Rare Disease Assumption
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Rare Disease Assumption
The rare disease assumption is a mathematical assumption in epidemiologic case-control studies where the hypothesis tests the association between an exposure and a disease. It is assumed that, if the prevalence of the disease is low, then the odds ratio (OR) approaches the relative risk (RR). The idea was first demonsterated by Jerome Cornfield. Case control studies are relatively inexpensive and less time-consuming than cohort studies. Since case control studies don't track patients over time, they can't establish relative risk. The case control study can, however, calculate the exposure-odds ratio, which, mathematically, is supposed to approach the relative risk as prevalence falls. Sander Greenland showed that if the prevalence is 10% or less, the disease can be considered rare enough to allow the rare disease assumption. Unfortunately, the magnitude of discrepancy between the odds ratio and the relative risk is dependent not only on the prevalence, but also, to a great degre ...
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Assumption
Assumption, in Christianity, refers to the Assumption of Mary, a belief in the taking up of the Virgin Mary into heaven. Assumption may also refer to: Places * Assumption, Alberta, Canada * Assumption, Illinois, United States ** Assumption Township, Christian County, Illinois * Assumption Island, Seychelles ** Assumption Island Airport * Assumption, Minnesota, United States * Assumption, Nebraska, United States * Assumption, Ohio, United States * Assumption Parish, Louisiana, United States Arts, entertainment, and media * "Assumption" (short story), a 1929 story by Samuel Beckett * Assumption of Moses, a Jewish apocryphal pseudepigraphical work of uncertain date and authorship Churches * Assumption Chapel, Minnesota, United States * Assumption of the Blessed Virgin Mary Church, Michigan, United States * Assumption – St. Paul, New York, United States * Cathedral of the Assumption (other) * Church of the Assumption (other) Logic * Closed-world assumptio ...
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Sander Greenland
Sander Greenland (born January 16, 1951) is an American statistician and epidemiologist with many contributions to statistical and epidemiologic methods including Bayesian and causal inference, bias analysis, and meta-analysis. His focus has been the extensions, limitations, and misuses of statistical methods in nonexperimental studies, especially in postmarketing surveillance of drugs, vaccines, and medical devices. He received honors Bachelor's and Master's degrees in Mathematics from the University of California, Berkeley, where he was Regent's and National Science Foundation Fellow in Mathematics, and then received Master's and Doctoral degrees in Epidemiology from the University of California, Los Angeles (UCLA), where he was Regent's Fellow in Epidemiology. After serving as an Assistant Professor of Biostatistics at Harvard, he joined the UCLA Epidemiology faculty in 1980 where he became Professor of Epidemiology in the Fielding School of Public Health in 1989, and Professor ...
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Medical Statistics
Medical statistics deals with applications of statistics to medicine and the health sciences, including epidemiology, public health, forensic medicine, and clinical research. Medical statistics has been a recognized branch of statistics in the United Kingdom for more than 40 years but the term has not come into general use in North America, where the wider term 'biostatistics' is more commonly used.Dodge, Y. (2003) ''The Oxford Dictionary of Statistical Terms'', OUP. However, "biostatistics" more commonly connotes all applications of statistics to biology. Medical statistics is a subdiscipline of statistics. "It is the science of summarizing, collecting, presenting and interpreting data in medical practice, and using them to estimate the magnitude of associations and test hypotheses. It has a central role in medical investigations. It not only provides a way of organizing information on a wider and more formal basis than relying on the exchange of anecdotes and personal experien ...
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Epidemiology
Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and determinants of health and disease conditions in a defined population. It is a cornerstone of public health, and shapes policy decisions and evidence-based practice by identifying risk factors for disease and targets for preventive healthcare. Epidemiologists help with study design, collection, and statistical analysis of data, amend interpretation and dissemination of results (including peer review and occasional systematic review). Epidemiology has helped develop methodology used in clinical research, public health studies, and, to a lesser extent, basic research in the biological sciences. Major areas of epidemiological study include disease causation, transmission, outbreak investigation, disease surveillance, environmental epidemiology, forensic epidemiology, occupational epidemiology, screening, biomonitoring, and comparisons of treatment effects such as in clinical trials. ...
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Contingency Table
In statistics, a contingency table (also known as a cross tabulation or crosstab) is a type of table in a matrix format that displays the (multivariate) frequency distribution of the variables. They are heavily used in survey research, business intelligence, engineering, and scientific research. They provide a basic picture of the interrelation between two variables and can help find interactions between them. The term ''contingency table'' was first used by Karl Pearson in "On the Theory of Contingency and Its Relation to Association and Normal Correlation", part of the ''Drapers' Company Research Memoirs Biometric Series I'' published in 1904. A crucial problem of multivariate statistics is finding the (direct-)dependence structure underlying the variables contained in high-dimensional contingency tables. If some of the conditional independences are revealed, then even the storage of the data can be done in a smarter way (see Lauritzen (2002)). In order to do this one can use ...
