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American Journal of Epidemiology Vol. 123, No. 5: 901-904
Copyright © 1986 by The Johns Hopkins University School of Hygiene and Public Health


research-article

EFFICIENT SELECTION OF CONTROLS FOR MULTI-CENTERED COLLABORATIVE STUDIES OF RARE DISEASES1

GRAHAM A. COLDITZ, ANNE McTIERNAN, DAVID B. THOMAS, ANNE WHITEHEAD and ELIZABETH NOONAN

Reprint requests to Dr. David B. Thomas

An increasing number of epidemiologic studies of rare diseases are being conducted as collaborative ventures among several institutions in different geographic areas. Geographic area must be accounted for in the analysis, along with age and other potential confounders. This paper shows that it may not be possible to accurately predict the distribution of persons with rare diseases by age and geographic area. Therefore, selecting controls by matching on age group and geographic area is more efficient than selecting controls in all age and geographic area strata based on prior estimates of expected numbers of cases.

epidemiologic methods; retrospective studies; sampling studies


1From the Fred Hutchinson Cancer Research Center, Division of Public Health Sciences, 1124 Columbia Street, Seattle, WA 98104.


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