Medical Research chapter 1(part-1)

Introduction to Biostatistics

  • Biostatistics is perceived as difficult due to the complexity of diseases and life, and the constant threat from microorganisms.
  • Statistics is a science concerned with collecting, organizing, summarizing, presenting, and analyzing data to draw conclusions and make decisions.
  • Statistics has become widely used across various subjects.
  • The term 'statistics' originated from the New Latin 'statisticum collegium' and Italian 'statista,' referring to the state council and statesman, respectively.
  • Statistical methods are crucial for decision-making.
  • The German term 'statistisch,' coined in 1749, refers to the study and data collection of the state.
  • Statistical studies initially involved recording information and later incorporated mathematics and probability theory.
  • Adolphe Quételet is considered the founder of modern statistics for his application of statistics to social and anthropological events.
  • R. A. Fisher, K. Pearson, and W. S. Gosset contributed to the development of estimation and decision-making in statistics.

What is Biostatistics?

  • Biostatistics aims to make valid inferences for solving public health problems.
  • It develops statistical methods for research in public health and medicine, often involving collaboration with other scientists.
  • Biostatistics is at the intersection of research methodology and medicine, with its laws and original methods for health science problems.
  • It is multidisciplinary and ensures appropriate presentation of results in articles and publications.
  • The quality of medical research relies on statistical planning, evidence-based data analysis, and biostatistician-verified reporting.
  • Evidence-based medicine uses the strongest evidence for treatment decisions.
  • Biostatisticians select and use effective statistical methods for accurate results.

Biostatistics in Decision-Making

  • Practitioners resolve issues related to diagnosis, treatment, clinical practices, research, and coordination through decision-making.
  • The management process relies on decisions to reduce complexity and uncertainty in health problems.
  • Credibility in research begins with minimizing researcher bias.
  • Data analysis organizes and interprets collected data objectively.
  • Statistics are fundamental for estimation, inference, control, and experimental design in management.
  • Biostatistical thinking improves decision quality by identifying and eliminating sources of variation.

Stages in Decision-Making

The eight stages in the decision-making process are:

  1. Framing the Problem
  2. Hypothesis Development
  3. Data Collection
  4. Choosing the Statistical Method that Provides the Best Evidence
  5. Data Analysis
  6. Interpretation
  7. Decision Making
  8. Implementation
  • Statistical thinking provides solutions in problem formulation, hypothesis development, data collection, analysis, method selection, interpretation, decision-making, and application of results.
  • Researchers should consider all relevant variables and avoid erroneous causal conclusions.
  • Statistics provides methods for interpreting and solving complex problems in medicine.
  • Decision-making modes are intuitive and analytical, requiring a balance.
  • Statistical thinking involves recognizing diversity and using statistics to solve real-world problems.
  • There is a need for better education in statistical thinking to reduce errors in healthcare.

Objectives of Biostatistics

  1. Ability to interpret complex problems by solving them in research.
  2. Describe the population with data and learn the logic of sampling methods.
  3. Identify and control errors in measurements and interpretations.
  4. Identify causal processes or factors.
  5. Learn the logic behind methods (experiments).
  6. Reveal information in health observations using statistical methods.
  7. Formulate problems, plan research, collect and organize data, view, explain, and analyze data, discuss results, define further research.
  8. Analytical skill and gaining procedural skills.
  9. Reveal the comments in the data with statistical methods with the help of technology and computer.
  10. Reveal patterns among health field data.
  11. Understand probability and dependence on chance.
  12. Understand probabilistic measure of uncertainty and develop models.
  13. Statistical thinking and interpretive skills.
  14. Be aware of biases or limitations and gain the ability to interpret research findings.
  15. Skills in terminology to provide statistically communication.
  16. Communicate effectively about statistical investigations.
  17. Excellent communication skills and gaining a useful statistical character.
  • A statistician should communicate results effectively.
  • Statistical character involves planning, decision-making, and developing scientific tools.
  • Understanding involves combining new concepts meaningfully.
  • Statistics education teaches the concept of error, which is crucial for physicians in clinical diagnosis.

Stages of Wisdom

  • Wisdom starts from data creation and observations.
  • The pyramid of wisdom progresses from data to information, knowledge, understanding, and wisdom.

Purpose of Biostatistics and Its Use in Medical Domain

  • Biostatistics is used in translational medicine, medical research, basic research, clinical research, experimental research, observational research, and clinical trials.
  • It contributes to treatments, drug development, disease prevention, better diagnosis, and healthy life.
  • It is also used in correlational, explanatory, and survey research.
  • Modern medicine relies on biostatistics for new methods, technology, and measures for disease prevention, diagnosis, and healthy living.
  • Translational medicine transforms data into patient treatment outcomes.
  • Advances in vaccines and preventive medicine are expanding.
  • Biostatistics plays an important role in clinical studies.
  • Physicians collect information (data) to choose diagnostic and therapeutic actions.

Research Approach

The research approach includes:

  1. Collecting data.
  2. Forming a hypothesis.
  3. Deciding how to test the hypothesis.
  4. Experimenting or observing (results in inference).
  • Biostatistics investigates variability in data to understand the laws of nature.
  • Healthcare professionals decide whether observations are normal or abnormal.
  • Clinical decisions consider variability.
  • Inductive inference is used in the scientific method, drawing evidence-based conclusions about the population.
  • Multivariate Statistical Methods analyze all variables together for more accurate results.
  • New scientific knowledge is gained from research results.

Statistics is the Grammar of Science (Karl Pearson)

  • Good evidence-based research requires knowledge of biostatistics.

  • A hypothesis states predictions and should be based on existing theories.

  • Objectivity, controlling confounding variables, and sampling methods are crucial.

  • Researchers should understand published articles and scientific definitions.

  • Biostatistical principles should be applied from planning to writing, using statistical terms accurately.

  • Confounding variables affect the true relationship between studied variables.

  • Epidemiological studies aim to identify risk factors for diseases.

  • Research data includes information collected, observed, or produced.

  • Four data measurement scales: categorical (nominal), rank, range, and ratio.

  • Normal distribution is crucial in statistics, fitting many natural phenomena.

  • Appropriate statistical tests are important for data analysis.

  • Accurate interpretation requires expertise in biostatistics methods.

Five Basic Doctrines of Statistical Thinking

  1. Unbiased
  2. Variation
  3. Statistical Thinking
  4. Prediction
  5. Decision Making
  6. Reducing the Complex Structure
  • Statistical literacy is increasingly powerful, requiring education to focus on statistical reasoning and thinking.
  • Educators and researchers have important duties in developing these cognitive processes and learning outcomes.