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What are the two classifications of study designs?
Observational and Experimental
What distinguishes observational studies from experimental studies?
Observational studies do not intervene, while experimental studies manipulate exposure.
What are types of observational studies?
Cohort, Case-control, and Cross-sectional
What is a cohort study?
A study where subjects are selected based on their exposure status and followed over time
What are the two types of cohort studies?
Prospective and Retrospective
Cohort studies maintain _________ sequence.
Temporal
Cohort studies maintain temporal sequence which assesses exposure before or after outcome?
Before
What are cohort studies good for assessing?
Rare exposures and rapidly fatal diseases
Cohort studies can study multiple or a single disease/outcome from an exposure?
Multiple
Cohort studies can calculate what among the exposed and unexposed?
Incidence
Cohort studies can ________ in ascertainment of exposure (at least if prospective).
Minimize error
Cohort studies provide complete description of experience after exposure including ____________ of disease.
Rate of progression and natural history
Are cohort studies inexpensive or expensive?
Expensive
A disadvantage of cohort studies is that they are inefficient for _______ diseases.
Rare
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
Selection of _______ group in cohort studies depends on: exposure factor, appropriate selection and investigation methods to avoid bias and confounding.
Unexposed
What is the purpose of case-control studies?
To compare diseased individuals (cases) to non-diseased individuals (controls) based on past exposure
Case control studies should have cases and controls be different only on their __________.
Past exposure
What is a key advantage of case-control studies?
They are efficient for studying rare diseases
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.
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
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.
What is a major disadvantage of cross-sectional studies?
Temporality cannot be assessed
What are two types of experimental studies?
Randomized clinical trial and community intervention trials
What are Randomized Controlled Trials (RCT)?
Experimental studies where treatment is randomly assigned to minimize confounding
What is the purpose of randomization in RCTs?
To minimize confounding by creating groups that are not influenced by any factors other than chance
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
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
What is the purpose of blinding in studies?
To remove bias or systematic error in the study results
What is information bias?
Drawing different conclusions depending on their knowledge of which study arm participant is in
What is selection bias?
Study recruiters can be eager to recruit sick persons into experimental arm
What is a systematic review?
A comprehensive summary of the literature on a specific topic
What is a meta-analysis?
A combined analysis of data from different studies following strict guidelines
What is the Cochrane Collaboration?
An organization that conducts systematic reviews and meta-analyses in health care