Cohort Study

 

NEET PG High-Yield: Cohort Studies

A cohort study is an observational, prospective (longitudinal) study design. It follows a group of people (cohort) over time to observe the development of disease based on their exposure status.

Key Metrics

Metric Formula Description
Relative Risk (RR) frac{text{Incidence in Exposed}}{text{Incidence in Unexposed}} Measure of association: strength of the link.
Attributable Risk (AR) $Latex  I_e – I_u$ Impact of removing the exposure.
Population AR $Latex  I_t – I_u$ Incidence in the total population minus the unexposed.

High-Yield NEET PG Pearls:

  • RR vs. AR: RR measures the strength of association; AR measures public health impact.
  • Advantages: Can determine incidence, provides a temporal sequence, and allows study of multiple effects of a single exposure.
  • Disadvantages: Expensive, time-consuming, prone to Loss to Follow-up (Attrition Bias); not suitable for rare diseases.
  • Famous Examples: Framingham Heart Study (CVD risk factors), British Doctors Study (Smoking/Lung Cancer).