Clinical Epidemiology: Prognosis, Diagnosis, Clinical Trials

Learning objectives

Upon successful completion of the course the post-graduate students are expected to be able to:

  • recognize the importance of using epidemiological methods for the implementation of evidence-based medicine
  • estimate the sensitivity, specificity, positive and negative predictive values of diagnostic tests and procedures
  • evaluate and compare the reliability of diagnostic methods and results
  • measure and interpret prognostic indicators based on the duration and severity of diseases
  • distinguish between prognostic and risk factors
  • design epidemiologic studies aiming to assess disease prognosis
  • describe and interpret basic characteristics and specific issues of randomized clinical trials
  • describe the methodology and steps in the design and conduct of randomized clinical trials
  • interpret the findings and evaluate the methodological adequacy and quality of clinical trials
  • use the CONSORT checklist for the reporting of randomized clinical studies
  • collaborate for a project presentation

Course content

The course introduces students to the basic concepts, principles, and application of clinical epidemiology. The following topics are covered:

Lectures

  • Introduction to Clinical Epidemiology
  • Contribution of epidemiology to disease prognosis
  • Contribution of epidemiology to medical diagnosis
  • Evaluation of therapeutic measures- Basic principles and concepts
  • Clinical trials- Design and implementation
  • Clinical trials- Analysis I
  • Clinical trials-Analysis II
  • Levels of Evidence- Development of guidelines for the clinical management of diseases

Practical Sessions

  • Critical appraisal of published papers related to diagnosis/prognosis
  • Critical appraisal of a published clinical trial
  • Guidelines for reporting and publishing clinical trials – the CONSORT criteria

The teaching methods include lectures, critical analysis of published literature and practical sessions.

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