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Statistical Methods in Medical Research 4ed

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8 7 3 3 2 1 ‡1 ‡1 ‡1 ‡8<br />

8 8 7 5 5 5 5 5 5 4 5 3 5 3 5 3 5 0<br />

7 7 5 5 4 5 4 3 3 3 ‡0 5<br />

3 3 3 2 5 2 1 1 1 ‡2 5<br />

3 3 2 5 2 1 1 1 ‡2 5<br />

2 2 1 5 0.5 0 5 0 5 ‡3<br />

1 1 0 0 0 ‡3 5<br />

‡1 ‡1 ‡1 ‡1 ‡4 5<br />

‡1 ‡1 ‡1 ‡4 5<br />

‡1 ‡1 ‡4 5<br />

‡8 ‡8<br />

Note that the numbers of positive and negative pair means (count<strong>in</strong>g zero values as<br />

contribut<strong>in</strong>g 1<br />

2 to each sum) are 17 and 38, respectively, agree<strong>in</strong>g with the values of T‡<br />

and T obta<strong>in</strong>ed earlier. The estimate ^m is the median value of the pair means, namely 1.<br />

For 95% confidence limits, note that the entry <strong>in</strong> Table A6 for n ˆ 10 and P ˆ 0 05 is 8.<br />

The confidence limits are therefore the pair of means whose ranks are 9 and 47 (ˆ 56 9).<br />

From the display above, these values are 4 5 and ‡1 0. For comparison, the t distribution<br />

used for these data <strong>in</strong> Example 4.3 gave limits of 4 55 and ‡1 95, not too dissimilar<br />

from the present values.<br />

10.3 Comparison of two <strong>in</strong>dependent groups<br />

Suppose we have two groups of observations: a random sample of n1 observations,<br />

xi, from population X and a random sample of n2 observations, yj, from<br />

population Y. The null hypothesis to be tested is that the distribution of x<br />

<strong>in</strong> population X is exactly the same as that of y <strong>in</strong> population Y. We should<br />

like the test to be sensitive to situations <strong>in</strong> which the two distributions differ<br />

primarily <strong>in</strong> location, so that x tends to be greater (or less) than y.<br />

The normal-theory test is the two-sample (unpaired) t test described <strong>in</strong> §4.3.<br />

Three distribution-free tests <strong>in</strong> common usage are all essentially equivalent to<br />

each other. They are described briefly here.<br />

The Mann±Whitney U test<br />

10.3 Comparison of two <strong>in</strong>dependent groups 277<br />

The observations are ranked together <strong>in</strong> order of <strong>in</strong>creas<strong>in</strong>g magnitude. There<br />

are n1n2 pairs (xi, yj); of these<br />

UXY is the number of pairs for which xi < yj,<br />

andUYX is the number of pairs for which xi > yj:<br />

Any pairs for which xi ˆ yj, count 1 2 a unit towards both UXY and UYX .<br />

Either of these statistics may be used for a test, with exactly equivalent<br />

results. Us<strong>in</strong>g UYX, for <strong>in</strong>stance, the statistic must lie between 0 and n1n2. On<br />

the null hypothesis its expectation is 1<br />

2 n1n2. High values will suggest a difference

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