Learning Objectives
A. Basic elements of confounding
- Define confounding and distinguish it from bias and chance error
- Identify three criteria a variable must fulfill to be a confounder in an epidemiological study
- Diagram the relationship of a confounder with exposure and outcome
B. Explain methods to adjust for confounding
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Describe ways of handling confounding at the design phase of a study
- Randomization
- Restriction
- Matching
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Describe ways of handling confounding at the analysis phase of a study
- Stratification
- Multivariate adjustment techniques
C. Describe how to evaluate potential confounding in epidemiological data
- Explain the difference between a crude and adjusted effect estimate
- Discuss what is meant by "residual" confounding