Exam 13: More on Risk: Estimating the Potential for Prevention

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In a cohort study of smoking and myocardial infarction in City A,the number of myocardial infarctions were 250 cases among 7,000 smokers and the number of myocardial infarctions were 150 cases among 20,000 nonsmokers.What is the relative risk of smoking in this cohort study?

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The following is a measure of the strength of association,typically used in case-control studies to measure the association between exposure and disease:

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What is the best measure of association to explain what percentage of the new diagnoses of disease X are explained by exposure to Y among those exposed to Y?

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The incidence of disease X is 56/1,000 per year among smokers and 33/1,000 per year among nonsmokers.What proportion of cases of disease X are due to smoking among those who smoke?

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In a cohort study of smoking and myocardial infarction in City A,the number of myocardial infarctions were 250 cases among 7,000 smokers and the number of myocardial infarctions were 150 cases among 20,000 nonsmokers.From another source,a cross-sectional study,we know that 30% of the total population in City A were smokers.What is the population proportion attributable risk of smoking in City A?

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In a cohort study of smoking and myocardial infarction in City A,the number of myocardial infarctions were 250 cases among 7,000 smokers and the number of myocardial infarctions were 150 cases among 20,000 nonsmokers.What is the attributable risk (risk difference) of smoking?

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Which of the following statements is the most accurate description of the risk and relative risk of lung cancer deaths in this study? Use the following information: Lung Cancer and Coronary Health Disease Mortality by Smoking Status  Age-adjusted death rates per 100,000\text { Age-adjusted death rates per } 100,000 Smokers Nonsmokers Lung cancer 150 70 Coronary heart disease 700 300 [Modified from Doll R,Peto R.Mortality in relation to smoking: 20 years' observations on male British doctors.Br Med J.1976;2(6051):1525-1536.]

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Which of the following statements is the most accurate description of the attributable risk (deaths per 100,000) of coronary heart disease for smokers in this study? Use the following information: Lung Cancer and Coronary Health Disease Mortality by Smoking Status Age-adjusted death rates per 100,000 Smokers Nonsmokers Lung cancer 150 70 Coronary heart disease 700 300 [Modified from Doll R,Peto R.Mortality in relation to smoking: 20 years' observations on male British doctors.Br Med J.1976;2(6051):1525-1536.]

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A politician asks an epidemiologist how many cases of coronary heart disease can be prevented if they manage to eliminate the exposure to smoking in city A.The epidemiologists explain that,if they eliminate smoking,they could prevent 22% cases of coronary heart disease.What measure of association was used to answer this question?

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