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OPC Biostatistics
KYCOM Block 2
47
Medical
Graduate
09/18/2012

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Cards

Term
why are statistics necessary
Definition
to understand the potential influence on experimental results and show that the treatment and only the treatment cause the effect or that the frequency of an event is attributable to a given factor.
Term
what does an experiment tell us about the effect of a treatment
Definition
it can only ESTIMATE the underlying effect of a treatment
Term
what is a hypothesis
Definition
a clear statment of what the investigators expect the study to find, testable
Term
what used to be the paradigm for statistical inference
Definition
hypothesis testing
Term
what is the null hypothesis
Definition
there is no difference between outcomes due to the treatments being compared, in most research this is what you start out with, what you set to test
Term
what is the goal of hypothesis testing
Definition
calculate the probability of getting the observed results if the null hypothesis is true
Term
what is a type 1 error
Definition
in reality the null hypothesis is true but in experiment it suggests that an alternative hypothesis is true
Term
what does the P value show
Definition
tells how unlikley it is that the result occured simply by chance if the null hypothesis is true
Term
what P values are considered statistically significant
Definition
<0.05
Term
what is a type two error
Definition
in reality there is a difference between the two groups but when you do the research it says there isnt
Term
what happens to error when the sample size is too small
Definition
increased risk of type 2 error
Term
what happens to the error when the sample size is large
Definition
less risk of type two error
Term
what is power
Definition
the probability of not comitting type 2 error
Term
what are the limitations to hypothesis testing
Definition
limits decision to yes or no, choice of p value significance seems arbitrary, cant inform as to wether or not the sample size is sufficient or if the results are definitive
Term
what is a confidence interval based on
Definition
observed result and the size of the sample
Term
what information does a confidence interval provide, how is it presented
Definition
gives range of possibilities in which the true probability would like within the 95% of the time
Term
what is the relation of confidence intervals to power
Definition
can determine if there is adequate power to make the results definitive, lets you know if there was enough people in the sample to make the study meaningful
Term
what does it mean when a conficence interval is not difinitive
Definition
the range is less than you stated. For example: you said it would be greater than a 5% difference but the CI shows a 2-10% difference
Term
what does it mean when a confidence interval is difinitive
Definition
the results fall within your projected value. for example: you say there 5% or greater difference and the CI shows 5-10%
Term
what is a positive trial
Definition
if the lower boundry of a CI is greater than the smallest difference clinically significant, it is difinitive. if it is less it needs more trials
Term
what is a negative trial
Definition
if less than the smallest difference that is clinically significant, it is definitive. if greater then more trials are needed
Term
what is relative risk
Definition
risk of the event after treatment as a percentage of the origional task
Term
what is absolute risk reduction
Definition
difference in the risk of the outcome between the two groups, aka risk difference
Term
what is relative risk reduction
Definition
estimates the percent of baseline risk that is removed as a result of the therapy
Term
what are the measures of association
Definition
absolute risk reduction, relative risk reduction, relative risk, odds ratio
Term
what measures of association stay the same no matter what group you look at (high risk or low risk patients)
Definition
relative risk reduction and relative risk
Term
what is the odds ratio
Definition
estimates the odds of an event occuring
Term
what types of studies are odds ratio used in
Definition
case control
Term
what is NNT
Definition
number needed to treat
Term
what is NNT derived from
Definition
the ARR, absolute risk reduction
Term
what does a NNT of 6 mean
Definition
for every 6 good procedures you do you prevent a death from the old bad one
Term
what is a case control study
Definition
participants are selected based on an outcome or if they have experienced an event
Term
what does an odds ratio of 1 mean
Definition
there is no difference between the groups
Term
what does an odds ratio of > 1.2 mean
Definition
statistically signifianct difference between groups
Term
what is a recall bias
Definition
you are more likley to disclose or remember information based on your disease
Term
what measure of association is the best in randomized and cohort studies
Definition
ARR
Term
what do RR and RRR not count for
Definition
baseline risk
Term
which measure of association is the best for case control studies
Definition
OR
Term
what does correlation and regression help us understand
Definition
relationship between variables, enables us to make perdictions about a given patient
Term
what is correlation
Definition
the magnitude of the relationship between different variables, neither variable is the target
Term
what is regression
Definition
makes a perdiction or casual inference, one variable is the target
Term
what does a correation of -1 mean, what does it look like
Definition
strong negative correlation, line from upper left to bottom right
Term
what does a correlation of 1 mean, what does it look like
Definition
strong positive correlation, bottom left to top right
Term
what does a correlation of 0 mean, what does it look like
Definition
no correlation, scattered
Term
what can a correlation not distinguish
Definition
between cause and effect
Term
what is a multivariate regression
Definition
considers all of the independet variables in a mathematical model
Term
what conclusions should we take from the lecture (3)
Definition
make friends with statiticians, dont take statistical competence or honesty of authors for granted, shoot for proficiency in hypothesis testing, confiedence intervals, measures of association, and correlation and regression
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