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In epidemiology, prevalence is the proportion of a particular population found to be affected by a medical condition (typically a disease or a risk factor such as smoking or seatbelt use) at a specific time. It is derived by comparing the number of people found to have the condition with the total number of people studied and is usually expressed as a fraction, a percentage, or the number of cases per 10,000 or 100,000 people. Prevalence is most often used in questionnaire studies. Difference between prevalence and incidence Prevalence is the number of disease cases ''present ''in a particular population at a given time, whereas incidence is the number of new cases that ''develop ''during a specified time period. Prevalence answers "How many people have this disease right now?" or "How many people have had this disease during this time period?". Incidence answers "How many people acquired the disease uring a specified time period". However, mathematically, prevalence is proport ...
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Base Rate
In probability and statistics, the base rate (also known as prior probabilities) is the class of probabilities unconditional on "featural evidence" ( likelihoods). It is the proportion of individuals in a population who have a certain characteristic or trait. For example, if 1% of the population were medical professionals, and remaining 99% were ''not'' medical professionals, then the base rate of medical professionals is 1%. The method for integrating base rates and featural evidence is given by Bayes' rule. In the sciences, including medicine, the base rate is critical for comparison. In medicine a treatment's effectiveness is clear when the base rate is available. For example, if the control group, using no treatment at all, had their own base rate of 1/20 recoveries within 1 day and a treatment had a 1/100 base rate of recovery within 1 day, we see that the treatment actively decreases the recovery. The base rate is an important concept in statistical inference, particu ...
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Epidemiology
Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and Risk factor (epidemiology), determinants of health and disease conditions in a defined population, and application of this knowledge to prevent diseases. It is a cornerstone of public health, and shapes policy decisions and evidence-based practice by identifying Risk factor (epidemiology), 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 (medicine), transmission, outbreak investigation, disease surveillance, environmental epidemiology, forensic ...
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Base Rate Fallacy
The base rate fallacy, also called base rate neglect or base rate bias, is a type of fallacy in which people tend to ignore the base rate (e.g., general prevalence) in favor of the individuating information (i.e., information pertaining only to a specific case). For example, if someone hears that a friend is very shy and quiet, they might think the friend is more likely to be a librarian than a salesperson. However, there are far more salespeople than librarians overall—hence making it more likely that their friend is actually a salesperson, even if a greater proportion of librarians fit the description of being shy and quiet. Base rate neglect is a specific form of the more general extension neglect. It is also called the prosecutor's fallacy or defense attorney's fallacy when applied to the results of statistical tests (such as DNA tests) in the context of law proceedings. These terms were introduced by William C. Thompson and Edward Schumann in 1987, although it has been arg ...
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Rare Disease
A rare disease is any disease that affects a small percentage of the population. In some parts of the world, the term orphan disease describes a rare disease whose rarity results in little or no funding or research for treatments, without financial incentives from governments or other agencies. Orphan drugs are medications targeting orphan diseases. Most rare diseases are genetic in origin and thus are present throughout the person's entire life, even if symptoms do not immediately appear. Many rare diseases appear early in life, and about 30% of children with rare diseases will die before reaching their fifth birthdays. Fields condition is considered the rarest known disease, affecting three known individuals, two of whom are identical twins. With four diagnosed patients in 27 years, ribose-5-phosphate isomerase deficiency is considered the second rarest. While no single number has been agreed upon for which a disease is considered rare, several efforts have been undertaken to ...
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Denominator Data
In epidemiology, data or facts about a population are called denominator data or population data. Denominator data are independent of any specific disease or condition. This name is given because in mathematical models of disease, disease-specific data such as the incidence of disease in a population, the susceptibility of the population to a specific condition, the disease resistance, etc. disease-specific variables are expressed as their proportion of some attribute of the general population, and hence appear as the numerator of the fraction or percentage being calculated, general data about the population typically appearing in the denominator; hence the term "denominator data." In an epidemiological compartment model, for example, variables are often scaled to total population. The susceptible fraction of a population is obtained by taking the ratio of the number of people susceptible to the total population. Susceptibility to a disease may depend on other factors such as ag ...
