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British Journal of Ophthalmology 2005;89:378-384; doi:10.1136/bjo.2003.038430
Copyright © 2005 by the BMJ Publishing Group Ltd.
British Journal of Ophthalmology 2005;89:378-384
© 2005 BMJ Publishing Group Ltd

PERSPECTIVE

Epidemiology for ophthalmologists: an introduction to concepts, study designs, and interpreting findings

H Kuper and C Gilbert

International Centre for Eye Health, Clinical Research Unit, Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK

Correspondence to:
Correspondence to:
Hannah Kuper
Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK; hannah.kuper{at}lshtm.ac.uk

This review provides an overview of the types of information epidemiological research can provide and how these data can be used. The aim is to provide the readers with basic epidemiological skills to allow them to read critically scientific articles and to gain proficiency in communicating about epidemiological research. All examples in the review are drawn from the ophthalmic literature. The first part of the review is relatively conceptual and focuses on epidemiological theory, including case definition, measures of the burden of disease, sampling and the interpretation of results. In the second part different study designs are described—specifically, cross sectional surveys, cohort studies, case-control studies, and randomised controlled trials, and the strengths and limitations of each highlighted.

Abbreviations: ARMD, age related macular degeneration; CIR, cumulative incidence ratio; IRR, incidence rate ratio; RCT, randomised controlled trials; SVI, severe visual impairment; VA, visual acuity; VI, visual impairment


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