Quant Med II: Final Exam Flashcards
Number needed to treat AKA
NNT
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Quiz 7: Question 5
A. 0.6
B. 0.8
C. 1.3
D. 1.6

D. 1.6

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What is a surrogate outcome?
A surrogate endpoint is a physical measurement of a specific outcome which is considered to be a valid predictor (or representative) of the real outcome or final result. In simple words, a surrogate endpoint is like a measurable indicator that can help us know what the real result is.
What is a clinical outcome?
Clinical outcomes are broadly agreed, measurable changes in health or quality of life that result from our care. Constant review of our clinical outcomes establishes standards against which to continuously improve all aspects of our practice
What is a composite outcome?
Composite outcomes, in which multiple end points are combined, are frequently used as primary outcome measures in randomized trials and are often associated with increased statistical efficiency. However, such measures may prove challenging for the interpretation of results
What is a secondary outcome?
SECONDARY OUTCOME MEASURE. A planned outcome measure in the protocol that is not as important as the primary outcome measure, but is still of interest in evaluating the effect of an intervention. Most clinical studies have more than one secondary outcome measure
What is a primary outcome?
The primary outcome measure is the outcome that an investigator considers to be the most important among the many outcomes that are to be examined in the study. The primary outcome needs to be defined at the time the study is designed
What is lead time bias?
Differences in survival time for screened and non-screened patients resulting from bias; screening test mistakenly shows survival benefit - detects less aggressive conditions
- screening does not improve mortality
- Example - prostate specific antigen (PSA) screen asymptomatic men for pre-clinically detectable prostate cancer
- “living longer with the diagnosis
- Avoided with screening RCTs

What is length time bias?

What is the Hawthorne effect?
perception of being observed will alter behavior of subjects
What is surveillance bias?
- two populations are not assessed in the same way
- differences in collection and measurement of outcomes between populations
What is information bias?
Recall bias is an example
bias from errors in the collection of information
What is selection bias?
differential selection of cases and controls or exposed and unexposed that obscures or exagerrates a causal association
What is publication bias?
decision to publish study influences by direction of study results, typically negative results (no association or OR/RR = 1.0) less likely to be published, measured in systematic reviews with funnel plots
What is confounding?

How is confounding controlled?

What are systematic reviews?

What are narrative reviews?

Describe meta-analyses

Describe features of an RCT

Describe features of cohort studies

Describe features of case-control study design

Describe various categories of study designs

How to judge the strength of an association

Describe the relative risk plot

How to interpret RR or OR reduction or increase?

Odds ratio (RR)

Contingency table

Measures of epidemiology

Describe an unadjusted odds ratio

Describe an adjusted odds ratio

Describe odds ratio

Describe logistic regression

Identify features of linear regression

Identify more features of linear regression

Identify number needed to treat equations

How to calculate absolute risk in the treatment group

How to calculate absolute risk in the control group

How to calculate absolute risk reduction?

How to calculate number needed to treat

How to calculate relative risk?

Calculations of number needed to treat
