School of Veterinary Medicine and Science Statistics • Statistics are like bikinis. What they reveal is suggestive, but what they conceal is vital. ~Aaron Levenstein School of Veterinary Medicine and Science Nice statistics School of Veterinary Medicine and Science CONFIDENCE INTERVALS School of Veterinary Medicine and Science What is a confidence interval? Confidence is generally described as a state of being certain either that a hypothesis or prediction is correct or that a chosen course of action is the best or most effective And a confidence interval? How confident can you be that your answer from your study is true of the whole population? School of Veterinary Medicine and Science You only have a sample • You can never measure the whole population • Even if you sample the whole population you wont get information about all of it School of Veterinary Medicine and Science From your sample… • Something is being quantified: – A mean – An odds ratio – A disease frequency And we get a single value = point estimate • How close is the point estimate of your sample to the true value in the population? School of Veterinary Medicine and Science Point estimate • E.g. A mean • You can then work out a standard error, which tells you about the precision of the estimate of the mean of the real population • But an interval is easier than a standard error…. School of Veterinary Medicine and Science What is a confidence interval? Confidence interval: Confident that the true population value of whatever we are measuring is within this range of values ……………………………….not entirely true! School of Veterinary Medicine and Science The truth If we are talking 95% confidence intervals • If we performed the study 100 times and calculate a 95% confidence interval each time • Then about 95 of the 100 confidence intervals calculated will include the true value of whatever we are interested in School of Veterinary Medicine and Science How do you calculate a CI? • Use nasty sums ……..Or a table ……..Or a computer School of Veterinary Medicine and Science Calculate a confidence interval (mean) 1. Work out the mean 2. Work out the standard error of the mean (how precise a measurement is the sample mean of the population mean?) 3. The CI is some kind of multiple of the standard errors E.g. 95% CI = ± 1.96 (SE) 99% CI = ± 2.58 (SE) School of Veterinary Medicine and Science Why 95%? • Convention • You can calculate anything you like but it is normally 90%, 95% or 99% • NEVER 100% confident 100% confidence = arrogance Arrogance: an attitude of superiority manifested in an overbearing manner or in presumptuous claims or assumptions School of Veterinary Medicine and Science So…… • To see how believable something is – you want a confidence interval • Don’t just believe the point estimate of a sample is the true value in your population School of Veterinary Medicine and Science Look for… • The point estimate, the P value and the confidence interval – you want the actual numbers not ‘95% confidence’ E.g. Cases were 3 times more likely to be over the age of 15 rather than 5-10 years old, when compared to controls (OR = 2.87, 95% CI 1.38 – 5.99, p = 0.005). Cases were significantly more likely to have ever have received a vaccine of any type in their lifetime compared to controls cats (OR = 6.8, 95% CI = 1.9 - 50.4, p = 0.03). School of Veterinary Medicine and Science Now what? 1. How wide is it? 2. What does the interpretation of the CI mean? Clinically? Biologically? 3. Does it include the null value? School of Veterinary Medicine and Science 1. Width? • CI are calculated from standard errors • Standard errors depend on sample size and variation within the sample School of Veterinary Medicine and Science Sooooo….. • Small sample = bigger standard error = bigger CI • More variation in sample bigger CI • Wide CI = imprecise estimate • Narrow CI = more precise estimate School of Veterinary Medicine and Science Examples Cases were 3 times more likely to be over the age of 15 rather than 5-10 years old, when compared to controls (OR = 2.87, 95% CI 1.38 – 5.99, p = 0.005). Cases were significantly more likely to have ever have received a vaccine of any type in their lifetime compared to controls cats (OR = 6.8, 95% CI = 1.9 - 50.4, p = 0.03). School of Veterinary Medicine and Science Now what? 1. How wide is it? 2. What does the interpretation of the CI mean? Clinically? Biologically? 3. Does it include the null value? School of Veterinary Medicine and Science 2. Interpretation • The upper and lower limits can be used to see whether the results are useful • A value can be significant with a low p value but the CI interval can help tell you whether you should get excited about it or not! School of Veterinary Medicine and Science Examples Cases were 3 times more likely to be over the age of 15 rather than 5-10 years old, when compared to controls (OR = 2.87, 95% CI 1.38 – 5.99, p = 0.005). Cases were significantly more likely to have ever have received a vaccine of any type in their lifetime compared to controls cats (OR = 6.8, 95% CI = 1.9 - 50.4, p = 0.03). School of Veterinary Medicine and Science Now what? 1. How wide is it? 2. What does the interpretation of the CI mean? Clinically? Biologically? 3. Does it include the null value? School of Veterinary Medicine and Science The null value? • In Odds Ratios and Risk Ratios where you compare two groups and a value of 1 means there is no difference then 1 is the null value • If 1 is included in the CI e.g. 0.56-1.2, then there is no statistically significant effect ………………………………..dont worry I will remind of this later in the year School of Veterinary Medicine and Science Examples Cases were 3 times more likely to be over the age of 15 rather than 5-10 years old, when compared to controls (OR = 2.87, 95% CI 1.38 – 5.99, p = 0.005). Cases were significantly more likely to have ever have received a vaccine of any type in their lifetime compared to controls cats (OR = 6.8, 95% CI = 1.9 - 50.4, p = 0.03). School of Veterinary Medicine and Science Another example The odds ratio for practice type B reporting multiple cases compared to practice type A was not significant (OR = 1.02, 95% CI 0.25 – 4.10, p = 0.98) School of Veterinary Medicine and Science AT A GLANCE! School of Veterinary Medicine and Science Look at the CI • Is it massive? If so, bin it! The power is rubbish and no matter how small p is, you have no confidence in it! • Does it include values that are relevant? Do we care about the numbers? If not bin it! • Does it include the null value? If it does, bin it! School of Veterinary Medicine and Science Forest plots School of Veterinary Medicine and Science Cool words… • Bootstrapping: refers to a group of metaphors that share a common meaning: a self-sustaining process that proceeds without external help. School of Veterinary Medicine and Science Cool words… • Jack(k)nifing: means the folding of an articulated vehicle articulated vehicle (such as one towing a trailer) such that it resembles the acute angle of a folding pocket knife. School of Veterinary Medicine and Science Similar techniques • Repeated sampling (iterative processes) • Use distribution of many estimates & CIs to get an overall estimate and CI • Help! School of Veterinary Medicine and Science BEING CONFIDENT….. Is not that difficult…. School of Veterinary Medicine and Science School of Veterinary Medicine and Science In the packages…. School of Veterinary Medicine and Science