MRCEM Notes

Study design

The following table highlights the main features of the main types of study:

Study typeKey features
Randomised controlled trialParticipants randomly allocated to intervention or control group (e.g. standard treatment or placebo)

Practical or ethical problems may limit use
Cohort studyObservational and prospective. Two (or more) are selected according to their exposure to a particular agent (e.g. medicine, toxin) and followed up to see how many develop a disease or other outcome.

The usual outcome measure is the relative risk.

Examples include Framingham Heart Study
Case-control studyObservational and retrospective. Patients with a particular condition (cases) are identified and matched with controls. Data is then collected on past exposure to a possible causal agent for the condition.

The usual outcome measure is the odds ratio.

Inexpensive, produce quick results
Useful for studying rare conditions
Prone to confounding
Cross-sectional surveyProvide a 'snapshot', sometimes called prevalence studies

Provide weak evidence of cause and effect
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