Prevalent users

Re: Prevalent users

by June Chan -
Number of replies: 0

Hi Jean, 

In response to your question:

"Can we conceive of it both ways? Am I missing a nuance between examples that makes it confounding in one situation and selection bias in another?"

It has taken a while to respond bc I and the TA's are not sure we understand your question or point of confusion. 

However, upon further reflection, I think I might get where you are coming from. 

Please note - In the paper for HW1, the outcome was incident prostate cancer in generally healthy cohort of men. In HW 2, where we raised the issue of prevalent user bias/selection bias, please note the difference in study populations and outcomes. Both studies have a vulnerability for confounding. The HW2 study has more of concern for prevalent user bias leading to a selection bias, because of the study population of interest (i.e., cohort of men with prostate cancer, examining progression). Can confounding and selection bias be happening simultaneously in the 2nd study, I think Yes, and it's harder to deal with the latter.

Hope that helps,

JMC