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Foundations of Applied
Statistical Methods
Hang Lee
Department of Biostatistics
Massachusetts General Hospital
Boston, MA, USA
Researchers who design and conduct experiments or sample surveys, perform sta-
tistical inference, and write scientific reports need adequate knowledge of applied
statistics. To build adequate and sturdy knowledge of applied statistical methods,
firm foundation is essential. I have come across many researchers who had studied
statistics in the past but are still far from being ready to apply the learned knowledge
to their problem solving, and else who have forgotten what they had learned. This
could be partly because the mathematical technicality dealt with the study material
was above their mathematics proficiency, or otherwise the studied worked examples
often lacked addressing essential fundamentals of the applied methods. This book is
written to fill gaps between the traditional textbooks involving ample amount of
technically challenging complex mathematical expressions and the worked exam-
ple-oriented data analysis guide books that often underemphasize fundamentals.
The chapters of this book are dedicated to spell out and demonstrate, not to merely
explain, necessary foundational ideas so that the motivated readers can learn to fully
appreciate the fundamentals of the commonly applied methods and revivify the
forgotten knowledge of the methods without having to deal with complex mathe-
matical derivations or attempt to generalize oversimplified worked examples of
plug-and-play techniques. Detailed mathematical expressions are exhibited only if
they are definitional or intuitively comprehensible. Data-oriented examples are
illustrated only to aid the demonstration of fundamental ideas. This book can be
used as a self-review guidebook for applied researchers or as an introductory statis-
tical methods course textbook for the students not majoring in statistics.
v
Contents
vii
viii Contents
This chapter portrays how to make sense of gathered data before performing the
formal statistical inference. The covered topics are types of data, how to visualize
data, how to summarize data into few descriptive statistics (i.e., condensed numeri-
cal indices), and introduction to some useful probability models.
Typical types of data arising from clinical studies mostly fall into one of the follow-
ing categories.
Nominal categorical data contain qualitative information and appear to discrete
values that are codified into numbers or characters (e.g., 1=case with a disease diag-
nosis, 0 = control; M = male, F = female).
Ordinal categorical data are semi-quantitative and discrete, and the numeric cod-
ing scheme is to order the values such as 1 = mild, 2 = moderate, and 3 = severe.
Note that the value of 3 (severe) does not necessarily be three times more severe
than 1 (mild).
Count (number of events) data are quantitative and discrete (i.e., 0, 1, 2 …).
Interval scale data are quantitative and continuous. There is no absolute 0 and the
reference value is arbitrary. Particular examples of such data are temperature values
in °C and °F.
Ratio scale data are quantitative and continuous, and there is the absolute 0.
Particular examples of such data are body weight and height.
In most cases the types of data usually fall into the above classification scheme
shown in Table 1.1 in that the types of data can be classified into either quantitative
or qualitative, and discrete or continuous. Nonetheless, some definition of the data
type may not be clear and among which the similarity and dissimilarity between the
ratio scale and interval scale may be such ones that need further clarification.
Ratio scale: Two distinct values of the ratio scale are ratio-able. For example, the
ratio of two distinct values of a ratio scale x, x1/x2 = 2 for x1 = 200 and x2 = 100, can
be interpreted as “twice as large.” Blood cholesterol level, measured as the total
volume of cholesterol molecule in a certain unit, is such an example in that if person
A's cholesterol level to person B's cholesterol level ratio is 2, then we will be able to
say that person A's cholesterol level is doubly higher than that of person B. Other
such examples are lung volume, age, and disease duration.
Interval scale: If two distinct values of quantitative data were not ratio-able, then
such data are interval scale data. Temperature is a good example in that there are
three temperature systems, i.e., Fahrenheit, Celsius, and Kelvin. Kelvin system even
has its absolute 0 (there is no negative temperature in Kelvin system). For example,
200 °F is not a temperature that is twice higher than 100 °F. We can only say that
200° is higher by 100° (i.e., the displacement between 200° and 100° is 100° in the
Fahrenheit measurement scale).
1.2.1 Distribution
Let’s discuss how to describe the distributions arising from various types of data.
One way to describe a set of collected data is to make description about the distribu-
tion of relative frequency for the observed individual values (e.g., what values are
how much common and what values are how much less common). Graphs, simple
tables, or a few summary numbers are commonly used.
A simple tabulation, aka frequency table, is to list the observed count (and propor-
tion in percentage value) for each category. A bar chart (see Figs. 1.1 and 1.2) is a
good visual description of where the horizontal axis defines the categories of the
outcome and the vertical axis shows the frequency of each observed category. The
size of each bar in the Figures is the actual count. It is also common to present the
relative frequency (i.e., proportion of each category in percentage value).
Figure 1.3 is a listing of white blood cell (WBC) counts of 31 patients diagnosed with
a certain illness listed by the patient identification number. Does this listing itself tell
us the group characteristics such as the average and the variability among patients?
Fig. 1.2 Frequency table
and bar chart for describing
ordinal data
Median Value
Maximum Value
How can we describe the distribution of these data, i.e., how much of the occur-
ring chance is distributed to WBC=5,200, how much to WBC=3,100 …, and etc.?
Such a description may be very cumbersome. As depicted in Fig. 1.4, the listed full
data in ascending order can be a primitive way to describe the distribution, but it
does not still describe the distribution. An option is to visualize the relative frequen-
cies for grouped intervals of the observed data. Such a presentation is called histo-
gram. To create a histogram, one will first need to create equally spaced WBC
categories and count how many observations fall into each category. Then the bar
graph can be drawn where each bar size indicates the relative frequency of that par-
ticular WBC interval category. This may be a daunting task. Rather than covering
the techniques to create the histogram, next section introduces an alternative option.
1.2.4 Stem-and-Leaf
The Stem-and-Leaf plot requires much less work than creating the conventional
histogram while providing the same information as what the histogram does. This is
a quick and easy option to sketch a continuous data distribution.
Let’s use a small data set for illustration, and then revisit our WBC data example
for more discussion (Fig. 1.10) after we become familiar to this method. The fol-
lowing nine data points: 12, 32, 22, 28, 26, 45, 32, 21, and 85, are ages (ratio scale)
of a small group. Figures 1.5, 1.6, 1.7, 1.8, and 1.9 demonstrate how to create the
Stem-and-Leaf plot of these data.
6 1 Warming Up: Descriptive Statistics and Essential Probability Models