Case–Control Studies
Abstract
In a cohort study, the numerator and denominator of each disease frequency (incidence proportion, incidence rate, or incidence odds) are measured, which requires enumerating the entire population and keeping it under surveillance. A case‐control study observes the population more efficiently by using a sample of the population, which becomes the control series, in place of complete assessment of the denominators of the disease frequencies. This extra sampling step can make a case‐control study much more efficient than a cohort study of the same population, but it introduces a number of subtleties and avenues for bias that are absent in typical cohort studies. For diseases that are sufficiently rare, cohort studies become impractical, and case‐control studies become the only useful alternative. The cases in a case‐control study should be the same people who would be considered cases in a cohort study of the same population. The definition of the source population for these cases determines the population from which controls should be sampled. Ideally, control selection would involve direct sampling from the source population, with equal probability of selection, although in many circumstances, variations in and substitutes for this ideal sampling design may be considered.
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Causal information can sometimes be recovered despite direct selection on the outcome when certain constraints are imposed on the data.
“We note that the recovery of causal information despite direct selection on the outcome is sometimes possible if certain constraints can be imposed on the data.”
From Endogenous Selection Bias: The Problem of Conditioning on a Collider Variable (2014) · cites this paper as Rothman et al. 2008
In case-control studies, observations should not be sampled as a function of both the treatment and the outcome.
“A key rule in case-control studies, however, is that observations should not be sampled (ascertained) as a function of both the treatment and the outcome.”
From Endogenous Selection Bias: The Problem of Conditioning on a Collider Variable (2014) · cites this paper as Rothman et al. 2008
Violating the rule against sampling on both treatment and outcome produces ascertainment bias.
“The consequence of violating this rule is known as ascertainment bias (Rothman et al. 2008).”
From Endogenous Selection Bias: The Problem of Conditioning on a Collider Variable (2014) · cites this paper as Rothman et al. 2008
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- Authors
- Rothman, K. J., Greenland, S., & Lash, T. L.
- Affiliations
- Boston University (US)
- University of California, Los Angeles (US)
- Venue
- Encyclopedia of Quantitative Risk Analysis and Assessment
- Publisher
- Wiley
- Published
- 2008-07-15
- OpenAlex
- W1608258930
- Cited by
- 706
- References
- 2
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 10 · 2023: 11 · 2022: 9 · 2021: 19 · 2020: 19 · 2019: 16 · 2018: 24 · 2017: 19 · 2016: 26 · 2015: 37 · 2014: 60 · 2013: 62 · 2012: 42
- Type
- reference entry
- Language
- en
- Open access
- closed
- Locations
- Encyclopedia of Quantitative Risk Analysis and Assessment (publishedVersion)
- Topics
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Epidemiology
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Physical Sciences › Mathematics › Statistics and Probability › Advanced Causal Inference Techniques
- Keywords
- case-control study, cohort studies, research design, sampling bias, control selection, incidence estimation, rare diseases, learning efficiency
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