Critical appraisal of epidemiological studies and clinical trials

Bibliographic Information

Critical appraisal of epidemiological studies and clinical trials

J. Mark Elwood

(Oxford medical publications)

Oxford University Press, 2007

3rd ed

  • : hbk
  • : pbk

Available at  / 11 libraries

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Note

Includes bibliographical references and index

Description and Table of Contents

Volume

: pbk ISBN 9780198529552

Description

This book presents a logical system of critical appraisal, to allow readers to evaluate studies and to carry out their own studies more effectively. This system emphasizes the central importance of cause and effect relationships. Its great strength is that it is applicable to a wide range of issues, and both to intervention trials and observational studies. This system unifies the often different approaches used in epidemiology, health services research, clinical trials, and evidence-based medicine, starting from a logical consideration of cause and effect. The author's approach to the issues of study design, selection of subjects, bias, confounding, and the place of statistical methods has been praised for its clarity and interest. Systematic reviews, meta-analysis, and the applications of this logic to evidence-based medicine, knowledge-based health care, and health practice and policy are discussed. Current and often controversial examples are used, including screening for prostate cancer, publication bias in psychiatry, public health issues in developing countries, and conflicts between observational studies and randomized trials. Statistical issues are explained clearly without complex mathematics, and the most useful methods are summarized in the appendix. The final chapters give six applications of the critical appraisal of major studies: randomized trials of medical treatment and prevention, a prospective and a retrospective cohort study, a small matched case-control study, and a large case-control study. In these chapters, sections of the original papers are reproduced and the original studies placed in context by a summary of current developments.

Table of Contents

  • 1. The importance of causal relationships in medicine and health care
  • 2. Study designs which can demonstrate and test causation
  • 3. The results obtained from studies of causation
  • 4. Selection of subjects for study
  • 5. Error and bias in observations
  • 6. Confounding
  • 7. Chance variation
  • 8. Combining results from several studies: systematic review and meta-analysis
  • 9. The diagnosis of causation
  • Critical appraisal in action - introduction to Chapters 10 to 15
  • 10. Critical appraisal of a randomized clinical trial
  • 11. Critical appraisal of a randomized trial of a preventive agent
  • 12. Critical appraisal of a prospective cohort study
  • 13. Critical appraisal of a retrospective cohort study
  • 14. Critical appraisal of a matched case-control study
  • 15. Critical appraisal of a large, population based, case-control study
  • Answers to self test questions
  • Appendix: Methods of statistical analysis: formulae and worked examples
Volume

: hbk ISBN 9780199218257

Description

This book presents a logical system of critical appraisal, to allow readers to evaluate studies and to carry out their own studies more effectively. This system emphasizes the central importance of cause and effect relationships. Its great strength is that it is applicable to a wide range of issues, and both to intervention trials and observational studies. This system unifies the often different approaches used in epidemiology, health services research, clinical trials, and evidence-based medicine, starting from a logical consideration of cause and effect. The author's approach to the issues of study design, selection of subjects, bias, confounding, and the place of statistical methods has been praised for its clarity and interest. Systematic reviews, meta-analysis, and the applications of this logic to evidence-based medicine, knowledge-based health care, and health practice and policy are discussed. Current and often controversial examples are used, including screening for prostate cancer, publication bias in psychiatry, public health issues in developing countries, and conflicts between observational studies and randomized trials. Statistical issues are explained clearly without complex mathematics, and the most useful methods are summarized in the appendix. The final chapters give six applications of the critical appraisal of major studies: randomized trials of medical treatment and prevention, a prospective and a retrospective cohort study, a small matched case-control study, and a large case-control study. In these chapters, sections of the original papers are reproduced and the original studies placed in context by a summary of current developments.

Table of Contents

  • 1. The importance of causal relationships in medicine and health care
  • 2. Study designs which can demonstrate and test causation
  • 3. The results obtained from studies of causation
  • 4. Selection of subjects for study
  • 5. Error and bias in observations
  • 6. Confounding
  • 7. Chance variation
  • 8. Combining results from several studies: systematic review and meta-analysis
  • 9. The diagnosis of causation
  • Critical appraisal in action - introduction to Chapters 10 to 15
  • 10. Critical appraisal of a randomized clinical trial
  • 11. Critical appraisal of a randomized trial of a preventive agent
  • 12. Critical appraisal of a prospective cohort study
  • 13. Critical appraisal of a retrospective cohort study
  • 14. Critical appraisal of a matched case-control study
  • 15. Critical appraisal of a large, population based, case-control study
  • Answers to self test questions
  • Appendix: Methods of statistical analysis: formulae and worked examples

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