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False Positive
A false positive is an error in binary classification in which a test result incorrectly indicates the presence of a condition (such as a disease when the disease is not present), while a false negative is the opposite error, where the test result incorrectly indicates the absence of a condition when it is actually present. These are the two kinds of errors in a binary test, in contrast to the two kinds of correct result (a and a ). They are also known in medicine as a false positive (or false negative) diagnosis, and in statistical classification as a false positive (or false negative) error. In statistical hypothesis testing, the analogous concepts are known as type I and type II errors, where a positive result corresponds to rejecting the null hypothesis, and a negative result corresponds to not rejecting the null hypothesis. The terms are often used interchangeably, but there are differences in detail and interpretation due to the differences between medical testing and sta ...
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Positive Predictive Value
The positive and negative predictive values (PPV and NPV respectively) are the proportions of positive and negative results in statistics and diagnostic tests that are true positive and true negative results, respectively. The PPV and NPV describe the performance of a diagnostic test or other statistical measure. A high result can be interpreted as indicating the accuracy of such a statistic. The PPV and NPV are not intrinsic to the test (as true positive rate and true negative rate are); they depend also on the prevalence. Both PPV and NPV can be derived using Bayes' theorem. Although sometimes used synonymously, a ''positive predictive value'' generally refers to what is established by control groups, while a post-test probability refers to a probability for an individual. Still, if the individual's pre-test probability of the target condition is the same as the prevalence in the control group used to establish the positive predictive value, the two are numerically equal. ...
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Type I And Type II Errors
Type I error, or a false positive, is the erroneous rejection of a true null hypothesis in statistical hypothesis testing. A type II error, or a false negative, is the erroneous failure in bringing about appropriate rejection of a false null hypothesis. Type I errors can be thought of as errors of commission, in which the status quo is erroneously rejected in favour of new, misleading information. Type II errors can be thought of as errors of omission, in which a misleading status quo is allowed to remain due to failures in identifying it as such. For example, if the assumption that people are ''innocent until proven guilty'' were taken as a null hypothesis, then proving an innocent person as guilty would constitute a Type I error, while failing to prove a guilty person as guilty would constitute a Type II error. If the null hypothesis were inverted, such that people were by default presumed to be ''guilty until proven innocent'', then proving a guilty person's innocence would ...
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Receiver Operating Characteristic
A receiver operating characteristic curve, or ROC curve, is a graph of a function, graphical plot that illustrates the performance of a binary classifier model (can be used for multi class classification as well) at varying threshold values. ROC analysis is commonly applied in the assessment of diagnostic test performance in clinical epidemiology. The ROC curve is the plot of the true positive rate (TPR) against the false positive rate (FPR) at each threshold setting. The ROC can also be thought of as a plot of the statistical power as a function of the Type I Error of the decision rule (when the performance is calculated from just a sample of the population, it can be thought of as estimators of these quantities). The ROC curve is thus the sensitivity as a function of false positive rate. Given that the probability distributions for both true positive and false positive are known, the ROC curve is obtained as the cumulative distribution function (CDF, area under the probability ...
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Area Under The Curve
In mathematics, an integral is the continuous analog of a sum, which is used to calculate areas, volumes, and their generalizations. Integration, the process of computing an integral, is one of the two fundamental operations of calculus,Integral calculus is a very well established mathematical discipline for which there are many sources. See and , for example. the other being differentiation. Integration was initially used to solve problems in mathematics and physics, such as finding the area under a curve, or determining displacement from velocity. Usage of integration expanded to a wide variety of scientific fields thereafter. A definite integral computes the signed area of the region in the plane that is bounded by the graph of a given function between two points in the real line. Conventionally, areas above the horizontal axis of the plane are positive while areas below are negative. Integrals also refer to the concept of an ''antiderivative'', a function whose derivati ...
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ROC Curve
A receiver operating characteristic curve, or ROC curve, is a graphical plot that illustrates the performance of a binary classifier model (can be used for multi class classification as well) at varying threshold values. ROC analysis is commonly applied in the assessment of diagnostic test performance in clinical epidemiology. The ROC curve is the plot of the true positive rate (TPR) against the false positive rate (FPR) at each threshold setting. The ROC can also be thought of as a plot of the statistical power as a function of the Type I Error of the decision rule (when the performance is calculated from just a sample of the population, it can be thought of as estimators of these quantities). The ROC curve is thus the sensitivity as a function of false positive rate. Given that the probability distributions for both true positive and false positive are known, the ROC curve is obtained as the cumulative distribution function (CDF, area under the probability distribution from ...
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