This is a chapter in a classic book, Medical Uses of Statistics. The writer of this particular chapter was a giant in Statistics, Frederick Mosteller. This chapter talks about some of the style issues associated with the data that you would normally present in your results section of your research paper. The advice is a bit dated, perhaps, but still well worth reading. Continue reading
I ran across a nice discussion of how to write the results section of a research paper, but it has one comment about the phrase “trend towards significance” that I had to disagree with. So I wrote a comment that they may or may not end up publishing (note: it did look like the published my comment, but it’s a bit tricky to find).
Here’s what I submitted. Continue reading
I shouldn’t do this, because we’ve all made mistakes, especially me. But I took a peek at a website with the intriguing title “100+ commonly asked data science interview questions” with the thought “Maybe I could be a data scientist”. But the author of this list choked on the very first question. It’s interesting to examining why the question is bad. Continue reading
Dear Professor Mean, I saw a paper where the authors said that they wanted a diagnostic test with a large negative likelihood ratio, because it was important to rule out a condition. False negatives mean leaving a high risk condition untreated. But don’t they mean that they want a diagnostic test with a small likelihood ratio?
Okay, I agree with you, but it’s an understandable mistake. Let’s quickly review the idea of likelihood ratios. A positive likelihood ratio is defined at Sn / (1-Sp) where Sn is the sensitivity of the diagnostic test and Sp is the specificity. For a diagnostic test with a very high specificity, you get a very large ratio, because you are putting a really small value in the denominator. For Sp=0.99, for example, you would end up getting a positive likelihood ratio of 50 or more (assuming that Sn is at least 0.5).
The positive likelihood ratio is a measure of how much the odds of disease are increased if the diagnostic test is positive.
A negative likelihood ratio is defined as as (1-Sn) / Sp. For a diagnostic test with a very large sensitivity, the negative likelihood ratio is very close to zero. For Sn=0.99, the likelihood ratio is going to be 0.02 or smaller, assuming that Sp is at least 0.5.
The negative likelihood ratio is a measure of how much the odds of disease are decreased if the diagnostic test is negative.
The two likelihood ratios should remind you of the acronyms SpIn and SnOut. SpIn means that if specificity is large, then a positive diagnostic test is good at ruling in the disease. This isn’t always the case, sadly, and for many diagnostic tests, the next step after a positive test is not to treat the disease, but to double check things using a more expensive or more invasive test.
SnNout means that if the sensitivity is large, then a negative diagnostic test is good at ruling out the disease. You can safely send the patient home in some settings, or start looking for other diseases in different settings.
That sounds great, but sometimes you are very concerned about false negatives, and you don’t want to send someone home if they actually have the disease. If you are worried about a cervical fracture, ruling out the fracture and sending someone home might lead to paralysis or death if you have a false negative. So you want to be very sure of yourself in this setting.
Now with regard to the comment above, I think it is just a case of careless language. When the authors say “large negative likelihood ratio”, they should have said “extreme negative likelihood ratio” meaning a likelihood ratio much much smaller than one. I’ve done it myself when I talk about a correlation of -0.8 as being a “big” correlation because it is very far away from zero.
We tend to shy away from words like “small” when we talk about a negative likelihood ratio being much less than 1, because “small” in some people’s minds means “inconsequential” when the opposite is true. When I am careful in my language, I try to use the word “extreme” to mean very far away from the null value (1 for a likelihood ratio or 0 for a correlation) rather than “large” or “small”.
I am teaching a class, Introduction to R (MEDB 5505). Here is the syllabus for Fall Semester 2017. Continue reading
I am teaching a class, Introduction to SPSS (MEDB 5506). Here is the syllabus for Fall Semester 2017. Continue reading
Like a lot of public universities, UMKC is having a lot of financial difficulty. They are asking for advice from faculty members on how to address this budget shortfall. Not being the bashful type, I suggested that we stop paying commercial software vendors and commercial journal publishers and rely instead on open source. Here’s the details of my letter. Continue reading
I might be giving a very brief (5 minute) overview of my research for students in the Department of Biomedical and Health Informatics. Here are some details of that work, with links if anyone wants to dig deeper. Continue reading
I heard about a new series of conferences for learning about R. I have not attended any of them, but they look interesting. Continue reading
I got a question from one of the students in my “Introduction to R” class asking what are the important packages for R. That’s a hard question to answer, but if I got only easy questions, they wouldn’t be paying me the big bucks. Here’s what I think. Continue reading