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find causal links between exposure and outcome
one of the main goals of epidemiology
correlations or associations between exposure and outcome
observational studies measure
selection bias
information bias
confounding
sources of bias
selection bias
information bias
confounding bias
sources of potential bias
selection bias
sicker people are less likely to participate than healthy people in case control study
differential rates of dropout in exposed compared to unexposed cohorts
differential rates of dropout in RCT treatment compared to control groups
information bias
if sick people recall risk factors more accurately than healthy people
if interviewers ask questions differently depending upon the type of participant
confounding bias
additional risk factors are unequally distributed among exposed and unexposed cohorts
additional risk factors are unequally distributed among case and control groups
random error
derives from use of samples to assess association between two or more factors
random error
decreases with larger sample sizes
selection bias
does not decrease with larger sample sizes
statistical inference
process of drawing conclusions about a population based on a sample of that population
p-value
we assess whether an association may be due to chance by the
confidence intervals
used to show the reliability of our estimate of the measure of effect (RR, OR, RD)
increasing sample size, or making more precise measurements
can increase the reliability and precision of an estimate by
p-value
probability of obtaining the estimate you observed, or a more extreme value, if the null hypothesis is true
confidence interval
corresponds to the precision of the parameter based on the study data
statistical power
the ability of the study to find a true difference
state the problem as a null hypothesis
state the research hypothesis
select the level of significance
select the test statistic
do the study and get a result
compute p-value from study data
six steps of testing a hypothesis
type 1 error
incorrectly reject the null hypothesis
type 2 error
do not reject the null hypothesis even though it is false
inadequate sample size
type 2 error is usually caused by
strength of association
consistency of association
specificity
temporality (the only required one)
does-response
plausibility
coherence of explanation
analogy
experiment
Hill’s criteria for causality