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METHOD-2

REPAIRING EXAM

Name :..................................................

SRN : .................................................

MEDICAL PROGRAM
FACULTY OF MEDICINE UB
2015

THE TITLE OF THE JOURNAL

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POINTS WHICH MUST BE ASSESSED TO FIND OUT THE CAUSALITY OF


RELATIONSHIP:

Points to be evaluated
Topics to be evaluated
A. Description of the evidence 1. What was the exposure or the intervention?
2. What was the outcome?

3. What was the study design?

4. What was the study population?

5. What was the main result?


B. Internal validity - consideration of non- 6. Are the results likely to be affected by bias?
causal explanation
7. Are the results are likely affected by confounding?

8. Are the results likely to be affected by chance


variation?
C. Internal validity - consideration of 9. Is there a correct time relationship?
positive feature of causation
10. Is the relationship strong?

11. Is there a dose-response relationship?

12. Are the result are consistent within the study?

13. Is there any specificity within the study?


D. External validity - generalization of the 14. Can the study results be applied to the source
results population?

15. Can the study results be applied to the study


population?

16. Can the study results be applied to other relevant


population?
E. Comparison of these results with other 17. Are the results consistent with other evidence,
evidence particularly to other studies with similar or more
powerful study design?

18. Do the total evidences suggest any specificity?

19. Are the results plausible in term of the biological


mechanism?

20. If a major effect is shown, is it coherent with the


distribution of exposure and the outcome?
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A. DESCRIPTION OF THE EVIDENCE
1. What was the exposure or the intervention?
........................................................................................................................
............
........................................................................................................................
............

2. What was the outcome?

........................................................................................................................
...........
........................................................................................................................
............

3. What was the study design?

........................................................................................................................
...........

4. What was the study population?

........................................................................................................................
............
........................................................................................................................

...........
5. What was the main result?

........................................................................................................................
.............
........................................................................................................................
...........
........................................................................................................................
...........

A. INTERNAL VALIDITY - CONSIDERATION OF NON-CAUSAL EXPLANATION

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6. Are the results likely to be affected by bias?

........................................................................................................................
.............

7. Are the results are likely affected by confounding?

................................................................................................................
...............

8. Are the results likely to be affected by chance variation?

................................................................................................................

..............

C. INTERNAL VALIDITY - CONSIDERATION OF POSITIVE FEATURE OF CAUSATION


9. Is there a correct time
relationship? .........................................................
10. Is the relationship strong? ........................................................................
11. Is there a dose-response relationship? ......................................................
12. Are the result consistent within the study? ..........................................
13. Is there any specificity within the

study? ...................................................

D. EXTERNAL VALIDITY - GENERALIZATION OF THE RESULTS

14. Can the study results be applied to the source population?

.............................................................................................................................

15. Can the study results be applied to the study population?

.............................................................................................................................

16. Can the study results be applied to other relevant population?

..........................................................................................................................

..........................................................................................................................
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E. COMPARISON OF THESE RESULTS WITH OTHER EVIDENCE

17. Are the results consistent to other evidence, particularly to other studies with
similar or more powerful study design?

...............................................................................................................................

...............................................................................................................................

..............................................................................................................................

18. Do the total evidence suggest any specificity?

..............................................................................................................................

..............................................................................................................................

.............................................................................................................................

19. Are the results plausible in term of the biological mechanism?

.............................................................................................................................

.............................................................................................................................

20. If a major effect is shown, is it coherent with the distribution of exposure and the
outcome?

..................................................................................................................

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