Medicine

Calculate the odds ratio (OR) for the association between cesarean section (CS) and type 1 diabetes mellitus…

Calculate the odds ratio (OR) for the association between cesarean section (CS) and type 1 diabetes mellitus (DM). Case: vaginal delivery 120 ,CS 80 Control: vaginal delivery 40, CS 160

  1. A 2.5
  2. B 4
  3. C 5
  4. D 6 Correct answer

Explanation

Core Concept: The Odds Ratio (OR) is an epidemiological measure of association between an exposure and an outcome, commonly used in case-control studies to estimate the strength of a relationship.

Clinical Presentation: (Contextual) Analyzing data to determine if a specific delivery method (Cesarean section) is associated with a childhood outcome (Type 1 Diabetes).

Diagnosis: The formula for OR is (Odds of exposure in cases) / (Odds of exposure in controls) = (a/c) / (b/d) = (a*d) / (b*c). Based on the provided data cross-tabulation (120*160 / 80*40), calculating the ratio yields an OR of 6.

Management: Acute data analysis requires correctly setting up the 2x2 table to avoid inversion errors. Long-term application involves using the OR to interpret the strength of association in medical literature; an OR > 1 indicates increased odds of the outcome with the exposure.

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