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Epidemiology Midterm
N/A
30
Other
Graduate
11/05/2008

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Term
Incidence Rate
Definition
(# of new cases)/(population at risk)
Term
Cumulative Incidence
Definition
The incidence rate calculated using a period of time during which all of the individuals in the population are considered to be at risk for the outcome. = measure of risk
Term
Prevelance
Definition
# of cases of a disease present @ a specific time / # of persons in the pop. @ that specific time
Proportion
Term
Attack Rate
Definition
# of people exposed and became ill / # of people exposed
Proportion
Term
Rate
Definition
Tell us how fast the disease is occuring in population.
Term
Proportion
Definition
Tell us what fraction of the population is affected.
Term
Case Fatality Rate
Definition
(# of deaths)/(# of cases)
Term
Cumulative case-control
Definition
- most familiar type of case-control trial
- best when the source cohort is ill-defined or dynamic
- controls can be thought of a sample of the survivors at the end of a follow-up period (a/c)/(b/d) --> OR
Term
Attributable risk
Definition
amount of risk attributable to an exposure
CI1 - CI0
where CI1 = cumulative incidence in the exposed and CI0 = cumulative incidence in the unexposed
Term
Mortality
Definition
(# of deaths)/(population at risk)
Term
Incidence Odds Ratio
Definition
Odds of being diseased among the exposed divided by the the odds of being diseased in unexposed.
Term
When is the odds ratio a good estimate of the cumilative incidence ratio?
Definition
1) cases are representative of all people with the disease in the population from which the cases are drawn
2) control are representative of all people without the disease in the population
3) the disease being studied is rare (less than 10%)
Term
Stratification
Definition
compute measures of association separately for each strata of the confounder
Term
Why is the p-value better (and worse) than hypothesis testing?
Definition
the p-value encorporates the strength of association and role of chance in one number encorporates more data but hides it.
Term
Standardization
Definition
Compute summary estimate that is mathematically manipulated to account for differential distributions of the confounder across 2 populations – creates ‘comparable’ rates/risks used primarily for age distributions in populations
Term
95% Confidence Limit Ratio
Definition
ratio of the 95% confidence limits --if the confidence limits are (0.1 - 2) the ratio would be (2/0.1 = 20) -- it is a measure of the precision of the estimate and lower the better
Term
Properties of a Confounder
Definition
1. Must be a cause of the DISEASE or, at least a marker (surrogate) of an actual cause of the DISEASE
2. Must be distributed differently in the EXPOSED and UNEXPOSED (dataset-related phenomenon)
3. Cannot be an intermediate step in the causal pathway between exposure and disease EXPOSURE → Factor A → DISEASE --> a nuisance association; artifact caused by a an incidental correlation between two variables (think maternal age and birth order)
Term
Incidence odds ratio
Definition
Term
Epidemiologic Inference
Definition
Making a generalization about a larger group of individuals (population) on the basis of a subset or sample
Term
Calculating the observed vs expected result on the additive scale
Definition
[image]
Term
Calculating Odds
Definition
Disease
yes no
Exposed yes a b
no c d
Odds of disease among the exposed= a/b
Odds of disease among unexposed= c/d
Term
Odds Ratio
Definition
(odds of disease in exposed)/ (odds of disease in unexposed)
Term
Infectivity
Definition
-The ability to invade a host
- (# infected /# susceptible) * 100
Term
Pathogenicity
Definition
-The ability to cause disease
-(#clinical disease /# infected) * 100
Term
Virulence
Definition
-The ability to cause severe disease
-Measure of severity
-(#deaths/ # w/disease (cases)) * 100
Term
Basic Reproductive Rate (Ro)
Definition
Ro=BCD
-B is the probability of transmission of a given infection per susceptible contact
-C is the # of potentially infectious contacts per unit time
-D is the duration of infectivity of infected person per unit time
Term
Implications of Ro
Definition
-If Ro > 1, "epidemic"
-If Ro = 1, "endemic"
-If Ro < 1, "eliminating" or "disappering"
Term
Herd Immunity Threshold
Definition
H = (Ro - 1)/ Ro
= 1 - (1/Ro)
Term
Closed Cohort
Definition
-Fixed membership
-Once defined and study begins, no one can be added
-Most cohort studies are "closed"
Term
Open Cohort
Definition
-Synonym = Dynamic population cohort
-Takes on new members as time passes
-Registries are an open cohort
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