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Effect Size
In statistics, an effect size is a value measuring the strength of the relationship between two variables in a population, or a sample-based estimate of that quantity. It can refer to the value of a statistic calculated from a sample of data, the value of a parameter for a hypothetical population, or to the equation that operationalizes how statistics or parameters lead to the effect size value. Examples of effect sizes include the correlation between two variables, the regression coefficient in a regression, the mean difference, or the risk of a particular event (such as a heart attack) happening. Effect sizes complement statistical hypothesis testing, and play an important role in power analyses, sample size planning, and in meta-analyses. The cluster of data-analysis methods concerning effect sizes is referred to as estimation statistics. Effect size is an essential component when evaluating the strength of a statistical claim, and it is the first item (magnitude) in the MAGI ...
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Risk Ratio Vs Odds Ratio
In simple terms, risk is the possibility of something bad happening. Risk involves uncertainty about the effects/implications of an activity with respect to something that humans value (such as health, well-being, wealth, property or the environment), often focusing on negative, undesirable consequences. Many different definitions have been proposed. The international standard definition of risk for common understanding in different applications is “effect of uncertainty on objectives”. The understanding of risk, the methods of assessment and management, the descriptions of risk and even the definitions of risk differ in different practice areas (business, economics, environment, finance, information technology, health, insurance, safety, security etc). This article provides links to more detailed articles on these areas. The international standard for risk management, ISO 31000, provides principles and generic guidelines on managing risks faced by organizations. Definitions ...
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Odds Ratio
An odds ratio (OR) is a statistic that quantifies the strength of the association between two events, A and B. The odds ratio is defined as the ratio of the odds of A in the presence of B and the odds of A in the absence of B, or equivalently (due to symmetry), the ratio of the odds of B in the presence of A and the odds of B in the absence of A. Two events are independent if and only if the OR equals 1, i.e., the odds of one event are the same in either the presence or absence of the other event. If the OR is greater than 1, then A and B are associated (correlated) in the sense that, compared to the absence of B, the presence of B raises the odds of A, and symmetrically the presence of A raises the odds of B. Conversely, if the OR is less than 1, then A and B are negatively correlated, and the presence of one event reduces the odds of the other event. Note that the odds ratio is symmetric in the two events, and there is no causal direction implied (correlation does not imply causat ...
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Cohort Study
A cohort study is a particular form of longitudinal study that samples a cohort (a group of people who share a defining characteristic, typically those who experienced a common event in a selected period, such as birth or graduation), performing a cross-section at intervals through time. It is a type of panel study where the individuals in the panel share a common characteristic. Cohort studies represent one of the fundamental designs of epidemiology which are used in research in the fields of medicine, pharmacy, nursing, psychology, social science, and in any field reliant on 'difficult to reach' answers that are based on evidence (statistics). In medicine for instance, while clinical trials are used primarily for assessing the safety of newly developed pharmaceuticals before they are approved for sale, epidemiological analysis on how risk factors affect the incidence of diseases is often used to identify the causes of diseases in the first place, and to help provide pre-clinica ...
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Epidemiology
Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and determinants of health and disease conditions in a defined population. It is a cornerstone of public health, and shapes policy decisions and evidence-based practice by identifying risk factors for disease and targets for preventive healthcare. Epidemiologists help with study design, collection, and statistical analysis of data, amend interpretation and dissemination of results (including peer review and occasional systematic review). Epidemiology has helped develop methodology used in clinical research, public health studies, and, to a lesser extent, basic research in the biological sciences. Major areas of epidemiological study include disease causation, transmission, outbreak investigation, disease surveillance, environmental epidemiology, forensic epidemiology, occupational epidemiology, screening, biomonitoring, and comparisons of treatment effects such as in clinical trials. ...
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Jerome Cornfield
Jerome Cornfield (1912–1979) was an American statistician. He is best known for his work in biostatistics, but his early work was in economic statistics and he was also an early contributor to the theory of Bayesian inference. He played a role in the early development of input-output analysis and linear programming. Cornfield played a crucial role in establishing the causal link between smoking and incidence of lung cancer. He introduced the Rare disease assumption and the "Cornfield condition" that allows one to assess whether an unmeasured (binary) confounder can explain away the observed relative risk due to some exposure like smoking. He was born on October 30, 1912, in The Bronx, New York City. He graduated from New York University in 1933 and was briefly a graduate student at Columbia University. He also studied statistics and mathematics at the Graduate School of the US Department of Agriculture while employed by the Bureau of Labor Statistics, where he remained until ...
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Relative Risk
The relative risk (RR) or risk ratio is the ratio of the probability of an outcome in an exposed group to the probability of an outcome in an unexposed group. Together with risk difference and odds ratio, relative risk measures the association between the exposure and the outcome. Statistical use and meaning Relative risk is used in the statistical analysis of the data of ecological, cohort, medical and intervention studies, to estimate the strength of the association between exposures (treatments or risk factors) and outcomes. Mathematically, it is the incidence rate of the outcome in the exposed group, I_e, divided by the rate of the unexposed group, I_u. As such, it is used to compare the risk of an adverse outcome when receiving a medical treatment versus no treatment (or placebo), or for environmental risk factors. For example, in a study examining the effect of the drug apixaban on the occurrence of thromboembolism, 8.8% of placebo-treated patients experienced the disease, b ...
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