Research Flashcards

(75 cards)

1
Q

screening

A

detection of disease targeted at an asymptomatic population

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2
Q

diagnosis

A

classification provided to symptomatic patients seeking care

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3
Q

Null hypothesis

A

proposes that there is no significant difference between the outcomes of different groups

= 0

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4
Q

If the confidence interval does not include zero

A

the results are statistically significant and the null hypothesis can be rejected

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5
Q

If the confidence interval does include 0

A

the results are not statistically significant and the null hypothesis cannot be rejected

(low statistical power

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6
Q

PICO

A

P = population, patient, or problem
I = intervention
C = comparison
O = outcome

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7
Q

PICO [P]

A

P = population, patient, or problem

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8
Q

PICO [C]

A

C = comparison

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9
Q

PICO [I]

A

I = intervention

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10
Q

PICO [O]

A

O = outcome

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11
Q

Prevalence

A

frequency of disease in the population

number of previously diseased cases / total population

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12
Q

Incidence

A

rate of developing new disease

number of new cases / total population

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13
Q

Risk factors

A

causally associated with disease

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14
Q

Risk indicator

A

marker of exposure to a risk factor, indirectly linked to a disease

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15
Q

Relative risk

A

ratio of the risks for an event in the exposed group / risks for an event in the unexposed group

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16
Q

RR = 1

A

risk predictor is not associated with disease

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17
Q

RR > 1

A

risk predictor is associated with an increased risk of disease

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18
Q

RR < 1

A

risk predictor is associated with a decreased risk of disease

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19
Q

Odds

A

exposed/unexposed

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20
Q

OR = 1

A

exposure is not associated with disease

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21
Q

OR >1

A

exposure is associated with an increased odds of disease

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22
Q

OR < 1

A

exposure is associated with a decreased odds of disease

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23
Q

Consecutive sampling

A

selecting subjects who meet the study criteria until an adequate sample size is obtained

