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Statistical analysis Christian Gratzke LMU Munich

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1 Statistical analysis Christian Gratzke LMU Munich
Outline for Cathy Hier Foto Ausgabe EU Focus Christian Gratzke LMU Munich Department of Urology London, March 2017

2 Urologists usually have a limited training in biostatistics
Statistical Analysis Urologists usually have a limited training in biostatistics Statistics departments offer introductory courses to the world of biostatistics These courses are recommended before / when starting to conduct research

3 I usually do my statistics myself
Statistical Analysis I usually do my statistics myself However, I always contact my biostatistician to double-check the results

4 Very complex statistical tests are seldom useful
Statistical Analysis Very complex statistical tests are seldom useful Whenever used, they should be explained and referenced Fancy statistics are meaningless if not strictly related with the clinical problem What might be hard for an experienced reviewer will be impossible to understand for most of the readers

5 Statistical Analysis

6 Statistical Analysis

7 Slip Ups – and how to avoid them
Dr. Andrew Vickers, Ph.D. Attending Research Methodologist MSKCC

8 Slip Up 1 It is not only about producing p values

9 Statistical Methods Inference Is something there?
Hypothesis testing: p values Estimation How big is it? E.g. means, correlations, proportions, differences between groups

10 Statisticians can also help with…
Thinking through the scientific question Experimental design Data collection Data quality assurance

11 Inference State a null hypothesis

12 Inference State a null hypothesis Get your data, calculate p value

13 Inference State a null hypothesis Get your data, calculate p value
If p<5%, reject null hypothesis If p ≥5%, don’t reject null hypothesis

14 Slip Up 2 Don’t accept the null hypothesis
In a court case: guilty or not guilty In a statistical test: reject or don’t reject

15 Slip up 3 RESULTS: Compared with a BMI of 18.5 to 21.9 kg/m2 at age 18 years, the hazard ratio for premature death was 2.79 (CI, to 3.81) for a BMI of 30 kg/m2 or greater. CONCLUSION: Moderately higher adiposity at age 18 years is associated with increased premature death in younger and middle-aged U.S. women

16 Slip up 3 A result isn’t a conclusion

17 Slip up 4 Mean gestational time was weeks in the experimental group compared to weeks in controls (p=0.6945).

18 Slip up 4 Every number you write down means something

19 Slip up 5 Whereas Erk3, ECAD, P21, P53, Cadherin, il 6, il12 and Jak had no association with outcome (p>0.2 for all), Ki67 was a predictor of recurrence (p=0.03). We recommend that Ki67 be measured to determined eligibility for adjuvant chemotherapy.

20 Slip up 5 Multiple testing. Looked at 9 different biomarkers. 35% chance of at least one marker with p<0.05. A statistical association isn’t grounds for a change in practice.

21

22 Thank you


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