Chang et al. in 2005 examined the association between a family history of hematopoietic cancer on an individual’s risk of lymphoma in Sweden. In this study, the investigators validated self-report of a family history by searching for family members’ diagnosis in the Swedish Cancer Registry and examined whether the validity of self-report differed between cases and controls. Use the information contained in the tables below to answer the accompany questions

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Chang et al. in 2005 examined the association between a family history of hematopoietic cancer on an individual’s risk of lymphoma in Sweden. In this study, the investigators validated self-report of a family history by searching for family members’ diagnosis in the Swedish Cancer Registry and examined whether the validity of self-report differed between cases and controls. Use the information contained in the tables below to answer the accompany questions:

Assuming the following table displays the true distribution of exposure among cases and controls, construct a new table with misclassification of exposure if sensitivity and specificity are 60% and 98% among cases; and 38% and 99% among the controls respectively.

 

True Distribution

 

Cases

Control

Family history

56.7

37.1

No family history

1148.3

1189.9

Compute the true ORT using the information from the table above.

 

Complete the observed or misclassified table below

 

Observed / Misclassified Data

 

Cases

Control

Family history

 

 

No family history

 

 

 

Compute the biased ORusing the information from the misclassified table.

From your opinion, what type of misclassification bias is this?

Compare the true ORand the biased ORB.

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