The use of models in the estimation of disease epidemiology.

Objective To explore the usefulness of incidence-prevalence-mortality (IPM) models in improving estimates of disease epidemiology. Methods Two artificial and four empirical data sets (for breast, prostate, colorectal, and stomach cancer) were employed in IPM models. Findings The internally consisten...

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Publicado en:Bulletin of the World Health Organization Vol. 80; no. 8; pp. 622 - 623
Autores principales: Kruijshaar ME, Barendregt JJ, Hoeymans N
Formato: research Journal Article
Publicado: World Health Organization 2002
Acceso en línea:Ver este registro en EBSCOhost
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        atl: The use of models in the estimation of disease epidemiology.
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        au:
          Kruijshaar ME
          Barendregt JJ
          Hoeymans N
      sug:
        subj:
          Economic Aspects of Illness
          Epidemiological Research
          Models, Statistical
          Neoplasms Epidemiology
          Adolescence
          Aged
          Breast Neoplasms Epidemiology
          Child
          Child, Preschool
          Colorectal Neoplasms Epidemiology
          Data Collection Standards
          Female
          Forecasting
          Incidence
          Infant
          Male
          Middle Age
          Neoplasms Classification
          Neoplasms Mortality
          Netherlands
          Prevalence
          Prostatic Neoplasms Epidemiology
          Quality Control (Technology)
          Stomach Neoplasms Epidemiology
          Human
          Adolescent: 13-18 years
          Aged: 65+ years
          Child: 6-12 years
          Child, Preschool: 2-5 years
          Infant: 1-23 months
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objective To explore the usefulness of incidence-prevalence-mortality (IPM) models in improving estimates of disease epidemiology. Methods Two artificial and four empirical data sets (for breast, prostate, colorectal, and stomach cancer) were employed in IPM models. Findings The internally consistent artificial data sets could be reproduced virtually identically by the models. Our estimates often differed considerably from the empirical data sets, especially for breast and prostate cancer and for older ages. Only for stomach cancer did the estimates approximate to the data, except at older ages. Conclusion There is evidence that the discrepancies between model estimates and observations are caused both by data inaccuracies and past trends in incidence or mortality. Because IPM models cannot distinguish these effects, their use in improving disease estimates becomes complicated. Expert opinion is indispensable in assessing whether the use of these models improves data quality or, inappropriately, removes the effect of trends.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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