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A. Study Design and Terminology
- Cohort study: refers
to the group of subjects who are followed forward in time to see which ones
develop the outcome.
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Prospective cohort study: follows
subjects from present future |
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Retrospective cohort study: follows
subjects from past present |
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Nested cohort study: Retrospective +
Prospective study |
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Cohort studies provide incidence--rate of development of
a disease over a period of time. |
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May give predictive factors of a condition. |
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Expensive and impractical for rare diseases. |
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Sensitive to confounding variables. |
- Case-Control
(retrospective) study: a group of
people who have a disease (cases) are compared with people whom they closely
resemble except for the presence of the disease under study controls.
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Follows subjects from present past
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Provides odds ratio: strength of association among
predictors in the cases and in the controls. |
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Sample sizes can be very small |
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Applicable for finding exposures of disease and
studies of rare diseases. |
- Cross-Sectional studies:
exposure and outcome are measured at the same point in time.
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Provides prevalence and relative prevalence |
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Cannot provide casual relationship: only
associations |
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Design is time and cost efficient |
- Clinical trials:
prospective studies in which an intervention is applied.
- Meta-analysis:
retrospective analysis of studies regard to the same topic.
- P-value:
likelihood of the results by chance (needs to be <= 0.05 to be
considered significant).
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