Epiville

Confounding

Learning Objectives

A. Basic elements of confounding

  1. Define confounding and distinguish it from bias and chance error
  2. Identify three criteria a variable must fulfill to be a confounder in an epidemiological study
  3. Diagram the relationship of a confounder with exposure and outcome

B. Explain methods to adjust for confounding

  1. Describe ways of handling confounding at the design phase of a study
    1. Randomization
    2. Restriction
    3. Matching
  2. Describe ways of handling confounding at the analysis phase of a study
    1. Stratification
    2. Multivariate adjustment techniques

C. Describe how to evaluate potential confounding in epidemiological data

  1. Explain the difference between a crude and adjusted effect estimate
  2. Discuss what is meant by "residual" confounding