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Analysis of serial measurements in medical research.

Open access
Matthews, J N, Altman, D G, Campbell, M J, Royston, P·1990·BMJ

Abstract

In medical research data are often collected serially on subjects. The statistical analysis of such data is often inadequate in two ways: it may fail to settle clinically relevant questions and it may be statistically invalid. A commonly used method which compares groups at a series of time points, possibly with t tests, is flawed on both counts. There may, however, be a remedy, which takes the form of a two stage method that uses summary measures. In the first stage a suitable summary of the response in an individual, such as a rate of change or an area under a curve, is identified and calculated for each subject. In the second stage these summary measures are analysed by simple statistical techniques as though they were raw data. The method is statistically valid and likely to be more relevant to the study questions. If this method is borne in mind when the experiment is being planned it should promote studies with enough subjects and sufficient observations at critical times to enable useful conclusions to be drawn. Use of summary measures to analyse serial measurements, though not new, is potentially a useful and simple tool in medical research.

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Research works printed but not linked: 12

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  7. Healy MJR. Some problems of repeated measurements. In: Bithell JF, Coppi R, eds. Perspectives tn medical statistics. London: Academic Press, 1981: 155-7.
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  9. Armitage P, Berrt G. Statistical methods in medical research. Oxford: Blackwell Scientific, 1987:355,360,411.
  10. Gardner MJ, Altman DG. Confidence intervals rather than P values: estimation rather than hypothesis testing. BrMted_7 1986;292:746-50.
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Metadata

Authors
Matthews, J. N., Altman, D. G., Campbell, M. J., & Royston, P.
Venue
BMJ
Publisher
BMJ
Published
1990-01-27
Volume
300
Issue
6719
Pages
230-235
ISSN
  • 0007-1447 (ISSN-L)
  • 0959-8138
  • 1468-5833
OpenAlex
W2028067695
Cited by
3,136
References
0
FWCI
78.73
Type
journal article
Language
en
Open access
bronze
Licence
www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)

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