Population Science Flashcards

1
Q

is the 95% confidence interval includes the number 1 what does this mean about the results?

A

they are not statistically significant. The null hypotheses is rejected.

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2
Q

what is blinding

A

where the patient is not aware of which treatment they are being given

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3
Q

what are the advantages of blinding

A

minimises allocation bias, behaviour changes of the patient, measurement bias

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4
Q

what is measurement bias

A

how assessors may later the way they collect information

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5
Q

what are appropriate losses to follow up

A

where the patient has to be removed from the trial due to a deterioration in their health

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6
Q

what are unfortunate losses to follow up

A

where a patient chooses to withdraw from the trial

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7
Q

why may patients not be compliant with their treatment

A

didn’t understand instructions
feel better already
don’t like the treatment

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8
Q

how can you improve patient compliance

A

explain instructions fully

directly observed treatment

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9
Q

what is As-Treated analysis

A

where you only analyse the results from those how fully complied with treatment and discard follow up losses

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10
Q

what is Intention-to-treat analysis

A

where the analysis of the trial is done according to original allocation regardless of follow up losses and compliance

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11
Q

True or False: As-treated analysis gives a more realistic size of the effect of the treatment

A

false - its intention-to-treat analysis

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12
Q

why are RCTs used

A

they remove confounding and allocation bias

whilst also allowing for reproducible, controlled and fair trials

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13
Q

what are RCTs

A

where 2 identical groups are produced to make a fair comparison when looking at 2 different treatment options

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14
Q

what is a primary outcome measure

A

the main and preferably only outcome

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15
Q

what is a secondary outcome measure

A

other outcomes of interest

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16
Q

what is the placebo effect

A

where patient attitude to their illness or the illness itself may be improved if the patient feels that something is being done about it

17
Q

what is used to remove the placebo effect

A

placebos

18
Q

what is a placebo

A

an inert substance made to appear identical to a treatment

19
Q

What are systematic reviews

A

Where lots of similar studies answering the same question are brought together

20
Q

What is meta-analysis

A

Where the studies in a systematic review are pooled together to get one overall result

21
Q

What is the purpose of meta-analysis

A

Collecting the study results means you can make more certain statements about the information as it based on a larger group.
Also reduces problems in interpreting the data

22
Q

How is meta-analysis presented

A

On a Forrest plot

23
Q

How are studies on a Forrest plot weighted

A

Those with more certainty (smaller CIs) and a bigger study size are weighted more heavily

24
Q

What is the random effect model

A

A difference in a Forrest plot taking into account variation between studies

25
Q

How do you interpret Forrest plots

A

Boxes = odds ratio
Horizontal lines = CI of the study
Diamond = odds ratio of pooled estimate and its width is the CI

26
Q

What can be used to explain variation between studies

A

Sub group analysis - this looks at the study characteristics and the patient profiles

27
Q

What is publication bias

A

Where studies which are statistically significant are more likely to be published than those which aren’t

28
Q

What plot is used to determine if publication bias is present

A

A funnel plot