Epidemiological Research: An Introduction

ISBN-13: 9789400745360 / Angielski / Twarda / 2012 / 186 str.

Miettinen

Opis

Having last year published Up from Clinical Epidemiology & EBM and also Epidemiological Research: Terms and Concepts, Miettinen now this time with collaboration from his junior colleague I. Karp brings out this further introduction into epidemiological research; and he is now working on an introduction into clinical research, for publication next year. It evidently is Miettinen s felt time to crystallize the basic understandings he has come to as the culmination of a half-century of concentrated effort to advance the theory of epidemiological and meta-epidemiological clinical research.In accord with its title, this book focuses on research to develop the knowledge-base for preventive medicine, which mainly is knowledge about the causal origin etilogy, etiogenesis of illness. It first illustrates how wanting this knowledge still is, despite much research; and it then aims to guide the reader to more productive etiogenetic research.This book places much emphasis on the need to assure relevance by principles-guided objects design for the studies, which now remains conspicuously absent from epidemiologists concerns. And as for methods design, this book exposes the fallacies in the still-common cohort and case-control studies, defines the essentials of all etiogenetic studies, and then addresses the true options for design in this framework of shared essentials.A good deal of attention is also given to the still commonly-held, very major, twin fallacies that screening for an illness is a preventive intervention, to be studied by randomized trials, and that research on it can imply rational guidelines or recommendations regarding decisions about the screening.While Miettinen already is regarded as the father of modern epidemiology, he now appears to have become the father also of post-modern epidemiology, where epidemiology still means epidemiological research."

Recenzje

From the reviews:

"The purpose is to focus on the practical purpose of etiologic/etiogenic research and to develop an understanding of its objects and methods in order to 'attain and maintain the conceptual understandings that form the basis for maximally consequential careers in epidemiologic research.' The authors meet this commendable objective through a sophisticated and thought-provoking treatment of core epidemiological principles of research. Although seemingly intended for teachers, the book would be well received by established academics and advanced graduate students." (Margaret L. Chorazy, Doody's Review Service, January, 2013)

Spis treści

Foreword. Preface. Acknowledgements. 1.  Epidemiology: grappling with the concept. 2.  Epidemiological knowledge: examples 3.  Etiology as a pragmatic concern. 4.  Etiology as the object of study. 5.  Etiologic studies’ essentials. 6.  Etiologic studies’ typology. 7.  Etiologic studies’ objects design. 8.  Etiologic studies’ methods design.9.  Etiologic studies’ intervention counterparts .10.  Causal studies’ acausal counterparts.11.  Studies on screening for a cancer.12.  Some paradigmatic studies.13.  From studies to knowledge.14.  Fact-finding in epidemiological practice. Index.                                  

Blurb

Having last year published “Up from Clinical Epidemiology & EBM” and also “Epidemiological Research: Terms and Concepts,”  Miettinen now – this time with collaboration from his junior colleague I. Karp – brings out this further introduction into epidemiological research; and he is now working on an introduction into clinical research, for publication next year.  It evidently is Miettinen’s felt time to crystallize the basic understandings he has come to as the culmination of a half-century of concentrated effort to advance the theory of epidemiological and ‘meta-epidemiological clinical’ research.

 

In accord with its title, this book focuses on research to develop the knowledge-base for preventive medicine, which mainly is knowledge about the causal origin –etilogy, etiogenesis – of illness.  It first illustrates how wanting this knowledge still is, despite much research; and it then aims to guide the reader to more productive etiogenetic research.

 

This book places much emphasis on the need to assure relevance by principles-guided objects design for the studies, which now remains conspicuously absent from epidemiologists’ concerns.  And as for methods design, this book exposes the fallacies in the still-common ‘cohort’ and ‘case-control’ studies, defines the essentials of all etiogenetic studies, and then addresses the true options for design in this framework of shared essentials.

 

A good deal of attention is also given to the still commonly-held, very major, twin fallacies that screening for an illness is a preventive intervention, to be studied by randomized trials, and that research on it can imply rational guidelines or recommendations regarding decisions about the screening.

 

While Miettinen already is regarded as ‘the father of modern epidemiology,’ he now appears to have become the father also of post-modern epidemiology, where ‘epidemiology’ still means epidemiological research.

Albert Hofman
Erasmus Medical Center, Rotterdam, The Netherlands