Community Medicine (PSM) · Epidemiology (Study Designs, Bias, Systematic Review, Measures of Association)

A researcher wants to study the association between a dietary factor and colon cancer. He selects cases and controls entirely from within an already-established prospective cohort that has stored baseline data and biological samples on all its members. Which study design is he using?

  • A Case-cohort study
  • B Proportional mortality study
  • C Historical prospective cohort study
  • D Nested case-control study
Correct answer: D. Nested case-control study

Explanation

A nested case-control study samples cases and controls from within a defined cohort, with controls selected from those still at risk when each case is diagnosed. The key distractor is the case-cohort study, which also samples from a cohort but selects the control group as a random subcohort chosen at the start, independent of case occurrence, so it can be compared against multiple disease outcomes.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

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