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biostatistics

Statistics – High Yield (Cheat Sheet)

Dr. Sulabh Kumar Shrestha, MS Orthopedics, Sep 8, 2023Jul 13, 2024

Normal distribution

  • Mean = Median = Mode
  • 1 SD mean = 68.3% values
  • 2 SD mean = 95.4% values
  • 3 SD mean = 99.7% values
  • Mean +/- 1.96 SD = 95% confidence interval
  • SD = Square root (variance)

Non-normal distribution

a. Positive skew: Longer or fatter tail on right

  • Mean > Median > Mode

b. Negative skew: Longer or fatter tail on left

  • Mode > Median > Mean

2X2 tables

Disease presentDisease absent
Test positiveTPFP
Test negativeFNTN
EventNon-event
Exposed or Treatmentab
Non-exposed or Placebocd

Formulae

Incidence = No. of new cases in a given time/Total population at risk

Prevalence = No. of existing cases/Total population

Prevalence = Incidence X Duration

Case fatality rate = No. of death from a disease in given time/No. of cases in a given time

Sensitivity = True positive/Disease positive = TP/(TP+FN)

  • Most acceptable screening tests are >80% sensitive

Specificity = True negative/Disease negative = TN/(TN+FP)

  • Most acceptable confirmatory tests are >85% specific

False negative (FN) = 1 – Sensitivity

False positive (FP) = 1 – Specificity

Positive predictive value (PPV) = True positive/Test positive = TP/(TP + FP)

  • Prevalence dependent (high prevalence = high PPV)

Negative predictive value (NPV) = True negative/Test negative = TN/(TN + FN)

  • Prevalence dependent (low prevalence = high NPV)

Accuracy = (TP + TN)/(TP + FP + FN + TN)

Positive likelihood ratio = TP rate/FP rate = Sensitivity/(1-Specificity)

  • Prevalence independent

Negative likelihood ratio = FN rate/TN rate = (1-Sensitivity)/Specificity

  • Prevalence independent

Odds = Probability/(1-Probability)

Probability = Odds/(Odds + 1)

Pretest probability = Prevalence

Pretest odds = Pretest probability/(1-Pretest probability)

Post-test odds = Pre-test odds X Likelihood ratio

Post-test probability = Post-test odds/(1 + Post-test odds)

Posttest probability of positive test = PPV

Posttest probability of negative test = 1 – NPV

Relative risk (RR) = Experimental event rate/Control event rate = EER/CER = a/(a+b)/c/(c+d)

  • Cohort study
  • RR >1 = positive relationship between exposure and disease
  • RR <1 = negative relationship between exposure and disease
  • RR 1 = no relationship between exposure and disease

Attributable risk (AR) or Absolute risk reduction (ARR) = EER – CER = a/(a+b)/c/(c+d)

  • AR = Rate of disease in exposed – Rate of disease in non-exposed
  • ARR = Rate of disease in control group – Rate of disease in intervention group

Relative risk reduction = ARR/CER = (EER – CER)/CER

Numbers needed to treat (NNT) = 1/ARR

Numbers needed to harm (NNH) = 1/AR

Odds ratio = Odds of exposure in cases/Odds of exposure in controls = a/c/b/d = ad/bc

  • Case-control study

Significance tests

Null hypothesis (H0) = No association exists between 2 selected variables (no difference between 2 treatments)

Alternate hypothesis (H1) = Association exists between 2 selected variables (difference exists between 2 treatments)

Type I error: Null hypothesis is rejected even though it is true (false positive)

  • Not affected by sample size
  • Increased if the number of end-points are increased

Type II error: Null hypothesis is not rejected even though it is false (false negative)

  • Determined by both sample size and alpha

P-value (alpha): Probability of type I error

  • Equals the significance level of a test
  • If p <0.05, null hypothesis can be rejected (significant relationship exists between groups)

Beta: Probability of type II error

Power: 1 – Beta (i.e. probability of rejecting null hypothesis when it is false)

  • Usually power of 0.8 is selected
  • Increased sample size = Increased power
  • Increased power = Decreased probability of type II error

Analyzing data

Which statistical test to use?
dr. sulabh kumar shrestha
Dr. Sulabh Kumar Shrestha, MS Orthopedics

He is the section editor of Orthopedics in Epomedicine. He searches for and share simpler ways to make complicated medical topics simple. He also loves writing poetry, listening and playing music. He is currently pursuing Fellowship in Hip, Pelvi-acetabulum and Arthroplasty at B&B Hospital.

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Comment

  1. Kelvin says:
    Sep 10, 2023 at 6:43 pm

    Excellent, another difficult topic made so simple. Thank you for teaching and sharing ❤️❤️❤️❤️

    Reply

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