Cancer case-control studies with other cancers as controls
Abstract
Theoretical considerations concerning the use of other cancer patients as controls in cancer case-control studies are reviewed. Selection bias may be a problem in that some other cancers may be caused by the exposure under study biasing the odds ratio towards unity. Such bias is noted to be greatest with low prevalence exposures associated with high attributable risks for other cancers. However, it may be possible to identify selection bias with other cancer controls using census or other general population data. In addition, using other cancers as controls has important advantages with regard to recall and interviewer bias, which may be of unknown magnitude and direction when using general population controls. A further disadvantage of general population controls is that separate selection of decreased controls should usually be made for deceased cases, whereas a mixture of live and deceased controls can be expected when selecting other cancer patients as controls. Since there are also logistical and cost advantages in using other cancer patients as controls, this study design is likely to be used increasingly in the future, particularly in cancer registry settings.
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Using different controls in case-control studies has similar underlying principles to cross-context studies, but differences in exposure misclassification rather than confounding structures is the most common use.
“Using different controls in case control studies22 has similar underlying principles to those described above for cross-context studies, but here differences in exposure misclassification (rather than confounding structures) is the most common use of this approach.22–24”
From Triangulation in aetiological epidemiology (2017) · cites this paper as [22]
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Self-citation
- Authors
- SMITH, A. H., PEARCE, N. E., & CALLAS, P. W.
- Affiliations
- University of California, Berkeley (US)
- Venue
- International Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 1988
- Volume
- 17
- Issue
- 2
- Pages
- 298-306
- ISSN
- 0300-5771 (ISSN-L)
- 1464-3685
- OpenAlex
- W2124300422
- Cited by
- 80
- References
- 0
- Citations by year
- 2024: 3 · 2023: 1 · 2021: 3 · 2020: 3 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2013: 1 · 2012: 1
- FWCI
- 7.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Epidemiology
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Health, Environment, Cognitive Aging
- Keywords
- selection bias, exposure bias, odds ratio bias, attributable risk, recall bias, interviewer bias, cancer registry data
- MeSH terms
- Epidemiologic Methods, Humans, Neoplasms, Research Design
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