Evaluative Dentistry: Study Designs 낱말 카드

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34 Terms

1
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What are the two classifications of study designs?

Observational and Experimental

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What distinguishes observational studies from experimental studies?

Observational studies do not intervene, while experimental studies manipulate exposure.

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What are types of observational studies?

Cohort, Case-control, and Cross-sectional

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What is a cohort study?

A study where subjects are selected based on their exposure status and followed over time

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What are the two types of cohort studies?

Prospective and Retrospective

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Cohort studies maintain _________ sequence.

Temporal

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Cohort studies maintain temporal sequence which assesses exposure before or after outcome?

Before

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What are cohort studies good for assessing?

Rare exposures and rapidly fatal diseases

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Cohort studies can study multiple or a single disease/outcome from an exposure?

Multiple

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Cohort studies can calculate what among the exposed and unexposed?

Incidence

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Cohort studies can ________ in ascertainment of exposure (at least if prospective).

Minimize error

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Cohort studies provide complete description of experience after exposure including ____________ of disease.

Rate of progression and natural history

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Are cohort studies inexpensive or expensive?

Expensive

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A disadvantage of cohort studies is that they are inefficient for _______ diseases.

Rare

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Selection of _______ group in cohort studies depends on: research quesiton, ability to collect exposure and disease information, and how common/rare the exposure is.

Exposed

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Selection of _______ group in cohort studies depends on: exposure factor, appropriate selection and investigation methods to avoid bias and confounding.

Unexposed

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What is the purpose of case-control studies?

To compare diseased individuals (cases) to non-diseased individuals (controls) based on past exposure

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Case control studies should have cases and controls be different only on their __________.

Past exposure

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What is a key advantage of case-control studies?

They are efficient for studying rare diseases

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What is a disadvantage of case-control studies?

They cannot directly compute incidence of disease in exposed and non-exposed persons and are not optimal for rare exposures.

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What is a cross-sectional study?

A study design that selects subjects without regard to exposure or disease status, providing a snapshot at one point in time

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What are major advantages of cross-sectional studies?

Exposure and disease are assessed at the individual level. Sampling and analytical methods provide for statistically valid inference to populations.

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What is a major disadvantage of cross-sectional studies?

Temporality cannot be assessed

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What are two types of experimental studies?

Randomized clinical trial and community intervention trials

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What are Randomized Controlled Trials (RCT)?

Experimental studies where treatment is randomly assigned to minimize confounding

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What is the purpose of randomization in RCTs?

To minimize confounding by creating groups that are not influenced by any factors other than chance

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What is blinding in the context of RCTs?

A method where the investigator and/or participant do not know the treatment assignment to reduce bias

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What is the difference between single-blinded and double-blinded studies?

In single-blinded, only the participant is unaware of the treatment; in double-blinded, neither the participant nor the investigator knows

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What is the purpose of blinding in studies?

To remove bias or systematic error in the study results

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What is information bias?

Drawing different conclusions depending on their knowledge of which study arm participant is in

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What is selection bias?

Study recruiters can be eager to recruit sick persons into experimental arm

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What is a systematic review?

A comprehensive summary of the literature on a specific topic

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What is a meta-analysis?

A combined analysis of data from different studies following strict guidelines

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What is the Cochrane Collaboration?

An organization that conducts systematic reviews and meta-analyses in health care