RESS Term 1 Lectures Flashcards
What is evidence based medicine?
The conscientious use of current best evidence in making decisions about patient care
What is a research question?
A question that directs and focuses your research
What is an acronym that can help you develop a research question?
PICOT
Patients/Population - who will be participating?
Interest - what is being tested?
Comparison - what is the comparison group?
Outcome - what is the outcome or endpoint?
Time - when should outcome be measured?
What is a non-randomised control trial?
An ‘uncontrolled’ study - no control group
What are the strengths of Randomised Clinical Trials? (RCTs)
- provide evidence of causality- more chance of having ‘impact’
- rigorous evaluation of a single variable
What are the limitations of Randomised Clinical Trials? (RCTs)
- resource intensive: costs, time and money
- needs a large number of participants- many studies underpowered
- ethical challenges
What is a cohort study?
Cohort studies are a type of medical research used to investigate the causes of disease and to establish links between risk factors and health outcomes
What are the strengths of cohort studies?
- can establish population-based incidence
- can study several outcomes for each exposure
- can establish cause-effect
What are the limitations of cohort studies?
- resource intensive: costs time and money
- needs a large number of participants
- loss to follow up
- inefficient for rare conditions
What is a cross-sectional study?
A document health status in a specific population at a specific point
Provides a snapshot, patients not followed
What are the strengths of cross sectional studies?
- Provides estimates of prevalence of a disease
- Can identify population healthcare needs
- Easy, fast and inexpensive
- No follow-up required
What are the weaknesses of cross sectional studies?
- Cannot determine causal relationships
- Participants may provide socially desirable answers
- Impractical for studying rare diseases
What are the strengths of qualitative studies?
- Enables an understanding of patients’ experiences/perspectives
- Unpredictable and insightful findings
What are the limitations of qualitative studies?
- difficult to generalise
- sample selection based on certain experiences
- small sample size
Which study design would you use to answer the following:
- How common is oestrogen treatment in women after menopause?
- What are women’s experiences of taking oestrogen treatment?
- Is taking oestrogen after menopause associated with a higher risk of breast cancer?
- Does drug X, hormone treatment , reduce the symptoms of menopause?
- Cross sectional - to assess prevalence of exposure
- Qualitative - to explore patient experiences
- Cohort study - to evaluate association of exposure and disease
- RTC - to establish the effect of this intervention
What are descriptive statistics?
Techniques we use to describe the main features of a data
What is statistical inference?
The process of using the value of a sample statistic to make an informed guess about the value of a population parameter