Case-control studies: matched controls or all available controls?

J Clin Epidemiol. 1994 Sep;47(9):971-5. doi: 10.1016/0895-4356(94)90111-2.

Abstract

In order to realize the variation in the estimate of the odds ratio from case-control studies, results from individually matched sampling were compared with those from the analysis based on a large number of controls. The subjects were selected from those who visited Aichi Cancer Center Hospital from 1988 to 1990. Cases consisted of 251 male lung cancer patients aged 40-79 years. Age and year of visit matched controls were sampled independently 100 times and 5000 times from non-cancer male outpatients (cases to controls ratio: 1:1, 1:2, 1:3, and 1:4). As unmatched controls, all male non-cancer outpatients aged 40-79 years (4100 patients) were used. The smoking habit was adopted as an exposure variable. As logically expected, analysis based on 4100 male controls gave a steadier estimate than the matched analyses examined here, indicating that a matched sampling is not recommended when a large number of controls are available.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Case-Control Studies*
  • Female
  • Humans
  • Logistic Models
  • Lung Neoplasms / epidemiology
  • Lung Neoplasms / etiology
  • Male
  • Middle Aged
  • Odds Ratio
  • Research Design
  • Smoking / adverse effects
  • Smoking / epidemiology