Dan's Paper 3 Flashcards

1
Q

What is the median?

A

Value in the middle when listing them all.

Great for non-normally distributed data.

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2
Q

What is the mean?

A

Average of all values.

Skewered by outliers.

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3
Q

What is a hazard ratio?

A

Treatment hazard rate divided by placebo hazard rate.

E.g. 10% in treatment die, 20% in control die -> hazard ratio = 0.5 ‘50% decrease in deaths’. E.g. Hazard ratio = 0.64 -> 36% decrease in deaths in treatment compared to control.

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4
Q

What is a confidence interval?

A

We can be 95% sure that the true number lies within that value.

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5
Q

What are the two types of significance?

A

Statistical and clinical.

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6
Q

What is statistical significance?

A

P value is less than 0.05.

Note a given hazard ratio has a 0.005 p value then there is a 0.5% chance of this hazard ratio occurring despite no clinical difference.

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7
Q

What is clinical significance?

A

Depends on the application and effect size.

A statistically significant hazard ratio of 0.98 is only a 2% decrease in death. In clinic this could or could not be significant depending on how many people are affected. Another example: 1 mmHg reduction in BP with antihypertensive (that might even have side effects) is probably not significant in clinic.

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8
Q

What are parametric tests?

A

Deal with normally distributed data.

More likely to get a statistically significant result, usually higher power.

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9
Q

What are non-parametric tests?

A

Deal with non-normal data.

Either do a t-test to show difference between two groups (that is a parametric test?) Or transform data e.g. log transform, other exponents to make it normally distributed and use parametric tests.

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10
Q

What is a technical replicate?

A

Taking the same reading multiple times on the same sample.

E.g. BP of one individual three times to make sure measurement is correct.

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11
Q

What is a biological replicate?

A

Same treatment to different samples.

E.g. take BP of six different people.

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12
Q

What are error bars?

A

Could be standard deviation, standard error, or 95% confidence interval.

Standard error is commonly used over the standard deviation as its SD divided by sample size and thus makes the error bars look smaller.

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13
Q

What is a test of multiple comparison, why is it important, and what is post-hoc testing?

A

Importance: p = 0.05 -> 1 in 20 tests will give a false positive.

Thus do a test for multiple comparisons such as ANOVA. Post-hoc testing e.g. Bonferroni is then done to see differences between individual samples and a control or between all possible combinations - some tests have higher false positives other false negatives.

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14
Q

What are the conditions to be able to run a t-test and what is the result?

A

Data normally distributed, equal variance in both groups of samples, data is continuous.

Result: one p-value - whether or not there is a statistical significance between the two groups.

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15
Q

What is the difference between one-way ANOVA and two-way ANOVA?

A

One way: multiple sample groups with only one variable e.g. effect of ramipril, amlodipine, both or placebo on BP.

Two way: multiple sample groups with multiple variables e.g. ramipril, amlodipine, placebo effect on BP in old and young people or in high vs low doses.

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16
Q

What is an ANOVA readout?

A

A single p value that tells you whether or not there is some difference between some of the data that you are testing.

17
Q

What do we do after an ANOVA?

A

Post hoc testing.

E.g. run a t-test on each of the pairs with a correction such as Bonferroni.

18
Q

What is a Bonferroni correction?

A

If you’re doing five post-hoc tests you have to divide your p value by the number of tests.

E.g. 5 -> p value of each post hoc test would have to be <0.01 for the result to be statistically significant.

19
Q

What is a power analysis?

A

Done before a study and takes into account: clinical effect expected, variance expected, statistical tests to be run, what acceptable false positive is.

And computer answers you: which sample size is needed to make sure test will be significant and avoid false negatives.