Research Methodology Measurement Errors Davood Khalili MD MPH

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Research Methodology Measurement Errors Davood Khalili, MD, MPH, Ph. D Department of Biostatistics &

Research Methodology Measurement Errors Davood Khalili, MD, MPH, Ph. D Department of Biostatistics & Epidemiology Research Institute for Endocrine Sciences Shahid Beheshti University of Medical Sciences

Measurement Error Davood Khalili

Measurement Error Davood Khalili

Errors in Research Systematic • Cause in: Random • Cause in: Confoundi ng •

Errors in Research Systematic • Cause in: Random • Cause in: Confoundi ng • Cause in: Invalidity & unreliability & a relationship Spurious Diluted but not causal association Davood Khalili

frequency Random Error Deviations from the true value that occur in a random chance

frequency Random Error Deviations from the true value that occur in a random chance pattern the distribution of X with no random error X

Random Error Deviations from the true value that occur in a random chance pattern

Random Error Deviations from the true value that occur in a random chance pattern frequency the distribution of X with random error the distribution of X with no random error X

Random Error Deviations from the true value that occur in a random chance pattern

Random Error Deviations from the true value that occur in a random chance pattern frequency the distribution of X with random error Notice that random error doesn’t affect the average, only the variability around the average the distribution of X with no random error X

frequency Systematic Error Any process at any stage of inference which tends to produce

frequency Systematic Error Any process at any stage of inference which tends to produce results or conclusions that differ systematically from the truth the distribution of X with no systematic error X

Systematic Error Any process at any stage of inference which tends to produce results

Systematic Error Any process at any stage of inference which tends to produce results or conclusions that differ systematically from the truth frequency the distribution of X with systematic error the distribution of X with no systematic error X Davood Khalili

Systematic Error Any process at any stage of inference which tends to produce results

Systematic Error Any process at any stage of inference which tends to produce results or conclusions that differ systematically from the truth frequency the distribution of X with systematic error the distribution of X with no systematic error X Notice that systematic error does affect the average -- we call this a bias

The Error Component X T + e Two Components: • er (Random Error) •

The Error Component X T + e Two Components: • er (Random Error) • es (Systematic Error)

RELIABILITY AND VALIDITY Not reliable Biased (Not valid) Not reliable Somehow valid In Random

RELIABILITY AND VALIDITY Not reliable Biased (Not valid) Not reliable Somehow valid In Random error measurement is not reliable. In Systematic error measurement is biased (not valid). Reliable Biased (Not valid) Reliable Valid

Davood Khalili

Davood Khalili

Davood Khalili

Davood Khalili

Errors in Research Systematic • Cause in: Random • Cause in: Confoundi ng •

Errors in Research Systematic • Cause in: Random • Cause in: Confoundi ng • Cause in: Invalidity & unreliability & a relationship Spurious Diluted but not causal association Davood Khalili

Selection Bias the way in which cases and controls, or exposed and nonexposed individuals,

Selection Bias the way in which cases and controls, or exposed and nonexposed individuals, are selected such that an apparent association is observed Reference Population Disdease + Exposure + Disease – Exposure + Disease + Exposure - Disease – Exposure – Davood Khalili Study Sample

Selection Bias • Non-response Bias • Exclusion Bias • Berksonian Bias • Healthy worker

Selection Bias • Non-response Bias • Exclusion Bias • Berksonian Bias • Healthy worker effect • Differential losses to follow-up Davood Khalili

Information Bias Reference Population Disdease + Exposure + Disease – Exposure + Disease +

Information Bias Reference Population Disdease + Exposure + Disease – Exposure + Disease + Exposure - Disease – Exposure – a systematic tendency for individuals selected for inclusion in the study to be erroneously placed in different exposure/outcome categories, thus leading to misclassification. Davood Khalili Study Sample

Information Bias • Exposure Identification Bias: - Recall Bias - Interviewer Bias • Outcome

Information Bias • Exposure Identification Bias: - Recall Bias - Interviewer Bias • Outcome Identification Bias: . - Observer Bias - Respondent Bias Davood Khalili

 • Systematic errors nearly always cannot be corrected. • Sometimes they can be

• Systematic errors nearly always cannot be corrected. • Sometimes they can be estimated using some advanced epidemiological methods. Davood Khalili

Errors in Research Systematic • Cause in: Random • Cause in: Confoundi ng •

Errors in Research Systematic • Cause in: Random • Cause in: Confoundi ng • Cause in: Invalidity & unreliability & a relationship Spurious Diluted but not causal association Davood Khalili

 • Random errors almost always cannot be corrected. • Routinely, they are estimated

• Random errors almost always cannot be corrected. • Routinely, they are estimated using statistical methods (i. e. Confidence Interval and p-value) Davood Khalili

(Background) Errors in Research Systematic • Cause in: Random • Cause in: Confoundi ng

(Background) Errors in Research Systematic • Cause in: Random • Cause in: Confoundi ng • Cause in: Invalidity & unreliability & a relationship Spurious Diluted but not causal association D. Khalili

Considering 3 rd Factor(S) in Causality Exposure 1 st var 3 rd variable(s) D.

Considering 3 rd Factor(S) in Causality Exposure 1 st var 3 rd variable(s) D. Khalili Outcome 2 nd var

Kinds of RELATIONSHIPS OF 3 rd VARIABLE(S) IN RESEARCH q. CONFOUNDING ü MEDIATION ü

Kinds of RELATIONSHIPS OF 3 rd VARIABLE(S) IN RESEARCH q. CONFOUNDING ü MEDIATION ü COLLINEARITY q. EFFECT MODIFICATION (INTERACTION OR MODERATION) D. Khalili

A confusion of effect D. Khalili

A confusion of effect D. Khalili

D. Khalili

D. Khalili

The most applicable method D. Khalili

The most applicable method D. Khalili

Conclusion D. Khalili

Conclusion D. Khalili

Conclusion 2 No Research and … D. Khalili

Conclusion 2 No Research and … D. Khalili

Conclusion 3 Research by Love. . . D. Khalili

Conclusion 3 Research by Love. . . D. Khalili