26.52 Retrospective observational studies

  • The most common type of retrospective observational study is a case series, which presents information from multiple patients with a similar disease or condition.
  • The data usually come from a review of charts, looking back in time to what occurred with each patient.
  • A case series can generate speculative associations, which can be further tested by other study types.
  • The major drawback is a lack of any control group with which to compare results.
  • An improvement on case series is the case-control study, a case series with a historical control
  • Because many case-control studies have relatively small numbers of patients, it is useful to choose control patients matched by gender, age, pathology, and/or other experimental variables.