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The Distribution of Cardiovascular Disease in the Community

Ann Intern Med. 1963;58(4):627-636. doi:10.7326/0003-4819-58-4-627
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Little is known about the relative distribution of cardiovascular disease in the community (1) as it affects the interests of clinical and epidemiological investigators, the evolution of control programs and treatments, the education of medical students and graduate students, and the availability and utilization of medical care facilities. Berkson (2) introduced the concept of "selective bias" in epidemiologic studies, and Mainland (3) has discussed the pitfalls associated with the use of hospital populations for drawing inferences about the distribution of disease in the community. The importance in medical care studies of defining the population at risk has been critically reviewed


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