Abstract:
:Studies of determinants of recurrent disease often give unexpected results. In particular, well-established risk factors may seem not to have much influence on the recurrence risk. Recently, it has been argued that such paradoxical findings may be because of the bias caused by the selection of patients based on the occurrence of an earlier episode of the disease. This bias was referred to as index event bias. Here, we give a theoretical quantitative example of index event bias, showing that, as a result of selection of patients on the basis of previous disease: (1) risk factors become inversely associated when they are not in the unselected population, and (2) the crude association between the risk factor of interest and disease becomes biased toward the null.
journal_name
J Clin Epidemioljournal_title
Journal of clinical epidemiologyauthors
Smits LJ,van Kuijk SM,Leffers P,Peeters LL,Prins MH,Sep SJdoi
10.1016/j.jclinepi.2012.06.023subject
Has Abstractpub_date
2013-02-01 00:00:00pages
192-6issue
2eissn
0895-4356issn
1878-5921pii
S0895-4356(12)00283-1journal_volume
66pub_type
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pub_type: 传,历史文章,杂志文章
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