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Nominal:
- CATEGORY
- NO ORDER
- categorical measures that do not have an order
- ---e.g. color (red/blue/green/etc);
- types of teeth (molars/incisors/premolars/canine)
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Ordinal:
- CATEGORY
- ORDER of intensity
- catagoical measures that have an order of intensity/degree
- ---e.g. stage of oral cancer (stages i---iv); curvature of dental
- root (straight/slight curvature/pronounced curvature)
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Interval
- CONTINUOUS
- NO TRUE ZERO
- ex: dates
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RATIO
- CONTINUOUS
- TRUE ZERO
- ex. perio pocket depth
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Continuous Measure
- Interval: measures that do not have a true zero; the relative difference is the key
- ---e.g. temperature; dates;
- Ratio: measures that have a true zero
- ---e.g. depth of periodontal pocket; size of oral lesion.
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Range
- Distance between the largest and the smallest observation
- Simplest measure of variability
-
Percentile
- Point below which a specified percent of observations lie
- Percentile of an observation x is given by:
(# of obs less than x) + 0.5 /total number of obs in data X 100
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Central Location
- The value on which a distribution tends to
- center
- Mean: the arithmetic average
- Median: the middle item of the data set
- Mode: the most frequent value
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Confidence Interval (CI)
- Measures the likelihood that the true value of a population parameter (e.g., mean) is within the margin of error of the sample estimate.
- 95% CI is the range of values that would cover the true population parameter 95% over time.
- 95% CI for a normal distribution: will “capture” µ 95% of the time.
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Descriptive Statistics
- Dispersion
- Variance --- measures the variation
- Standard Deviation (SD)---the square root of the
- variance, denoted by σ , has the same unit as x
- Standard Error (SE)---an estimate of the precision of parameter estimates. It measures the variability of an estimate due to sampling:
- Kurtosis---characterizes the relative peakedness or
- flatness of a distribution (-2 to infinity)
- Skewness---measures the asymmetry of a distribution: (-3 to 3
-
Frequency
- Most commonly used method to describe categorical measures
- Consists of categories, the number of observations
- and percentage corresponding to each category:
-
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Hypothesis Testing
- Goal: judge the evidence for a hypothesis
- Steps for hypothesis testing
- ♦ Stating the null & alternative hypothesis
- ♦ Choosing an appropriate statistical test
- ♦ Conducting the statistical test to obtain the pvalue
- ♦ Comparing the p-value against a fixed cutoff for statistical significance – α (usually 0.05) and make conclusion 12
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Type I error
- REJECT TRUE NULL
- Reject a null hypothesis when it is true---we have
- committed a Type I error (α error—0.05).
-
Type II error
- ACCEPT FALSE NULL
- Accept a null hypothesis when it is false---we have
- committed a Type II error (β error—0.2).
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P-value of a test
Probability that the test statistics assumes a value as extreme as, or more extreme than, that observed, given that the null hypothesis is true.
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Power
- (1-β) Probability that you reject the
- null hypothesis, given that the alternative hypothesis
- is true.
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Parametric test
- Statistical procedures based on distribution assumptions
- t-test
- Analysis of Variance (ANOVA)
- Chi-Square test
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Non-parametric test
- Statistical procedures not based on distribution assumptions
- Sign-test
- Kruskal-Wallis test (non-parametric ANOVA)
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2-group T-test:
Compare whether two independent groups have the same mean of a normally distributed variable with unknown variance.
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ANOVA
- Test means among multiple groups
- Uses F-test. It is a generalization of t-test and equivalent to t-test if comparing two groups.
- Data will need to satisfy several assumptions (e.g., the outcome has a normal distribution; equal variance for each group; the data are independent between and within groups.)
- Example
- Null=means of all groups are equal
- F-stat exceeds the critical value for 5% level with a p-value of 0.000<0.05
- not all means of three groups are the same.
- Pairwise comparison of means
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Chi-Square Test
- Compare observed data with the data we would expect to
- obtain according to a specific hypothesis.
- Steps of χ2
- goodness of fit test
- ---Divided the data into c categories;
- ---Estimate k parameters of the probability model with your
- hypothesis;
- ---Compute observed and corresponding expected cell
- frequencies;
- ---Test Statistic:
- 1. Create 6 intervals (categories): X ≤16.25, 16.25 < X ≤ 17.20, 17.20 <
- X ≤ 18.15, 18.15 < X ≤ 19.10, 19.10 < X ≤ 20.05, and 20.05 < X.
- 2. Null hypothesis H0
- : the underlying distribution from which the
- measurements came is N(18.37, 1.92), i.e. the normal distribution
- with mean 18.37, variance 1.92.
- 3. Calculate the observed frequency and expected frequency.
- The p-value is 0.1072, we will accept the null hypothesis .
-
Sign test
- Used to test if there is a difference between paired
- samples.
- Independent pairs of sample data are collected:
- (x1,y1) (x2, y2)…, the difference of the pairs are
- calculated, and zeros are ignored.
- The null hypothesis is: equal numbers of positive
- and negative differences.
- ---A one-sided sign test has p-value 0.1719 indicating that it is not significant at 5% level---no statistically significant difference in # of patients seen between the two offices.
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Kruskal-Wallis (K-W) Test
- Based on the rank of observations to compare the distribution of a continuous variable among more than two groups—non-parametric ANOVA.
- The only assumption required for the population distributions is that they are independent, and continuous.
- Many software provide such test (e.g., kwallis in STATA.)
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Analysis of Covariance (ANCOVA)
- Continuous outcome
- Merger of ANOVA and Regression
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Logistic Regression
- binary outcome
- Simple --- single predictor
- Multiple --- two or more predictors
- Dependent variable is binary
- Logistic function is non-linear in terms of the probability of event
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Linear Regression
- continuous outcome
- Simple --- single predictor
- Multiple --- two or more predictors
- dependent->independent
- predicted->predictors
- response -> explanatory
- outcome->covariates
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Logistic Regression
- The dependent variable is binary (e.g. whether inflammation of the gingiva presents.)
- Logistic function is non-linear in terms of the probability of event.
- The parameter estimates can be expressed as odds ratio, which describe the relationship between exposure and
- outcome, controlling for other factors.
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Analysis of Covariance (ANCOVA)
- A method for comparing mean values of the outcome between groups when adjusting for covariates (e.g., compare mean LOA across groups, adjusting for age)
- The response is continuous and the covariates can be both continuous and categorical
- An extension of ANOVA or a combination of ANOVA and linear regression
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Statistical significance
- Desired outcome of a study, planning to have enough sample size is of prime importance.
- – Due to limitations of resources and availability of subjects, we can only get limited sample size.
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Sample Size & Statistical Power
- Five key factors
- 1. Sample size--the minimum number of unique subjects in your data required to detect a certain difference
- 2. Effect size--the difference between parameters to be tested, (e.g., difference in LOA between groups)
- 3. Significance level (Type I error)--the probability that we reject a null hypothesis when it is true(commonly at 0.05)
- 4. Power --the probability of rejecting a null hypothesis when it is false (equals to 1-Type II error; commonly at 0.8)
- 5. Variability -- variation of the outcome measure
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