Proportionate mortality ratio (P M R): The number of deaths from a specific cause in a specific
period of time per 100 deaths from all causes in the same time period. The ratio is used to
approximate the
standardized mortality ratio
when death data are available but the popula-
tion at risk is not known. See also mortality odds ratio.[Journal of Chronic Diseases, 1978,
31,15–22.]
Prospective study: Studies in which individuals are followed-up over a period of time. A common
example of this type of investigation is where samples of individuals exposed and not
exposed to a possible risk factor for a particular disease, are followed forward in time to
determine what happens to them with respect to the illness under investigation. At the end of
a suitable time period a comparison of the incidence of the disease amongst the exposed and
non-exposed is made. A classic example of such a study is that undertaken among British
doctors in the 1950s, to investigate the relationship between smoking and death from lung
cancer. All
clinical trials
are prospective. See also retrospective study, cohort study and
longitudinal study. [SMR Chapter 10.]
Protective efficacy of a vaccine: The proportion of cases of disease prevented by the vaccine,
usually estimated as
PE ¼ðARU ARVÞ=ARU
where ARV and ARU are the
attack rates
of the disease under study among the vaccinated
and unvaccinated cohorts, respectively. For example, if the rate of the disease is 100 per 10
000 in a non-vaccinated group but only 30 per 10 000 in a comparable vaccinated group, the
PE is 70%. Essentially equivalent to
attributable risk
.
Protocol: A formal document outlining the proposed procedures for carrying out a
clinical trial
. The
main features of the document are study objectives, patient selection criteria, treatment
schedules, methods of patient evaluation, trial design, procedures for dealing with
protocol
violations
and plans for statistical analysis. [Clinical Trials in Psychiatry, 2003, B. S. Everitt
and S. Wessley, Oxford University Press, Oxford.]
Protocol violations: Patients who either deliberately or accidentally have not followed one or other
aspect of the protocol for carrying out a
clinical trial
. For example, they may not have taken
their prescribed medication. Such patients are said to show
non-compliance
.
Protopathic bias: A type of bias (also know as reverse-causality) that is a consequence of the
differential misclassification of exposure related to the timing of occurrence. Occurs when a
change in exposure taking place in the time period following disease occurrence is incorrectly
thought to precede disease occurrence. For example, a finding that alcohol has a protective
effect for clinical gallstone disease might be explained by a reduction in alcohol use because of
symptoms related to gallstone disease. [Biological Psychiatry, 1997, 41,257–8.]
Proximity matrix: A general term for either a
similarity matrix
or a
dissimilarity matrix
. In general
such matrices are symmetric, but
asymmetric proximity matrices
do occur in some situa-
tions. [MV1 Chapter 5.]
Pruning algorithms: Algorithms used i n the design of
artificial neural networks
for selecting the
right-sized network. This is important since the use of the right-sized network leads to an
improvement in performance. [IEEE Transactions in Neural Networks, 1993, 4,740–7.]
Pseudo-in verse: Synonym for Moore–Penrose inverse.
Pseudo-li kel ihood: A term that has many meanings in statistics but the common theme is to signal
that such a ‘likelihood’ differs from a standard likelihood. For instance, the term has been used
in the context of inference based on complex survey data with probability weights, multi-stage
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