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FMB

Cohort study (observational, longitudinal, forward, incidence)

Case-control (observational, retrospective, case-referent)

Cross-sectional (single time point, prevalence)

Epidemiological study design

Exposure

Disease

?

?

Time

Exposure

Disease

?

?

Historical data

Exposure

Disease

Time 1 population cross-section

Exposure

Disease

Time N population cross-section

clean design (e.g. eligibility, standards)

time of event and directionality

multiple endpoints

! confounders

! Lost to follow-up

! not always feasible (rare disease)

! expensive

quick

cheap

sample size

feasible for rare disease or diseases with

long latent time

! prone to bias (e.g. recall)

! not observational (reliant on records)

quick

cheap

easy (e.g. ethics)

! association, not causality

! prone to bias (e.g selection)

! unbalanced

! confounders