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Critical Appraisal Resources for Evidence-Based Nursing Practice

What is a Case-Control Study?

Case-control studies are a type of quantitative research "designed to sample a group of people with and a group of people without the disease or the outcome measure being studied" (Schmidt & Brown, 2019, p. 209).  The cases are individuals with the disease or outcome measure, and the controls are individuals without the disease or outcome measure.  The purpose of a case-control study is to test whether there is an association between an exposure and a disease, condition or outcome measure (Schmidt & Brown, 2019, p. 209). 

Schmidt N. A. & Brown J. M. (2019). Evidence-based practice for nurses: Appraisal and application of research (4th ed.). Jones & Bartlett Learning. 

PRO TIPS: Case-Control Study Checklist

Each JBI Checklist provides tips and guidance on what to look for to answer each question.  These tips begin on page 4. 

Below are some additional Frequently Asked Questions about the Case-Control Studies Checklist that have been asked by students in previous semesters. 

Frequently Asked Question Response
In regards to Question 6, what exactly is a confounding factor? A confounder or confounding factor/confounding variable is often referred to as a third variable that could potentially impact the study's results. Read a definition and description here. Confounding factors/variables or confounders may be listed in the study's limitations section or within the study's main results section. 
For Question 7, how can I tell whether strategies were used to deal with the confounding factors in the study? Check for multivariate analysis or regression analysis in the study's data analysis/statistical analysis section. Read a definition and description here

For more help: Each JBI Checklist provides detailed guidance on what to look for to answer each question on the checklist.  These explanatory notes begin on page four of each Checklist. Please review these carefully as you conduct critical appraisal using JBI tools. 

Articles on Case-Control Study Design and Methodology

Dey, T., Mukherjee, A., & Chakraborty, S. (2020). A practical overview of case-control studies in clinical practiceChest158(1S), S57–S64. https://doi.org/10.1016/j.chest.2020.03.009

Dupépé, E. B., Kicielinski, K. P., Gordon, A. S., & Walters, B. C. (2019). What is a case-control study? Neurosurgery84(4), 819–826. https://doi.org/10.1093/neuros/nyy590

Herbert R. (2017). Case-control studiesJournal of physiotherapy63(4), 264–266. https://doi.org/10.1016/j.jphys.2017.08.007

Schulz, K. F., & Grimes, D. A. (2002). Case-control studies: Research in reverseLancet359(9304), 431–434. https://doi.org/10.1016/S0140-6736(02)07605-5

Song, J. W., & Chung, K. C. (2010). Observational studies: Cohort and case-control studiesPlastic and reconstructive surgery126(6), 2234–2242. https://doi.org/10.1097/PRS.0b013e3181f44abc