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This presentation by Dr. Jayaprakash Muliyil, Professor of Community Health at Christian Medical College, Vellore, discusses the challenges of interpreting statistical significance in health research. It elaborates on the concepts of p-values, confidence intervals, and risk ratios, exploring the differences between null hypotheses and statistical power. Dr. Muliyil highlights the implications of sample size on p-values and discusses practical examples of risk assessments, elucidating how to infer meaningful conclusions from statistical data in medical practice.
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Sorting out statistical dilemmasP value or 95% CI Dr. Jayaprakash Muliyil MD MPH DrPH Professor, Community Health Christian Medical College, Vellore
David Hume’s contention • Karl Popper’s solution
Probability of no disease given that the test is positive =1-ppv = 1- a/(a+b)
Statistical tests of significance • Assumes null hypothesis is true • Provides p values • Is the probability of the observed difference occurring purely by chance. • P value is a function of sample size
RR =2, P value >0.05 RR= 2, P value <0.05 RR =2, P value <0.001
95% Confidence Interval • Estimating the location of population parameter from sample statistic. • Frequency • Difference in frequency • Relative frequency (ratio)
Frequency • 95% of sample values will lie within 2 standard errors of the population parameter • Hence, when you create an interval of +- 2 standard errors around sample mean, 95% of the time, the population parameter will be included within it. • Higher the precision – narrower the interval
Risk difference (difference in frequency) • Null value = 0 • If the risk difference confidence limits include 0 then the difference is not statistically significant
Risk ratio • Null value =1 • If the risk ratio confidence interval includes 1 then the risk estimate is not statistically significant.
Consider this OR =8 , 95% CI 2.87 to 21.21 OR =1.56 , 95% CI 1.05 to 2.29