# Random Vs Systematic Error Epidemiology

## Contents |

Certainly there are **a number of factors that** might detract from the accuracy of these estimates. where "RR" is the risk ratio, "a" is the number of events in the exposed group, "N1" in the number of subjects in the exposed group, "c" is the number of Even if there were a difference between the groups, it is likely to be a very small difference that may have little if any clinical significance. However, one should view these two estimates differently. http://vealcine.com/random-error/random-error-vs-systematic-error-epidemiology.php

Measurement error and bias Chapter 4. With "Significant" Results The next figure illustrates two study results that are both statistically significant at P< 0.05, because both confidence intervals lie entirely above the null value (RR or OR Experimental **studies Chapter 10. **potential confounding factors).

## Random Error

Exell, www.jgsee.kmutt.ac.th/exell/PracMath/ErrorAn.htm Skip to main content Login Username * Password * Create new accountRequest new password Sign in / Register Health Knowledge Search form Search Your shopping cart is empty. The first was a measurement variable, i.e. These excluded subjects might have different patterns of drinking from those included in the study. Types of measures may include: Responses to self-administered questionnaires Responses to interview questions Laboratory results Physical measurements Information recorded in medical records Diagnosis codes from a database Responses to self-administered questionnaires

Longitudinal studies Chapter 8. Screening Chapter 11. Systematic Errors Systematic errors in experimental observations usually come from the measuring instruments. Random Error Examples Physics In addition, if I were to repeat this process and take multiple samples of five students and compute the mean for each of these samples, I would likely find that the

It is unevenly distributed among the exposed and the non-exposed It is not on the causal pathway between exposure and the disease. Therefore, if the null value (RR=1.0 **or OR=1.0) is not** contained within the 95% confidence interval, then the probability that the null is the true value is less than 5%. The narrower, more precise estimate enables us to be confident that there is about a two-fold increase in risk among those who have the exposure of interest. Reliability (repeatability) Reliability refers to the consistency of the performance of an instrument over time and among different observers.

Confounding Variables A variable is a confounder if: It is an independent risk factor (cause) of disease. Random Error Calculation Quantifying disease in populations Chapter 3. The p-value is the **probability that** the data could deviate from the null hypothesis as much as they did or more. Both of these deficiencies are potential sources of selection bias.

## How To Reduce Random Error

One of the major determinants to the degree to which chance affects the findings in a study is sample size [2]. Random errors usually result from the experimenter's inability to take the same measurement in exactly the same way to get exact the same number. Random Error Differential (non-random) misclassification occurs when the proportions of subjects misclassified differ between the study groups. Systematic Error Calculation When the estimate of interest is a single value (e.g., a proportion in the first example and a risk ratio in the second) it is referred to as a point estimate.

Consistent findings do not necessarily imply that the technique is valid: a laboratory test may yield persistently false positive results, or a very repeatable psychiatric questionnaire may be an insensitive measure useful reference Between observer variation - This includes the first component (the instability of individual observers), but adds to it an extra and systematiccomponent due to individual differences in techniques and criteria. The graph below gives a more complete summary of the statistical relationship between exposure and outcome. We also noted that the point estimate is the most likely value, based on the observed data, and the 95% confidence interval quantifies the random error associated with our estimate, and How To Reduce Systematic Error

Error can be described as random or systematic. ANSWER The key to reducing random error is to increase sample size. The same data produced p=0.26 when Fisher's Exact Test was used. my review here A self administered psychiatric questionnaire, for instance, may be compared with the majority opinion of a psychiatric panel.

Only in the world of hypothesis testing is a 10-15% probability of the null hypothesis being true (or 85-90% chance of it not being true) considered evidence against an association.] Most Zero Error Definition A p-value of 0.04 indicates a 4% chance of seeing differences this great due to sampling variability, and a p-value of 0.06 indicates a probability of 6%. Reducing sampling error Sampling error cannot be eliminated but with an appropriate study design can be reduced to an acceptable level.

## Systematic error or bias refers to deviations that are not due to chance alone.

For qualitative attributes, such as clinical symptoms and signs, the results are first set out as a contingency table: Table 4.2 Comparison of results obtained by two observers Observer 1 Criteria for diagnosing "a case" were then relaxed to include all the positive results identified by doctor's palpation, nurse's palpation, or xray mammography: few cases were then missed (94% sensitivity), but Some potential sources of selection biases: Self selection bias Selection of control group Selection of sampling frame Loss to follow up Improper diagnostic criteria More intensive interview to desired subjects etc. Personal Error Reporting a 90 or 95% confidence interval is probably the best way to summarize the data.

Systematic Reviews5. Assessing validity Assessing validity requires that an error free reference test or gold standard is available to which the measure can be compared. Share to Twitter Share to Facebook Concept of Error: In epidemiology: refers to a phenomenon in which the result or finding of the study does not reflect the truth of the get redirected here Outbreaks of disease Chapter 12.

The simplest example occurs with a measuring device that is improperly calibrated so that it consistently overestimates (or underestimates) the measurements by X units. State how the significance level and power of a statistical test are related to random error. Although it does not have as strong a grip among epidemiologists, it is generally used without exception in other fields of health research. Suppose that an investigator wishes to estimate the prevalence of heavy alcohol consumption (more than 21 units a week) in adult residents of a city.

Failure to account for the fact that the confidence interval does not account for systematic error is common and leads to incorrect interpretations of results of studies. Measurements of disease in life are often incapable of full validation. Two approaches are used commonly. When pairs of measurements have been made, either by the same observer on two different occasions or by two different observers, a scatter plot will conveniently show the extent and pattern

The top part of the worksheet calculates confidence intervals for proportions, such as prevalence or cumulative incidences, and the lower portion will compute confidence intervals for an incidence rate in a The misclassification of exposure or disease status can be considered as either differential or non-differential. It is assumed that the experimenters are careful and competent! What is epidemiology?

In practice, therefore, validity may have to be assessed indirectly. Four of the eight victims died of their illness, meaning that the incidence of death (the case-fatality rate) was 4/8 = 50%. Analysing repeatability The repeatability of measurements of continuous numerical variables such as blood pressure can be summarised by the standard deviation of replicate measurements or by their coefficient of variation(standard deviation This procedure is conducted with one of many statistics tests.

Learning objectives & outcomes Upon completion of this lesson, you should be able to do the following: Distinguish between random error and bias in collecting clinical data. Random subject variation has some important implications for screening and also in clinical practice, when people with extreme initial values are recalled. Random error occurs because the estimates we produce are based on samples, and samples may not accurately reflect what is really going on in the population at large. .