P Value and Its Application (25-3) Biostatistics
P Value and Its Application (25-3) Biostatistics
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P value
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Test decisions with p values
• The decision about whether there is enough
evidence to reject the null hypothesis can be
made by comparing the p value to the value of α
(the level of significance).
• If p value ≤ α, reject the null hypothesis
• If p value> α, fail to reject the null hypothesis
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Understanding p value
The p value can also be thought of as the
probability of obtaining a result as extreme
as or more extreme than the actual
sample value obtained give that the null
hypothesis is true.
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Example 1
A topic of recent clinical interest is the
possibility of using drugs to reduce infarct
size in those patients who have had a MI
within the past 24 hrs. suppose we know
that in untreated patients the mean infarct
size is 25 with a standard deviation of 10.
Furthermore, in 50 patients treated with
the drug, the mean infarct size is 16. Is the
drug effective in reducing infarct size?
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Example 1 cont..
1. Null hypothesis: µ ≥ 25
Alternate hypothesis: µ<25
2. α=5%
3. Test statistics: Z=X- µ /δ/√n
X=16, δ =10, n=50
Z=16-25/10/ √ 50 = -9/10*7.07
Z= -6.36
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Example 1 cont..
4. Now we compute the p value: Since the
alternate hypothesis µ<25 indicates a one
tailed test, we find the probability that Z-
score takes a value as or more extreme
than the test statistic. i.e.
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Example 1 cont..
5. Since the p value (<.001) is less than
α=0.05 so we reject the null hypothesis
and have enough evidence to conclude
that the drug is effective in reducing the
infarct size.
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