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what is the hierarchy of evidence?
- a ranking of the quality and reliability of research studies with strongest evidence at the top
what is the order of the hierarchy of evidence from top to bottom
- Randomized control trial
- cohort study
- case control study
- cross sectional study
- ecological study
- case series
what is a cohort study
- follow people over time to see who gets a disease
what is a case control study
- compare people with and without disease
what is an ecological study
- comparing characteristics of groups (like geographical comparisins)
what is a case series study
- clinical observations
what is a target population, sample frame, and sample?
- target population is the population of interest that the researcher wants to generalize the study to
- the sampling frame is the part of the target population that is accessible for the study
- the sample is the actual units selected for the study and should be as representative of the target population as possible
explain an independent variable
- an independant variable is changed or controlled to test the effects on the dependent variable
- its value is not affected by other variables in the study
explain a dependent variable
- the variable that is being measured
- it is expected to change in response to the independent variable
- outcome that the researchers are interested in observing
name the indemendent and dependent variable in this example: Is the number of Home exersice sessions completed per week associated with pain levels in people with chronic low back pain?
- Independent: HES/week
- Dependent: pain levels
explain nominal values
- name variables with no value attatched to them. they are used to classify things
- there is no ability to rank or order these variables
- Ex: blood type, sex, race, gender
what are the statistics allowed for nominal values
- count only
- can compare proportions in categories
- identify differences in proportions using chi-square analyses
explain ordinal measurements
- classification variables that can be placed in an order
- pain scale, poor, great, good, levels in education
statistics allowed for ordinal measurements
- counts
- use numbers to label but not to do math with (symbols and not numerical quantities)
- calculate percentages and proportions
- can do rankings to determine significance
- can do chi square analysis
what is an interval measurement
- number variables in which the order and intervals between the variables are known
- different than other number variables because the origin is unknown and there is no true 0 point
- ex: temperature, pH, SAT score, credit score, scaled measurement tools like pain scales or addiction scales
statistics allowed for interval measurements
- mathematical calculations are allowed with some caution with more subjective non measureable items like pain scales
what are ratio measurements
- numbers where the order, interval distance and origin are all known
- ex: weight, height, number of children, lab values (blood pressure, cholesterol)
stats allowed for ratio measurements
- mean
- median
- mode
- all statistical manipulations
what are the two types of numerical data
- interval and ratio
- can be discrete or continuous
what is discrete data
- can only take on certain numeric values
- often whole numbers
- ex: number of births, number of survivors on the titanic
what is continuous data
- not restricted to whole number values
- often measurements
- ex: height, weight, age
what is time to event
- time between initial and terminal events
- ex: diagnosis of breast cancer to cured
- some subjects are censored
explain why subjects are censored
- they never experience the terminal event during the study
- they could be lost to follow up, experience death from the condition, death from another cause
what are descriptive summaries
- allow us to identify patterns within data and understand relationships with variables
- check hypothesis
- formal hypothesis testing should agree with descriptive results
what are the types of descriptive statistics?
mean, median, mode, percentile
what is the mean
average value
- add up the numbers and divide by the number of numbers
what is the median
- the middle number when arranged from least to greatest
- the 50th percentile where 50% lies above the median and 50% below
what is the mode
most frequently occurring value
what is the percentile
- the value below a given percentage
- ex: if you are in the 90th% it means you scored better than 90% of the people
data that are not symmetric and bell shaped are....
skewed
if the median and the mean value are not very similar the data could be...
skewed
a data set where the mean > median is...
positively skewed
a data set where where the mean< median is...
negatively skewed
how do we measure spread or variation
variance: average squared deviation from the mean
standard deviation: square root of variance
the more spread out the data is .......
the more variation and more difficult to measure
what are barplots used for
- to describe distribution of values for categorical variables and a single variable
- determine categories and draw a bar with height equal to proportion of responses in each category
what are histograms used for
- to describe the distribution of values for a continuous variable
- determine intervals of response and draw a bar with height equal to proportion of responses
what is a boxplot used for
- describe distribution of values for continuous variables
- determine the 25th, 50th, and 75th percentiles of distribution
- determine outliers
- draw a box with lower line at 25th middle line at 50th and upper line at 75th
- add whiskers for minimum and maximum values
what is a scatter plot used for
- describe joint distribution of values from two continuous variables
- plot pair of observations for each subject from both variables
should scatter plots be reported with or without outliers?
-both so as to not bias the data
what is a survival curve
- distribution of times to an event
- ex: time to heal, time to death, time till ready for prosthesis
- estimate survival probabilities while accounting for censoring, plot the survival probability corresponding to each time an event occurred
- axis are often survival probability and time in years of observation