Incidence

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Incidence is the number of new cases of a disease during a given time interval, usually one year. It can be expressed as a proportion or as a rate.

Incidence proportion (also known as risk) is the number of new cases divided by the size of the population at risk. For example, if a stable population contains 1,000 persons and 28 develop a condition over two years of observation, the incidence proportion is 28 cases per 1,000 persons.

The incidence rate is the number of new cases per unit of person-time at risk. In the same example as above, the incidence rate is 14 cases per 1000 person-years, because the incidence proportion (28 per 1,000) is divided by the number of years (two). Using person-time rather than just time handles situations where some people drop out of a study.

Incidence is sometimes used alone as a shorthand for incidence rate. Although this is sloppy usage, it is frequently encountered.

Incidence should not be confused with prevalence, which is a measure of the total number of cases of disease in a population, rather than the rate of occurrence of new cases. Thus, incidence conveys information about the risk of contracting the disease, whereas prevalence tells us how widespread the disease is.

For example, consider a disease that takes a long time to cure, and that was spread widely in 2002, but whose spread was arrested in 2003. This disease will have a high prevalence and a high incidence in 2002; but in 2003 it will have a low incidence, although it will continue to have a high prevalence because it takes a long time to cure. In contrast, a disease that has a short duration may have a low prevalence and a high incidence.

Generally speaking, diseases of short duration are better measured with incidence rates, whereas long-lasting or hereditary diseases are better measured with prevalence rates.[1]

See also


Notes

External links

it:Incidenza lt:Sergamumas nl:Incidentie ja:発生数 no:Insidenssv:Incidens

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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

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