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accp-biostats
biostatistics
31
Pharmacology
Professional
05/15/2011

Additional Pharmacology Flashcards

 


 

Cards

Term
Random variables (2)
Definition
  1. discrete (dichotomous, categorical)
  2. continuous
Term
Discrete Variables (2)
Definition
  1. Nominal
  2. Ordinal

can only take a limited number of values within a given range

Term
Nominal
Definition

Discrete variable

 

Classified into groups in an unordered manner &  with no indication of relative severity (sex, mortality, disease state)

Term
Ordinal
Definition

discrete variable

 

  • ranked in specific order
  • no consistent level of magnitude of difference between ranks (NYHA functional class describes the functional status of pts w/heart failure & subjects classified in increasing order of disability I, II, III, IV)
  • means & SD should not be used with ordinal data in most cases (measure of central tendency)
Term
Interval
Definition

Ranked in a specific order with a consistent change in magnitude between units

 

Zero point is arbitrary (e.g. Fahrenheit)

 

Continuous variable

Term
Conditional Variables
Definition
  • Interval
  • Ratio

 

  • Can take on any value within a given range
  • Sometimes referred to as Counting Variable
Term
Ratio
Definition

Data ranked in a specific order with a consistnet change in magnitude between units

 

Has an absolute zero (e.g. degrees Kelvin, pulse, BP, time, distance)

 

Continuous variable

Term
Measures of Central Tendency (3)
Definition
  1. Mean
  2. Median
  3. Mode

Presenting dat using only measures of central tendency can be misleading without some idea of data spread

Term
Mean
Definition
  • Average
  • Measure of central tendency
  • Sum of all values divided by the total number of values
  • Generally used only for continuous & normally distributed data
  • Very sensitive to outliers  & tend toward the tail which has the outliers 

Geometric mean

Term
Median
Definition
  • Measure of central tendency
  • Midpoint of the values when placed in order from highest to lowest
  • half of the observations are above & half below
  • Also called the 50th percentile
  • Can be used for ordinal or continuous data
  • especially good for skewed populations
  • Insensitive to outliers

 

 

Term

 

Mode

Definition
  • Most common value in a distribution
  • Measure of central tendency
  • can be used for nominal, ordinal or continuous data
  • Can be more than 1 mode: bimodal & trimodal
  • Does not help describe meaningful distributions with a large range of calues, each of which occur infrequently

 

Term
Measures of Data Spread or variability (3)
Definition
  1. Standard deviation
  2. Range
  3. Percentiles
Term
Standard Deviation
Definition
  • Meaure or the variability about the mean (most common measure used to describe this)
  • Square root of the variance (average squared difference of each observation from the mean) returns variance back into original units (non-squared)
  • apply only to continuous data normally or near-normally distributed
  • 68% within 1 SD
  • 95% within 2 SD
  • 99% within 3 SD
Term
Coefficient of Variation
Definition

relates the mean & SD

 

SD/mean x 100%

Term
Range
Definition
  • Difference between the smallest and largest values
  • does not give a tremendous amount of info by itself
  • Easy to compute (simpel subtraction)
  • Size of range is very sensitive to outliers
  • Often reported as the actual values rather than the difference between the 2 extreme values

 

Term
Percentiles
Definition
  • The point (value) in a distribution in which a value is larger than some % of the other values in the sample
  • 75th percentile (75% of the values are smaller)
  • Does not assume the population has a normal distribution
  • IQR: middle 50% - encompasses the 25th to the 75th percentile
Term
Population Distributions
Definition

Discrete

  • Binomial
  • Poisson

Normal (Gaussian)

Term
Normal  (Gaussian) Distribution
Definition
  •  Most common model for population distribution
  • Symetric or "bell-shaped" frequency distribution
  • median and mean will be approx. equal
  • Frequency ditribution & histograms (visual check look symmetrical & bell-shaped)
  • formal test: Kolmogorov-Smirnov

Landmarks for continuous, normally distributed data

  1. m: population mean is equal to zero
  2. s: population SD is equal to 1
  3. x and s represent the smple mean and SD
Term
SEM
Definition
  • quantifies uncertainty in the estimate of the mean NOT variability in the sample
  • estimates the SD of the means
Term
Confidence Interval
Definition
  • 95% CI most common
  • gives and idea of the magnitude of the difference between groups as well as statistical significance
  • if CI contains 0 = no difference between 2 variables (interpreted as not statistically significant: a p-value >/= 0.05)
  • no need to show both 95% CI & p-value

odds ratio & relative risk:

value of 1 indicates no difference in risk, no statisical difference

Term

Ho (Null Hypothesis)

 

(rejected or not rejected) 

Definition

no difference between groups being compared

(treatment A = treatment B)

  •  if rejected: statistical significance between groups (unlikely attributable to chance)
  • if accepted (not rejected): no statistically significant difference between groups (any apparent differences may be attributable to chance) not concluding that they are equal

 

Term
Ha (alternative hypothesis)
Definition
  • opposite of null hypothesis
  • States that there is a difference between groups
Term

Parametric Tests

 

Assumptions

Examples (3)

Definition
  • Assume: data normal or near normal distribution - evaluate whether this is true by comparing mean to median
  • data is continuous
  • measured on an interval or ratio scale

Examples:

student t-test:::

one-sample test: compares mean of the study with population mean

two-sample test: compares means of 2 independent samples

(may not use multiple t-tests with more than2 groups)

 

Paired test:::

compares the mean difference of paired or matched samples

Term

Parametric tests

 

analysis of variance

Definition
  1. One-way ANOVA: compares means of 3 or more groups
  2. Two-way ANOVA: additional factor (e.g. age) added
  3. Repeated-Meaures ANOVA: a related samples test
Term

Nonparametric Tests

 

 

Definition
  • may also be used for ordinal & continuous data that do not  meet the assumptions of the t-tests or ANOVA

Tests:

  1. Wilcoson rank sum & Mann-Whitney U-test, compares 2 independent samples (related to a t-test)
  2. Kruskal-Wallis one-way ANOVA by ranks, compares 3 or more independent groups (related to a one-way ANOVA) - - post hoc testing
Term

Nonparametric Tests

 

(tests for related or paired samples)

Definition
  1. Sign test & Wilcoson signed rank test: compares 2 matched or paired samples
  2. Firedman ANOVA by ranks: compares 3 or more matched/paired groups
Term
Nominal Data
Definition

Chi-square (x2) test: compares expected & observed proportions between 2 or more groups:   

-   test of independence

-   test of goodness of fit

 

Fisher exact test: specialized version of chi-square test for small groups (cells) containing < 5 observations

 

McNemar: paired samples                           

 

Mantel-Haenszel: controls for the influence of confounders

 

Term
type I error
Definition

Ho is rejected, when it should not have been

 

- conclude that there is a statistically significant difference when actually one does not exist

 

termed a - convention is to set it at 0.05 (5%)

 

Term
type II error
Definition

Ho is not rejected, but should have been

 

- concluding that no differnce exists when one truly does

 

termed b  - conventionally set 0.20 to 0.10

Term
p-value
Definition
0.05 or 5%
Term
Power
Definition

1-b

 

  • the probability of making a corret decision when Ho is false
  • the ability to detect differences between groups if 1 actually exists

Dependent on:

-predetermined a: the risk of error you will tolerate when rejecting Ho

- sample size

 

- the size of the difference between the outcomes wanting to detect

- variability of the outcomes being measured

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