Chapter·BiostatisticsP-values and confidence intervals

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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

A surgeon is interested in studying how different surgical techniques impact the healing of tendon injuries. In particular, he will compare 3 different types of suture repairs biomechanically in order to determine the maximum load before failure of the tendon 2 weeks after repair. He collects data on maximum load for 90 different repaired tendons from an animal model. Thirty tendons were repaired using each of the different suture techniques. Which of the following statistical measures is most appropriate for analyzing the results of this study?

AChi-squared

BWilcoxon rank sum

CPearson r coefficient

DStudent t-test

EANOVA

3

A researcher is trying to determine whether a newly discovered substance X can be useful in promoting wound healing after surgery. She conducts this study by enrolling the next 100 patients that will be undergoing this surgery and separating them into 2 groups. She decides which patient will be in which group by using a random number generator. Subsequently, she prepares 1 set of syringes with the novel substance X and 1 set of syringes with a saline control. Both of these sets of syringes are unlabeled and the substances inside cannot be distinguished. She gives the surgeon performing the surgery 1 of the syringes and does not inform him nor the patient which syringe was used. After the study is complete, she analyzes all the data that was collected and performs statistical analysis. This study most likely provides which level of evidence for use of substance X?

ALevel 3

BLevel 1

CLevel 4

DLevel 5

ELevel 2

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