The Essentials of Biostatistics for Physicians, Nu rses, and Clinicians

Michael R. Chernick , PhD, is Manager of Biostatistical Services at Lankenau Institute for Medical Research, where he conducts statistical design and analysis for pharmaceutical research. He has more than thirty years of experience in the application of statistical methods to such areas as medicine, energy, engineering, insurance, and pharmaceuticals. Dr. Chernick is the author of Bootstrap Methods: A Guide for Practitioners and Researchers , Second Edition, and the coauthor of Introductory Biostatistics for the Health Sciences: Modern Applications Including Bootstrap , both published by Wiley.

Preface ix 1. The What, Why, and How of Biostatistics in Medical Research 1 1.1 Defi nition of Statistics and Biostatistics, 1 1.2 Why Study Statistics?, 3 1.3 The Medical Literature, 9 1.4 Medical Research Studies, 11 1.4.1 Cross-sectional studies including surveys, 11 1.4.2 Retrospective studies, 12 1.4.3 Prospective studies other than clinical trials, 12 1.4.4 Controlled clinical trials, 12 1.4.5 Conclusions, 13 1.5 Exercises, 14 2. Sampling from Populations 15 2.1 Definitions of Populations and Samples, 17 2.2 Simple Random Sampling, 18 2.3 Selecting Simple Random Samples, 19 2.4 Other Sampling Methods, 27 2.5 Generating Bootstrap Samples, 28 2.6 Exercises, 32 3. Graphics and Summary Statistics 34 3.1 Continuous and Discrete Data, 34 3.2 Categorical Data, 35 3.3 Frequency Histograms, 35 3.4 Stem-and-Leaf Diagrams, 38 3.5 Box Plots, 39 3.6 Bar and Pie Charts, 39 3.7 Measures of the Center of a Distribution, 42 3.8 Measures of Dispersion, 46 3.9 Exercises, 50 4. Normal Distribution and Related Properties 51 4.1 Averages and the Central Limit Theorem, 51 4.2 Standard Error of the Mean, 53 4.3 Student's t -Distribution, 53 4.4 Exercises, 55 5. Estimating Means and Proportions 58 5.1 The Binomial and Poisson Distributions, 58 5.2 Point Estimates, 59 5.3 Confi dence Intervals, 62 5.4 Sample Size Determination, 65 5.5 Bootstrap Principle and Bootstrap Confidence Intervals, 66 5.6 Exercises, 69 6. Hypothesis Testing 72 6.1 Type I and Type II Errors, 73 6.2 One-Tailed and Two-Tailed Tests, 74 6.3 P -Values, 74 6.4 Comparing Means from Two Independent Samples: Two-Sample t -Test, 75 6.5 Paired t -Test, 76 6.6 Testing a Single Binomial Proportion, 78 6.7 Relationship Between Confi dence Intervals and Hypothesis Tests, 79 6.8 Sample Size Determination, 80 6.9 Bootstrap Tests, 81 6.10 Medical Diagnosis: Sensitivity and Specificity, 82 6.11 Special Tests in Clinical Research, 83 6.11.1 Superiority tests, 84 6.11.2 Equivalence and bioequivalence, 84 6.11.3 Noninferiority tests, 86 6.12 Repeated Measures Analysis of Variance and Longitudinal Data Analysis, 86 6.13 Meta-Analysis, 88 6.14 Exercises, 92 7. Correlation, Regression, and Logistic Regression 95 7.1 Relationship Between Two Variables and the Scatter Plot, 96 7.2 Pearson's Correlation, 99 7.3 Simple Linear Regression and Least Squares Estimation, 101 7.4 Sensitivity to Outliers and Robust Regression, 104 7.5 Multiple Regression, 111 7.6 Logistic Regression, 117 7.7 Exercises, 122 8. Contingency Tables 127 8.1 2 x 2 Tables and Chi-Square, 127 8.2 Simpson's Paradox in the 2 x 2 Table, 129 8.3 The General R x C Table, 132 8.4 Fisher's Exact Test, 133 8.5 Correlated Proportions and McNemar's Test, 136 8.6 Relative Risk and Odds Ratio, 138 8.7 Exercises, 141 9. Nonparametric Methods 145 9.1 Ranking Data, 146 9.2 Wilcoxon Rank-Sum Test, 146 9.3 Sign Test, 149 9.4 Spearman's Rank-Order Correlation Coefficient, 150 9.5 Insensitivity of Rank Tests to Outliers, 153 9.6 Exercises, 154 10. Survival Analysis 158 10.1 Time-to-Event Data and Right Censoring, 159 10.2 Life Tables, 160 10.3 Kaplan-Meier Curves, 164 10.3.1 The Kaplan-Meier curve: a nonparametric estimate of survival, 164 10.3.2 Confidence intervals for the Kaplan-Meier estimate, 165 10.3.3 The logrank and chi-square tests: comparing two or more survival curves, 166 10.4 Parametric Survival Curves, 168 10.4.1 Negative exponential survival distributions, 168 10.4.2 Weibull family of survival distributions, 169 10.5 Cox Proportional Hazard Models, 170 10.6 Cure Rate Models, 171 10.7 Exercises, 173 Solutions to Selected Exercises 175 Appendix: Statistical Tables 192 References 204 Author Index 209 Subject Index 211