FACTOID # 29: Russia won the first World Air Games, held in Turkey in 1997. Events included hang-gliding, sky-surfing, and ballooning.
 
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Encyclopedia > Cohort study

It has been suggested that this article or section be merged with Cohort (statistics). (Discuss)


A cohort study is a form of longitudinal study used in medicine and social science. It is one type of Study design. Wikipedia does not have an article with this exact name. ... For other meanings see cohort In statistics and demography, a cohort is a group of subjects — most often humans from a given population — defined by a condition on their date of birth. ... Longitudinal studies form a class of research methods that involve observations of the same items over a longer time. ... Medicine on the Web NLM (National Library of Medicine, contains resources for patients and healthcare professionals) Virtual Hospital (digital health sciences library by the University of Iowa) Online Medical Information- medical news, links and resources Collection of links to free medical resources Category: ... Terms like SOSE (Studies of Society & the Environment) not only refer to social sciences but also studies of the environment. ... A Study design is a way to set up an epidemiological investigation, as a form of clinical trial. ...


In medicine, it is usually undertaken to obtain additional evidence to refute or support the existence of an association between suspected cause and disease. The cohorts are identified prior to the appearance of the disease under investigation. The study groups, so defined, are observed over a period of time to determine the frequency of disease among them. The main characteristic is that the study proceeds from cause to effect.


In epidemiology, the term cohort is defined as a group of people who share a common characteristic or experience within a defined time period (e.g., age, occupation, exposure to a drug or a vaccine, insured persons etc.). Thus a group of people who were born on a day or in a particular time period, say 1948, form a birth cohort. The comparison group may be the general population from which the cohort is drawn, or it may be another cohort of persons thought to have had little or no exposure to the substance under investigation, but otherwise similar. Epidemiology is the study of the distribution and determinants of disease in human populations (Rothman and Greenland), and the application of this study to control health problems (Last 2001). ...


Some cohort studies track a group of children from their birth, and record a wide range of information (exposures) about them. The value of a cohort study depends on the researchers' capacity to stay in touch with all members of the cohort. Some of these studies have continued for decades. An example of a cohort study that has been going on for more than 50 years is the Framingham Heart Study.


An example of an epidemiologic question that can be answered by the use of a cohort study is: does exposure to X (say, smoking) correlate with outcome Y (say, lung cancer)? Such a study would enroll a group of smokers and a group of non-smokers (the unexposed group) and follow them for a set period of time and note differences in the incidence of lung cancer between the groups at the end of this time. In this example, a statistically significant increase in the incidence of lung cancers in the smoking group as compared to the non-smoking group is evidence in favor of the hypothesis. However, rare outcomes, such as lung cancer, are generally not studied with the use of a cohort study, but are rather studied with the use of a case-control study. Case-control studies are one type of epidemiological study design. ...


Shorter term studies are commonly used in medical research as a form of clinical trial, or means to test a particular hypothesis of clinical importance. Such studies typically follow two groups of patients for a period of time and compare an endpoint or outcome measure between the two groups. In medicine, a clinical trial (synonyms: clinical studies, research protocols, medical research) is a research study. ...


Randomized controlled trials, or RCTs are a superior methodology in the hierarchy of evidence, because they limit the potential for bias by randomly assigning one patient pool to an intervention and another patient pool to non-intervention (or placebo). This minimises the chance that the incidence of confounding variables will differ between the two groups. A randomized contro // Headline text lInsert non-formatted text hereled trial (RCT) is a form of clinical trial, or scientific procedure used in the testing of the efficacy of == medicines oBold textreliable form of scientific evidence because [[ == it is the best known designr medical procedures. ...


Nevertheless, it is sometimes not practical or ethical to perform RCTs to answer a clinical question. To take our example, if we already had reasonable evidence that smoking causes lung cancer then persuading a pool of non-smokers to take up smoking in order to test this hypothesis would generally be considered quite unethical.


A "prospective cohort" defines the groups before the study is done, while a "retrospective cohort" does the grouping after the data is collected.


External links


  Results from FactBites:
 
Cohort study - Wikipedia, the free encyclopedia (606 words)
A cohort study is a form of longitudinal study used in medicine and social science.
In epidemiology, the term cohort is defined as a group of people who share a common characteristic or experience within a defined time period (e.g., age, occupation, exposure to a drug or a vaccine, insured persons etc.).
Shorter term studies are commonly used in medical research as a form of clinical trial, or means to test a particular hypothesis of clinical importance.
ATSDR - El Paso Multiple Sclerosis Cluster Investigation (12227 words)
In addition to obtaining MS prevalence estimates for the study cohorts, one of the study objectives was to evaluate the feasibility of obtaining historic environmental and biological sampling data from the early 1970s to help address environmental concerns.
For women in the combined cohort, elevated prevalence estimates are seen in both the 41 to 50 and the 51 to 60 age groups; almost twice as high in the 41 to 50 age group and two and a half times as high in the 51 to 60 age group.
The twofold excess of MS demonstrated for the Mesita cohort and the zero cases reported for the E.B. Jones cohort could be due to a true difference in the disease experience of the two cohorts or could be due to the lack of participation and reporting by the former E.B. Jones students.
  More results at FactBites »

 

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