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Misclassification Scenario 1: Women were asked to recall their HRT exposure experience; recall is almost never perfect. Twenty percent of women who actually had taken

Misclassification Scenario 1:

Women were asked to recall their HRT exposure experience; recall is almost never perfect. Twenty percent of women who actually had taken HRT said that they hadn't, whereas ten percent of women who actually had not taken HRT said that they had. This occurred regardless of disease status.

CHD+

CHD-

Total

HRT+

200

5110

5310

HRT-

170

5259

5429

Total

370

10369

10739

  1. Use the table below to calculate the 2x2 table with misclassification.

Final table with misclassification:

CHD+

CHD-

Total

HRT+

HRT-

Total

  1. What are the risk ratio and risk difference in the misclassified table? Calculate and interpret.

  1. Compare the risk ratio in question 3 to the true risk ratio in question 1. How did misclassification of the exposure independent of disease status (non-differential misclassification of exposure) affect the estimates in the study?

Misclassification Scenario 2:

Twenty percent of the nonusers with CHD were categorized as users. Everyone else was classified accurately according to the TRUTH table above.

  1. Is this an example of misclassification of exposure or disease?

  1. Fill in the table below with the misclassified 2x2 table.

CHD+

CHD-

Total

HRT+

HRT-

Total

Table with misclassification:

CHD+

CHD-

Total

HRT+

HRT-

Total

  1. What are the risk ratio and risk difference in the misclassified table? Calculate and interpret.

  1. How did this misclassification affect the estimates in the study?

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