
57
5
Selection and Detection Bias
Maria Feychting
Introduction
In epidemiological studies of rare diseases, prospective collection of detailed exposure
information for each individual in the entire study base may be very time consuming
and expensive, because the study base must be very large to achieve sufcient statistical
power. A cohort design may therefore not be feasible, unless exposure assessment can
be made through registry-based sources independent of participating cohort members.
Therefore, a more efcient and less expensive alternative is to perform a case–control
study that identies cases that occur over a certain time period and w