Shared Flashcard Set

Details

04. Epidemiology
Rapid Review - First Aid
28
Medical
Professional
07/22/2015

Additional Medical Flashcards

 


 

Cards

Term
How do you interpret the following 95% confidence interval (CI) for a relative risk (RR) of 0.582.

95% CI: 0.502, 0.673
Definition
These data are consistent with RRs ranging from 0.502 to 0.673 with 95% confidence.

--We are confident that the true RR will be between 0.502 and 0.673 95 out of 100 times.
Term
Bias introduced into a study when a clinician is aware of the patient's treatment type
Definition
Observational bias
Term
Bias introduced when screening detects a disease earlier and thus lengthens the time from diagnosis to death
Definition
Lead-time bias
Term
If you want to know if geographical location affects infant mortality rate but most variation in infant mortality is predicted by socioeconomic status, then socioeconomic status is a ___________.
Definition
Confounding variable
Term
The proportion of people who have the disease and test positive the ______
Definition
Sensitivity

Sensitivity = TP / (TP + FN)
[+test/everyone with disease]
Term
Sensitive tests have few false negatives and are used to rule _________ out disease
Definition
Out

[SpIN and SnOUT]
Term
PPD reactivity is used as a screening test because most people with Tb (except those who are anergic) will have a +PPD.
-Highly sensitive or specific?
Definition
Highly sensitive for Tb.
-Screening tests with high sensitivity are good for diseases with LOW prevalence
Term
Chronic diseases such as SLE--higher prevalence or incidence?
Definition
Higher prevalence
Term
Epidemics such as influenza--higher prevalence or incidence?
Definition
Higher incidence
Term
What is the difference between incidence and prevalence?
Definition
Prevalence: Percentage of cases of disease in a population at 1 snapshot in time.

Incidence: Percentage of new cases of disease that develop over a given time period among the total population at risk.
Term
Cross-sectional survey--Incidence or prevalence?
Definition
Prevalence.
Term
Cohort study--incidence or prevalence?
Definition
Incidence and prevalence
Term
Case-control study--incidence or prevalence?
Definition
Neither
Term
Describe a test that consistently gives identical results, but the results are wrong
Definition
-High reliability (precision)
-Low validity (accuracy)
Term
Difference between a cohort and a case-control study
Definition
Cohort study:
Can be used to calculate RR, incidence, and/or OR.

Case-Control Study:
Can be used to calculate an OR, which is an estimate of RR when the disease prevalence is low.
Term
Attributable Risk (AR)?
Definition
The difference in risk in the exposed and unexposed groups (e.g., the risk that is attributable to that exposure)

AR = [a/(a+b)] - [c/(c+d)]
Term
Relative Risk (RR)?
Definition
Incidence in the exposed group divided byu the incidence in the nonexposed group.

RR = [a/(a+b)] / [c/(c+d)]
Term
The results of a hypothetical study found an association between ASA intake and risk of heart disease.
-How do you interpret a RR of 1.5?
Definition
In patients who took ASA, the risk of heart disease was 1.5 times that of patients who did not take ASA.
Term
Odds Ratio?
Definition
In cohort studies:
-The odds of developing the disease in the exposed group divided by the odds of developing the disease in the nonexposed group.

In Case-Control Studies:
-The odds that the cases were exposed divided by the odds that the controls were exposed.

In Cross-Sectional Studies:
-The odds that the exposed group has the disease divided by the odds that the nonexposed group has the disease.
Term
The results of a hypothetical study found an association between ASA intake and risk of heart disease.
-How do you interpret an OR of 1.5?
Definition
In patients who took ASA, the odds of acquiring heart disease were 1.5 times those of patients who did not take ASA.
Term
In which patients do you initiate colorectal cancer screening early?
Definition
-IBD
-FAP
-HNPCC
-Those with 1st degree relatives with adenomatous polyps at <60 years of age
-Those with 1st degree relatives with colorectal cancer
Term
The MC cancer in men and the MCC of death from cancer in men?
Definition
MC Cancer in men: Prostate
MCC of Cancer Death in men: Lung
Term
The percentage of cases within 1SD of the mean? 2SDs? 3SDs?
Definition
1SD: 68%
2SD: 95.4%
3SD: 99.7%
Term
Birth rate?
Definition
Number of live births per 1000 population in 1 year
Term
Mortality rate?
Definition
Number of deaths per 1000 population in 1 year
Term
Neonatal mortality rate?
Definition
Number of deaths (age up to 28 days) per 1000 live births in 1 year
Term
Infant mortality rate
Definition
Number of deaths (age up to 1 year) per 1000 live births in 1 year

[Neonatal + postnatal mortality)
Term
Maternal mortality rate
Definition
Number of deaths during pregnancy to 90 days postpartum per 100,000 live births in 1 year.
Supporting users have an ad free experience!