studies
ecological studies/fallacies
studies: examining group level data (meat consumption and cancer rates)
fallacy: mistaking group level trends for individual level truths
analytical studies
examine exposure + outcome relationship, ex: cross sectional, case control, cohort
cross sectional study
data is collected at a single point in time, measures the prevalence of an outcome, CANNOT establish if outcome or exposure came first
case control study
participants are selected based on disease status, looks back to determine past exposure, measures using the odds ratio (OR), limitations: cannot calculate disease prevalence, high risk of recall bias, hard to establish temporality
temporality
cannot determine if exposure or outcome came first
cohort studies
participants start without the disease and followed over time, measures relative risk (RR) to determine how much more likely an outcome is
prospective cohort study
follows participants into the future
retrospective cohort study
uses past data to form cohorts
establishing causation from observational data
correlation does not imply causation, however causality is more likely when: strong association, findings are consistent across studies, dose response relationship is observed, exposure precedes outcome, a valid biological mechanism explains the risk