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24
Q

Voluntary response sampling

A

involves volunteers who agree to participate in a study

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25
Snowball sampling
involves an initial subject who then recommends another subject who meets the study criteria
26
Stratified random sampling
obtaining a random sample from a population and then stratifying them into subgroups with similar criteria; sample groups are then created by taking a member from each subgroup
27
Convenience sampling
inviting participants who are easy to contact
28
Cluster sampling
selecting samples after dividing a population into subgroups that do not have any overlap in similarities
29
Systematic sampling
selecting participants from a list at random set intervals
30
single group study
Studies a group of patients with a disease and compares them to a historical control group
31
case study
Studies a single person, group, or situation involving a rare condition
32
Cross-sectional survey
Studies a random sample (cross-section in time) from a target population ○ Easy to administer ○ Cannot prove a cause and effect relationship ○ Measures prevalence
33
Case-control study
Studies a random sample selected based on presence or absence of disease ○ Samples are placed into either a case group (people who had an exposure) or a control group (people who did not have an exposure) ○ Individuals are observed to see if the predicted outcome occurs ○ Uses odds ratios ○ This study is most impacted by recall bias (change in the risk that participants in a study are able to recall or report information)
34
Cohort study
Studies a random sample from a healthy, at risk population and follows them over time ○ Identifies new events of disease ○ Prospective cohort studies follow individuals over time ○ Retrospective cohort studies collect information about individuals’ pasts ○ Measures incidence ○ Uses relative risk
35
Non-randomized clinical trial
Studies non-random sample groups ○ Samples are placed into either one of two control groups or one of two different treatment groups
36
RCT
Studies two randomly assigned sample groups ○ Samples are placed into either a treatment (intervention) or control group
37
Systematic review/meta-analysis
Studies results from two or more published studies ○ A systematic review collects and summarizes data that fits into a specified category ○ A meta-analysis uses statistical methods to analyze the results of all the gathered studies
38
Continuous variable
numeric variables that are obtained by measuring ○ E.g., millimeters
39
categorical variable
assigned based on a qualitative property, not numeric ○ E.g., hair color
40
discrete variable
numeric variables that are obtained by taking a count from a set of distinct whole values ○ E.g., number of teeth in a patient’s dentition
41
ordinal variable
variables that are obtained by ordering or ranking ○ E.g., the first, second, or third individual to finish a task
42
binary variable
variables that can only take on two possible values or categories ○ E.g., the presence or absence of oral cancer
43
independent variable
variable manipulated by the researcher ○ E.g., different types of analgesics
44
dependent variable
variable measured by the researcher ○ E.g., reported pain level
45
reliability test
Intra-examiner reliability Inter-examiner reliability
46
Inter-examiner reliability
amount of variability between two or more examiners
47
Intra-examiner reliability
amount of variability made by the same examiner on multiple occasions
48
true positive
patient has a disease and the test correctly detects the disease
49
false negative
patient has a disease and the test incorrectly detects no disease
50
false positive
patient does not have a disease and the test incorrectly detects disease
51
true negative
patient does not have a disease and the test correctly detects no disease
52
sensitivity
measures the accuracy of the test in detecting disease ○ High sensitivity indicates low numbers of false negatives Se = TP / (TP + FN)
53
specificity
measures the accuracy of the test in detecting health ○ High specificity indicates low numbers of false positives Sp = TN / (TN + FP)
54
Positive predictive value (PPV)
probability a test will accurately identify a disease PPV = TP / (TP + FP)
55
Negative predictive value (NPV)
probability a test will accurately identify no disease NPV = TN / (TN + FN)
56
A higher area under the curve signifies there is
a higher true positive rate and therefore a higher test accuracy
57
A lower area under the curve means there is
a higher false positive rate and therefore a lower test accuracy
58
Confidence interval
provides a range of values that a percentage of the population likely falls into ○ For example, if a study on average height in inches has a 95% CI of [63-67], there is a 95% chance that the true average height falls between 63 and 67 inches
59
Statistical significance
measured mathematically using p-values ○ Conventionally, a value lower than an alpha significance level of 0.05 is considered statistically significant and the null hypothesis can be rejected
60
Clinical significance
measured using numbers needed to treat (NNT) ● NNT signifies the total number of patients needed to be treated for one patient to be cured of disease ○ NNT of 1 is the best ○ Only considered if p < 0.05
61
Type 1 error
false positive result ○ Rejecting a null hypothesis that is actually true ○ Probability of making this error is represented by an alpha value which is the p-value for rejecting the null hypothesis ■ P-value: measures probability that the sample data is due to chance, typically is set to 0.05
62
Type 2 error
false negative result ○ Failing to reject a null hypothesis that is actually false ○ Probability of making this error is represented by the beta value which is the statistical power ■ Statistical power: probability of observing an effect
63
mean
average of values in a data set, affected by outliers
64
median
middle score in a data set, least affected by outliers
65
mode
most frequent value in a data set
66
Research Notation: 95%, [s,n] [1.0,500]:[1.4-1.6]
○ 95% represents the level of confidence ○ [s,n] represents the standard deviation (s) and the sample size (n) ○ [1.0,500] corresponds with the s and n values of the study ■ Standard deviation (s) = 1.0 and sample size (n) = 500 ○ [1.4-1.6] represents the confidence interval of the data
67
Convenience sampling
the study population is chosen from a group that is easy to reach or access
68
Incomplete data
differing rates of responses from relative groups
69
Hawthorne effects
participants perform differently in a study than if they were not in a study
70
Placebo effect
tendency for people to respond favorably knowing they are receiving treatment
71
Publication bias
when the outcome of a study biases whether or not to publish the study
72
Regression to the mean
values may be extremely high or low to begin, but over time they will regress to an average level
73
Selection bias
when the study population is not representative of the population of interest
74
Forest plot
Used to summarize information from individual studies in a meta-analysis ● Width of the horizontal line represents the range of a variable being tested (examples: relative risk, odds ratio) within the confidence interval ● If a confidence interval crosses the vertical line of “no difference” (odds ratio or relative risk of 1), the outcome is not statistically significant
75
Box and whisker plot
Used to represent numerical data ● Plots values including the median and quartiles, dividing the data set into groups of equal sizes ● Interquartile range: difference between the first (Q1) and third (Q3) quartiles ○ Indicates the extent of dispersion of the middle 50% of the data set