Chapter·BiostatisticsP-values and confidence intervals

Common misinterpretations of p-valuesDownloads

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1

A randomized double-blind controlled trial is conducted on the efficacy of 2 different ACE-inhibitors. The null hypothesis is that both drugs will be equivalent in their blood-pressure-lowering abilities. The study concluded, however, that Medication 1 was more efficacious in lowering blood pressure than medication 2 as determined by a p-value < 0.01 (with significance defined as p ≤ 0.05). Which of the following statements is correct?

AWe can accept the null hypothesis.

BWe can reject the null hypothesis.

CThis trial did not reach statistical significance.

DThere is a 0.1% chance that medication 2 is superior.

EThere is a 10% chance that medication 1 is superior.

2

Group of 100 medical students took an end of the year exam. The mean score on the exam was 70%, with a standard deviation of 25%. The professor states that a student's score must be within the 95% confidence interval of the mean to pass the exam. Which of the following is the minimum score a student can have to pass the exam?

A45%

B63.75%

C67.5%

D20%

E65%

3

A research team develops a new monoclonal antibody checkpoint inhibitor for advanced melanoma that has shown promise in animal studies as well as high efficacy and low toxicity in early phase human clinical trials. The research team would now like to compare this drug to existing standard of care immunotherapy for advanced melanoma. The research team decides to conduct a non-randomized study where the novel drug will be offered to patients who are deemed to be at risk for toxicity with the current standard of care immunotherapy, while patients without such risk factors will receive the standard treatment. Which of the following best describes the level of evidence that this study can offer?

ALevel 1

BLevel 3

CLevel 5

DLevel 4

ELevel 2

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