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Recall bias in a prospective cohort study of acute time-varying exposures : Example from the herpetic eye disease study

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Recall bias in a prospective cohort study of acute time-varying exposures : Example from the herpetic eye disease study

Auteurs : Kevin E. Kip [États-Unis] ; Frances Cohen [États-Unis] ; Stephen R. Cole [États-Unis] ; Kirk R. Wilhelmus [États-Unis] ; Donald L. Patrick [États-Unis] ; R. Clifford Blair [États-Unis] ; Roy W. Beck [États-Unis]

Source :

Journal of clinical epidemiology [ 0895-4356 ] ; 2001.

RBID : Pascal:01-0242059

Descripteurs français

Pascal (Inist)
- Herpès, Oeil pathologie, Biais méthodologique, Exposition, Epidémiologie, Facteur risque, Homme, Santé publique, Etude cohorte.
Wicri :
- topic : Homme, Santé publique.

English descriptors

KwdEn :
- Cohort study, Epidemiology, Exposure, Eye disease, Herpes, Human, Methodological bias, Public health, Risk factor.

Abstract

Recall bias is possible in a prospective cohort study when exposure status is transient and must be periodically recalled, and ascertainment occurs after symptom onset. We know of no published demonstration of such bias at play in a prospective cohort study. In a sub-study of a randomized clinical trial, 308 participants were prospectively followed to investigate potential acute triggers of ocular herpes simplex virus (HSV) recurrences. Participants reported on the presence of systemic infection or high psychological stress (exposures) on a home log that was completed weekly for up to 15 months and mailed to the study's coordinating centers. By protocol, exposure reporting was to occur on the last day of the week (Sunday) so that a prospective 1-week lag period between exposure and outcome in the following week could be assessed. The study outcome was development of a recurrence of ocular HSV disease documented by clinical examination. Using 35 weekly reports of exposure properly completed before the week of an outcome, there was no evidence of higher risk of HSV recurrence associated with systemic infection (rate ratio = 0.62, 95% confidence interval [CI]: 0.19-2.02) or high psychological stress rate (ratio = 0.0, 95% CI: 0.0-undefined). In contrast, when the analysis was based on 26 weekly reports of exposure improperly completed on or after the date of outcome, the risk of recurrence associated with systemic infection was estimated to be 4-fold (rate ratio = 4.07, 95% CI: 1.84-8.98), and there was a suggestion of a 2-fold risk associated with high psychological stress (rate ratio = 2.02. 95% CI: 0.69-5.91). Without real-time monitoring of exposure reporting, preservation of the temporal exposure-disease relationship-an implicit assumption of the prospective cohort study design-may be particularly tenuous when transient exposures are investigated longitudinally.

Affiliations:

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Le document en format XML

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<term>Methodological bias</term>
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<term>Oeil pathologie</term>
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<term>Epidémiologie</term>
<term>Facteur risque</term>
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<front><div type="abstract" xml:lang="en">Recall bias is possible in a prospective cohort study when exposure status is transient and must be periodically recalled, and ascertainment occurs after symptom onset. We know of no published demonstration of such bias at play in a prospective cohort study. In a sub-study of a randomized clinical trial, 308 participants were prospectively followed to investigate potential acute triggers of ocular herpes simplex virus (HSV) recurrences. Participants reported on the presence of systemic infection or high psychological stress (exposures) on a home log that was completed weekly for up to 15 months and mailed to the study's coordinating centers. By protocol, exposure reporting was to occur on the last day of the week (Sunday) so that a prospective 1-week lag period between exposure and outcome in the following week could be assessed. The study outcome was development of a recurrence of ocular HSV disease documented by clinical examination. Using 35 weekly reports of exposure properly completed before the week of an outcome, there was no evidence of higher risk of HSV recurrence associated with systemic infection (rate ratio = 0.62, 95% confidence interval [CI]: 0.19-2.02) or high psychological stress rate (ratio = 0.0, 95% CI: 0.0-undefined). In contrast, when the analysis was based on 26 weekly reports of exposure improperly completed on or after the date of outcome, the risk of recurrence associated with systemic infection was estimated to be 4-fold (rate ratio = 4.07, 95% CI: 1.84-8.98), and there was a suggestion of a 2-fold risk associated with high psychological stress (rate ratio = 2.02. 95% CI: 0.69-5.91). Without real-time monitoring of exposure reporting, preservation of the temporal exposure-disease relationship-an implicit assumption of the prospective cohort study design-may be particularly tenuous when transient exposures are investigated longitudinally.</div>
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Recall bias in a prospective cohort study of acute time-varying exposures : Example from the herpetic eye disease study

Recall bias in a prospective cohort study of acute time-varying exposures : Example from the herpetic eye disease study

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri