This exercise is intended to show, that you need to be careful with drawing conclussions solely based on statistical numbers (confidence intervals, p-values,…), and that you need to be critical and think about the study design, biology, life, etc.
A study wants to investigate a certain biomarker in the discovery of cancer. From a population of cancer patients a sample of \(n = 123\) patients is taken, and their blood is investigated for a specific biomarker (BMa). The mean and standard deviation of this sample is estimated to \(\bar{x} = 3.4\) mg/L and \(s_x = 1.5\) mg/L respectively.
- Calculate the standard error for the mean of the distribution.
- Make a confidence interval for the mean of the distribution.
The average in this population seems rather high from a biological point of view. However, the researchers want to verify that this is indeed the case, and therefore go out and recruites a population of healthy individuals of size \(n = 130\). The discriptive statistics for this group is \(\bar{x} = 2.9\) mg/L and \(s_x = 1.3\) mg/L.
- Make a confidence interval for the mean in the healthy population.
- Sketch the two population distributions. Are there an overlap?
- Sketch the two confidence intervals and contemplate over similarity/differences between these two populations.
The researchers ask the question of whether the two distributions are similar.
- Formulate the question as a null- and alternative hypothesis.
- Test the hypothesis, and comment on the question raised.
The answer to the question seems to indicate differences between the two populations. Now the researchers take this one step further, and claims, that this must be due to cancer status.
- What is problematic in drawing the conclusion, that differences in BMa is caused by cancer status?
- Hint: Think about study-design, and other differences between the two populations such as age, lifestyle etc.
- In order to be certain about cancer leading to increased levels of BMa, which circumstances must be fullfilled? Is possible to make such studies on humans? Mice?