Medical Statistics. David Machin

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baseline corn size data, in the trial.

equation equation

      Thus, the mean images = 58/16 = 3.625 mm or 3.6 mm. It is usual to quote one more decimal place for the mean than the data recorded.

      The major advantage of the mean is that it uses all the data values and is, in a statistical sense, therefore efficient. The mean also characterises some important statistical distributions to be discussed in Chapter 4. The main disadvantage of the mean is that it is vulnerable to what are known as outliers. Outliers are single observations that, if excluded from the calculations, have noticeable influence on the results. For example, if we had entered ‘100 mm’ instead of ‘10 mm’, for the 16th patient, in the calculation of the mean, we would find the mean changed from 3.6 to 9.3 mm. It does not necessarily follow, however, that outliers should be excluded from the final data summary, or that they result from an erroneous measurement.

      If the data are binary, that is nominal and are coded 0 or 1, then images is the proportion of individuals with value 1, and this can also be expressed as a percentage. In the foot corn plaster trial, the corn had healed or resolved by a three‐month follow‐up in 52 out of 189 patients. If whether the corn was healed at a three‐month post‐randomisation follow‐up is coded as a ‘1’ for ‘yes, healed’, and a ‘0’ for ‘no, not healed’, then the mean of this variable is 0.257 or 25.7%.

       Median

      The median is estimated by first ordering the data from smallest to largest, and then counting upwards for half the observations. The estimate of the median is either the observation at the centre of the ordering in the case of an odd number of observations, or the simple average of the middle two observations if the total number of observations is even.

       Example – Calculation of the Median – Corn Size Data

      If we had observed an additional 17th subject with a corn size of 10 mm the median would be the 9th ordered observation, which is 3 mm.

      The median has the advantage that it is not affected by outliers, so for example the median in the data would be unaffected by replacing largest corn size of ‘10 mm’ with ‘100 mm’. However, it is not statistically efficient, as it does not make use of all the individual data values.

       Mode

Rank order Corn size (mm)
1 1
2 2
3 2
4 2
5 2
6 2
7 3
8 3 Schematic illustration of a box depicting median and an arrow pointing to the column of corn size in the table.
9 3
10 3
11 4
12 4
13 5
14 6
15 6
16 10

       Example – Calculation of the Mode – Corn Size Data

      In the 16 patients with corns; 5 patients have a corn size of 2 mm; thus, the modal corn size is 2 mm.

      Measures of Dispersion or Variability

      We also need a numerical way of summarising the amount of spread or variability in a data set. The three main approaches to quantifying variability are: the range; interquartile range and the standard deviation.

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