TBL Stuff Flashcards

1
Q

screening

A

presumptive identification of unrecognized disease or condition by the application of tests, examinations, or other procedures

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2
Q

purposes of screening

A

delay onset of symptomatic or disease or prolong survival

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3
Q

suitable disease

A

prevalence of the detectable pre-clinical must be high

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4
Q

primary prevention

A

prevent disease before it starts

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5
Q

secondary prevention

A

aims to delay symptoms

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6
Q

tertiary prevention

A

aims to slow disease progression

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7
Q

sensitivity

A

a/a+c

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8
Q

specificity

A

d/b+d

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9
Q

positive predictive value

A

a/a+b

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10
Q

negative predictive value

A

d/c+d

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11
Q

fatal disease –> optimize

A

specificity

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12
Q

to prevent disease transmission –> optimize

A

sensitivity

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13
Q

counts are useful for

A

if public health important, people are worried,or need resources to treat

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14
Q

ratio

A

shows relative size of two valus/ demonstrates how many times larger one group is to another

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15
Q

proportion

A

numerator is subset of denominator

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16
Q

rate

A

ratio that takes the form a/a+b during some period of time

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17
Q

incidence

A

frequency of the occurrence of new cases

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18
Q

cumulative incidence

A

new cases of disease/ # at risk at beginning of follow up

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19
Q

incidence rate

A

new cases/ sum of disease-free period person-time

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20
Q

prevalence

A

proportion of people with disease at specified point in time

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21
Q

point prevalence

A

existing cases/ total population at specified point in time

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22
Q

period prevalence

A

existing + # new during time period/ population at midpoint of time period

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23
Q

how to describe categorical data

A

frequency distribution

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24
Q

how to describe continuous data

A

central tendency (mean/median) and variability (standard deviation/range)

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25
Q

mean or median better for skewed data

A

median

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26
Q

EBP

A

conscientious, explicit, judicious use of current best evidence in making decisions about the care of individual patients

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27
Q

PICO

A

patient/problem/population, intervention, comparison intervention, outcome of interest

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28
Q

research questions

A

once knowledge base is builtup we can ask

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29
Q

background questions

A

general questions without comparison

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30
Q

foreground questions

A

specific questions that compare interventions

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31
Q

primary sources

A

reports of original research written by investigators themselves: good for foreground questions

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32
Q

secondary sources

A

reviews; systematic reviews and meta-analyses: goof for foreground questions

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33
Q

MEDLINE

A

foremost resource in the world for health sciences literature

34
Q

Cochrane Library

A

good to look for research syntheses or secondary sources

35
Q

ISI Web of Knowledge

A

focus on basic sciences

36
Q

tertiary resources

A

best for answering background questions and summarize recorded knowledge on a topic

37
Q

5 steps to EBP

A

ask, acquire, appraise, apply, adjust

38
Q

MeSH

A

provides information about the subject heading including a list of related terms for which the subject heading is used

39
Q

AND Boolean Operator

A

combine unique concepts from PICO question

40
Q

OR Boolean Operator

A

several terms for the same topic

41
Q

parentheses

A

allows search in correct order

42
Q

stop words

A

prepositions and conjunctions in your search that are ignored by databases

43
Q

principles of study design

A

well-defined study population, measures incidence if possible, highest level of evidence, feasible given cost, time and population constraints

44
Q

strengths of RCT

A

highest level of evidence, can assess temporality, minimize bias and confoundin

45
Q

weaknesses of RCT

A

not always ethical, costly, inefficient for rare stuff, may not generalize

46
Q

strengths of cohort

A

measures multiple outcomes/exposures, good for rare EXPOSURES

47
Q

weaknesses of cohort

A

not good for rare diseases, costly/time consuming, bias due to loss to follow up, being followed may alter participation

48
Q

strengths of case-control

A

cost effective, good for rare DISEASES, and diseases with long latency

49
Q

weaknesses of case-control

A

prone to selection and recall bias, can only examine one outcome, cannot estimate incidence, poor choice for rare exposures, often can’t determine temporality

50
Q

strengths of cross-sectional

A

cheap and quick, can collect data on lots of exposures and outcomes, good for hypothesis generation

51
Q

weaknesses of cross-sectional

A

cannot infer temporality, prone to recall bias, not good for rare disease, cannot estimate incidence

52
Q

why do a cohort study

A

examine incidence, look at natural history of disease, assess temporality of an exposure/disease relation

53
Q

incidence in exposed

A

a/a+b

54
Q

incidence in unexposed

A

c/c+d

55
Q

relative risk

A

(a/a+b)/(c/c+d)

56
Q

what format of table is the gold standard

A

New England Journal of Medicine format

57
Q

cross-tabulation or contingency

A

displays frequency distributions and mean/means + SD stratified by outcome or exposure

58
Q

counterfactual

A

people differ from one another in myriad of ways

59
Q

RCTs are always

A

prospective

60
Q

randomization

A

participants and investigators don’t choose and minimizes probability of meaningful differences between exposure groups at baseline

61
Q

simple randomization

A

no way to know what assignment comes next

62
Q

blocked randomization

A

simple randomization but within nown block sizes

63
Q

permuted blocked randomization

A

size of blocks also randomly assigned

64
Q

blinding

A

keeping trial participants, investigators, or assessors unaware of an assigned intervention so that they are not affected by that knowledge

65
Q

RCT phase 1

A

very small number of healthy volunteers, closely monitored with focus on safety

66
Q

RCT phase 2

A

small number of subjects with condition to be treated, closely monitored with expanded focus on safety plus preliminary efficacy

67
Q

RCT phase 3

A

expanded controlled and uncontrolled studies, large number of subjects with condition to be treated, focus on efficacy

68
Q

RCT phase 4

A

further characterize safety of drug, explore new therapeutic indications, marketing

69
Q

survival analysis

A

time to death or health event

70
Q

censoring

A

we don’t know patient’s outcome at a given point in time

71
Q

survival analysis allows us to capture both

A

event occurrence and time to that event

72
Q

subjects selected based on disease status

A

case-control

73
Q

source cohort

A

population that gave rise to the cases

74
Q

when we select cases for case-control

A

they should be all of diseases members of source cohort

75
Q

where to find controls

A

medical care system, community, deceased individuals

76
Q

matching

A

selection of reference series of unexposed subjects in a cohort study or controls in a case-control study that is nearly identical to the cases

77
Q

control selection bias

A

if exposure in selected controls differs from exposure in source cohort

78
Q

case-selection bias

A

if exposure in selected cases differs from exposure in source cohort

79
Q

recall bias

A

some participants may not be able to remember or accurately report information related to exposure

80
Q

interviewer bias

A

they may not be blinded to the case-control status of participants

81
Q

confounding bias

A

situation in which the effect or association between an exposure and outcome is distorted by the presence of another variable