Skip to main content

Data Dispersion Issues

  • Chapter
  • First Online:
Statistics Applied to Clinical Studies

Abstract

Biological processes are full of variations, and so is clinical research. Statistics can give no certainties, only chances and, consequently, their results are often reported with a measure of dispersion, otherwise called uncertainty. Mostly, standard errors are calculated as a measure for dispersion in the data. For example, in a hypertension study a mean systolic blood pressure after active treatment of 125 mmHg compared to 135 mmHg after placebo treatment may indicate that either the treatment was clinically efficacious or that the difference observed is due to random variation. To answer this the standard errors of the mean results, 5 mmHg each, and a pooled standard error are calculated, √(52 + 52) = 7.07 mmHg. According to the Student’s t-test this result is statistically insignificant: the t-value = (135 – 125)/7.07 = 1.4, and should have been larger than approximately 2. With such a result it is, usually, concluded that the treatment effect is not different from a placebo effect, and that the calculated mean difference is due to random variation, rather than a true treatment effect.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Bossuyt PM, Reitsma JB, Bruns DE, Gatsonis CA, Glasziou PP, Irwig JG, Moher D, Rennie D, De Vet HC, for the STARD steering group (2003) Education and debate. Towards complete and accurate reporting of studies of diagnostic accuracy: the STARD initiative. BMJ 326:41–44

    Google Scholar 

  • Cleophas TJ, Zwinderman AH (2009a) Markow modeling. In: Statistics applied to clinical trials, 4th edn. Springer, Dordrecht, pp 212–213

    Chapter  Google Scholar 

  • Cleophas TJ, Zwinderman AH (2009b) Testing clinical trials for randomness. In: Statistics applied to clinical trials, 4th edn. Springer, Dordrecht, pp 355–366

    Chapter  Google Scholar 

  • Gardner MJ (1989) Confidence interval analysis. BMJ Productions, London

    Google Scholar 

  • Hojsgaard S, Halekoh U (2005) Overdispersion. Danish Institute of Agricultural Sciences, Copenhagen. http://gbi.agrsci.dk/statistics/courses

  • Imbert-Bismut F, Messous D, Thibaut V et al (2004) Intra-laboratory analytical variability of biochemical markers of fibrosis and activity and reference ranges in healthy blood donors. Clin Chem Lab Med 42:323–333

    PubMed  CAS  Google Scholar 

  • Lesterhuis W, Cleophas TJ (2009) Cardiovascular research: decision analysis using binary partitioning. Perfusion 22:88–91

    Google Scholar 

  • Levin MD, Van de Bos E, Van Ouwerkerk BM, Cleophas TJ (2008) Uncertainty of diagnostic tests. Perfusion 21:42–48

    Google Scholar 

  • Moses LE, Shapiro D, Littenberg B (1993) Combining independent studies of a diagnostic test into a summary ROC curve: data-analytic approaches and some additional considerations. Stat Med 12:1293–1316

    Article  PubMed  CAS  Google Scholar 

  • Tan M (2003) Describing data, variability and over-dispersion in medical research. In: Lu Y, Fang J (eds) Advanced medical statistics. World Scientific, River Edge, pp 319–332

    Chapter  Google Scholar 

  • Wasson JH, Sox HC, Neff RK, Goldman L (1985) Clinical prediction rules: applications and methodologic standards. N Engl J Med 313:793–799

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media B.V.

About this chapter

Cite this chapter

Cleophas, T.J., Zwinderman, A.H. (2012). Data Dispersion Issues. In: Statistics Applied to Clinical Studies. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-2863-9_13

Download citation

Publish with us

Policies and ethics