CASP Case Control Checklist 14.10.10

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    CRITICAL APPAISAL

    Judul jurnal: Clinical Study of Psoriasis Occuring Over the Age of 60 years: is Elderly-Onset

    Psoriasis a Distinct suty!e"

    Penulis: #yuc$ #oon %&on' (D' )n #o %&on' (D' and Jai )l *oun' (D' PhD

    Penerit dan +ahun +erit: )nternational Journal of Der,atology' 0.

    Jenis !enelitian:Retrospective Study

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    #ala,an .

    #ala,an .

    Yes Can't tell No

    A/ Are the results of the study valid?

    S cr e e n i n g u e s t io n s

    ! "id the study address a clearly focused issue?HINT: A question can be focused in terms of?

    the population studied

    the risk factors studied

    hether the study tried to detect a beneficial or

    harmful effect?

    # "id the authors use an a$$ro$riate %ethod to

    ans&er their uestion?

    HINT: !onsider

    is a case control study a n appropriate ay ofanserin" the question under the

    circumstances?#is the outcome rare or

    harmful?$

    did it address the study question?

    Yes Can't tell No

    Is it worth continuing?

    Detail ed Questi ons

    ( )ere the cases recruited in an acce$ta*le &ay?

    HINT: %e are lookin" for selection bias hichmi"ht compromise validity of

    thefindin"s:

    Are the cases defined precisely?

    %ere the cases representative of a defined

    population #"eo"raphically and&or temporally$?

    %as there an established reliable s y s te mfor

    selectin" all the cases? Are they incident or prevalent?

    Is there somethin" special about the cases?

    Is the time frame of the study relevant to

    disease&e'posure?

    %as there a sufficient number of cases selected?

    %as there a poer calculation?

    Yes Can't tell No

    #ala,an . dan

    Case Control chec$list/.1.01.0

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    + )ere the controls selected in an acce$ta*le &ay?

    HINT: %e are lookin" for selection bias hich mi"ht

    compromise the "eneralisability of thefindin"s:

    %ere the controls representative of a defined

    population #"eo"raphically and&or temporally$?

    %as there somethin" special about the controls?

    %as the non(response hi"h? !ould non(respondents be different in any ay?

    Are they matched) population based or randomly

    selected?

    %as there a sufficient number of controls

    selected?

    Yes Can't tell No

    #ala,an . dan

    ,- )as the e.$osure accurately %easured to

    %ini%ise *ias?

    #)2+: 3e are loo$ing for ,easure,ent' recall or

    classification ias:

    %as the e'posure clearly defined and accuratelymeasured?

    *id the authors use sub+ective or ob+ective

    measurements?

    *o the measures truly reflect hat they aresupposed to measure? #have they beenvalidated?$

    %ere the measurement methods similar in the

    cases and controls?

    *id the study incorporate blindin" here

    feasible?

    Is the temporal relation correct? #does the

    e'posure of interest precede the outcome?$

    Yes Can't tell No

    #ala,an

    A- )hat confounding factors have the

    authors accounted for?

    List the ones you thin0 %ight *e i%$ortant1 that

    the author %issed-4genetic' environ,ental and socio-econo,ic5

    2- 3ave the authors ta0en account of the $otential

    confounding factors in the design and/or in their

    analysis?

    #)2+:

    ,ook for restriction in desi"n) and techniques e-"-

    modellin") stratified() re"ression() or sensitivity

    analysis to correct) control or ad+ustfor

    confoundin"factors

    Yes Can't tell No

    #ala,an 6

    Yes Can't tell No

    #ala,an 6

    Case Control chec$list/.1.01.0

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    4- )hat are the results of this study?

    !.NSI*/R:

    %hat are the bottom line results?

    Is the analysis appropriate to the desi"n?

    Ho stron" is the association beteen e'posure

    and outcome #look at the odds ratio$?

    Are the results ad+usted for confoundin" and

    mi"ht confoundin" still e'plain the association? Has ad+ustment made a bi" difference to the .R?

    Di $eterangan

    B/ W hat are the resul ts?

    5 3o& $recise are the results?

    3o& $recise is the esti%ate of ris0?

    !.NSI*/R:

    Si0e of the 1(value

    Si0e of the confidence intervals Have the authors considered all the important

    variables?

    Ho as the effect of sub+ects refusin" to

    participate evaluated?

    Di $eterangan#ala,an '' dan 7

    6- "o you *elieve the results?

    !.NSI*/R:

    2i" effect is hard to i"nore3

    !an it be due to chance) bias or confoundin"?

    Are the desi"n and methods of this study

    sufficiently flaed to make the resultsunreliable?

    !onsider 2radford Hills criteria #e-"- time

    sequence) dose(response "radient) stren"th)

    biolo"ical plausibility$

    Yes No

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    C/ W ill the resul ts help m e locall y?

    !7- Can the results *e a$$lied to the local $o$ulation?

    HINT: !onsider hether

    The sub+ects covered in the study could be

    sufficiently different from your population to

    cause concern

    4our local settin" is likely to differ much

    from that of the study

    !an you quantify the local benefits and

    harms?

    Yes Can't tell No

    !!- "o the results of this study fit &ith other availa*le

    evidence?

    HINT: !onsider all the available evidence from R!Ts)

    systematic revies) cohort studies and case(controlstudies as ell for consistency-

    Yes Can't tell No

    #ala,an 7 dan 6

    8ne o*servational study rarely $rovides sufficiently ro*ust evidence to

    reco%%end changes to clinical $ractice or &ithin health $olicy decision %a0ing-

    3o&ever1 for certain uestions o*servational studies $rovide the only evidence-

    Reco%%endations fro% o*servational studies are al&ays stronger &hen

    su$$orted

    *y other evidence-

    Case Control chec$list/.1.01.0