Quiz 1, Module Cohort
1. Based on the facts as presented, which do you think is the best hypothesis to investigate in this retrospective cohort study?
- Those who develop Susser Syndrome are more likely to have participated in the manufacturing of SUPERCLEAN than those who did not develop Susser Syndrome.
- Those who are exposed to chemicals involved in the production of SUPERCLEAN (via direct exposure at the factory) have a higher risk of developing Susser Syndrome than those who are not exposed.
- Residents of Epiville have a higher risk of developing Susser Syndrome compared with the residents of a neighboring community.
Answer (a) —
incorrect:
The proposed hypothesis implies the comparison of exposure states between diseased and non-diseased individuals. This comparison is appropriate for a case-control study. A cohort study is designed to compare outcomes between exposed and non-exposed groups. In doing so, one is able to estimate the risk of disease development.
Answer (b) —
correct:
This hypothesis is correct because it specifies 1) the exposure of interest, 2) those who are considered exposed and unexposed, 3) the outcome of interest, and 4) a hypothesized direction for the outcome (i.e., exposed at higher risk).
Answer (c) —
incorrect:
This hypothesis is too general. Findings of a study based on this hypothesis would do little to elucidate the cause of the current Susser Syndrome outbreak.