Biostatistics Flashcards
What is the mode?
The number which occurs most often
What is the mean?
The average of the values
What is the median?
The value in the middle of the ranking when in order
How can you determine if the CI (Confidence Interval) is Statistically Significant by comparing Difference data (mean)?
(without p-value)
- CI (Confidence Interval) would be based on Subtraction
- If the interval crosses 0, than it is Not statistically significant
e. g. (-0.26 - 0.98) - If the interval does not cross 0, than it is Statistically significant
e. g. (18 - 58)
If alpha is 0.05, what is the CI (Confidence Interval) and the p-value?
If alpha is 0.01, what is the CI (Confidence Interval) and the p-value?
CI: 95% (1 - 0.05 = 0.95 * 100 = 95%)
p-value: 0.05
CI: 99%
p-value: 0.01
How can you determine if the CI (Confidence Interval) is Statistically Significant by comparing Ratio data (Relative Risk, Odds Ratio, and Hazardous Ratio)?
(without p-value)
- CI (Confidence Interval) would be based on Division
- If the interval crosses 1, than it is not statistically significant
e. g. (0.61 - 1.29) - If the interval does not cross 1, than it is Statistically significant
e. g. (0.72 - 0.99)
Type I error is denoted by …?
Alpha
Type II error is denoted by …?
Beta
Type I error is when…?
The Null hypothesis was rejected in error
So, saying there is statistical significance when there wasn’t
Type II error is when…?
The Null hypothesis was accepted when it should have been rejected
So, saying there is no statistical significance when there was
Null hypothesis definition?
A Null hypothesis states that there is no statistically significant difference between the groups
What is the power of a study?
The Power of a study is the probability that the test weill reject the null hypothesis correctly
i.e. It is the power to avoid a type II error
If the power is set to Beta 0.2, what is the power of the study?
What does this mean?
80%
There is a 20% chance of missing a true difference and making a type II error
(saying there is no statistical significance when there really was)
If the power is set to Beta 0.1, what is the power of the study?
What does this mean?
90%
There is a 10% chance of missing a true difference and making a type II error
What dose a Relative Risk (RR) aka Risk Ratio of 1 mean?
Equal risk b/w the interventions and the control group
aka. Intervention had no effect
What dose a Relative Risk (RR) aka Risk Ratio of > 1 mean?`
The treatment INCREASED, GREATER the risk of the outcome or endpoint
aka. Intervention is no good
What dose a Relative Risk (RR) aka Risk Ratio of < 1 mean?
The treatment DECREASED, LOWERED the risk of the outcome or endpoint
aka. Intervention had a positive outcome
What does RRR stand for?
What is it measuring?
Relative Risk Reduction
- Calculated after the Relative Risk (RR) and indicated how much the risk is reduced in the treatment group compared to the control group
What does ARR stand for and Why is it better than RRR?
Absolute Risk Reduction
- It is more useful than RRR b/c it includes the reduction in risk and the incidence rate
What is NNT?
Number Needed to Treat
- It is the number of patients who need to be treated for a certain period of time in order for 1 patient to benefit.
e. g. if the NNT is 9, it means that for every 9 patients to get the intervention, 1 patient benefited
Note: The lower the better
How do you calculate NNT?
NNT = 1 / (Risk in control group - risk in treatment group)
OR
NNT = 1 / ARR
Note: Use 1 if data is presented in decimal, Use 100 if in percentage form
What is NNH?
Number Needed to Harm
- It is the number of patients who need to be treated for a certain period of time in order for 1 patient to experience harm.
Note: The higher the better
How do you calculate NNH?
NNH = 1 / (Risk in control group - risk in treatment group)
OR
NNT = 1 / ARR
Note: Use 1 if data is presented in decimal, Use 100 if in percentage form
In terms of calculating NNT and NNH, what is the main difference?
In NNT you round up.
e.g. NNT is 52.1 —> 53 patients
In NNH you round down.
e.g. NNH is 52.1 —-> 52 patients
- Depends on whether the outcome is looking at harm or a positive outcome.
When is Odds Ratio used? In what type of study styles?
Odds Ratio is used with Case-Control studies because these types of studies are done retrospectively.
Note: In contrast, relative risk is a prospective
What does Odds Ratio look at?
The probability that an event will occur or not occur
What does Hazard Ratio look at?
Look at the rate at which an unfavorable event occurs within a shor period of time
What dose an Odds Ratio (OR) or Hazard Ratio (HR) of < 1 mean?
The event rate in the treatment group is LOWER, REDUCED than the event rate in the control group
e.g. A HR of 0.5 for an outcome of death indicated that there are half as many deaths in the treatment group.
NOTE: when interpreting, make sure you subtract from 1. i.e. if RR is 0.77 then interpretation is 23% decreased in risk.
What dose an Odds Ratio (OR) or Hazard Ratio (HR) of > 1 mean?
The event rate in the treatment group is HIGHER, GREATER than the event rate in the control group
e.g. A HR of 2 for an outcome of death indicates that there are twice as many deaths in the treatment group