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Statistical Methods in Medical Research 4ed

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536 Further Bayesian methods<br />

result<strong>in</strong>g <strong>in</strong> useful treatments be<strong>in</strong>g discarded. Spiegelhalter et al. (1994) also<br />

discuss several other k<strong>in</strong>ds of priors that might be used <strong>in</strong> cl<strong>in</strong>ical trials.<br />

Spiegelhalter et al. (1999) give a more recent perspective on these issues.<br />

Non-<strong>in</strong>formative priors<br />

If it is decided to eschew specific prior knowledge, then a non-<strong>in</strong>formative or<br />

vague prior must be adopted. This is often the approach taken when the desire is<br />

to have an `objective' Bayesian analysis <strong>in</strong> which the prior specification has<br />

m<strong>in</strong>imal effect. Many authors argue that the notion of vague prior knowledge<br />

is unsatisfactory (see, for example, Bernardo & Smith, 1994, §5.4), for, while the<br />

notion of an objective analysis might be superficially attractive, it is <strong>in</strong>herently<br />

flawed. Attempts to reconcile these two views have led to the development of<br />

reference priors, which attempt to be m<strong>in</strong>imally <strong>in</strong>formative <strong>in</strong> some well-def<strong>in</strong>ed<br />

sense; a full discussion of this topic is beyond the scope of this chapter and the<br />

<strong>in</strong>terested reader is referred to §5.4 of Bernardo and Smith (1994) and to<br />

Bernardo and RamoÂn (1998). Despite its shortcom<strong>in</strong>gs, several approaches to<br />

the def<strong>in</strong>ition of vague priors are widely used and the rationale beh<strong>in</strong>d some of<br />

these will be discussed below. An <strong>in</strong>terest<strong>in</strong>g account of the historical background<br />

to this topic can be found <strong>in</strong> §5.6 of Bernardo and Smith (1994).<br />

One of the most practical ways to represent prior ignorance is to choose a<br />

prior distribution that is very diffuse. Typically, a prior distribution def<strong>in</strong>ed <strong>in</strong><br />

terms of parameters, h, is used and the elements of h that determ<strong>in</strong>e the dispersion<br />

of the prior are chosen to be large. If possible, it will usually be convenient<br />

to try to arrange for the prior to be conjugate (see §6.2) to the likelihood of the<br />

data. For example, <strong>in</strong> a study of blood pressure, a normal prior with a standard<br />

deviation of 1000 mmHg will convey virtually no useful <strong>in</strong>formation about the<br />

location of the mean. With this standard deviation, it hardly matters what value<br />

is ascribed to the prior mean.<br />

Crudely speak<strong>in</strong>g, a normal distribution becomes `flatter' as its standard<br />

deviation <strong>in</strong>creases. A natural limit to this is to take the standard deviation to<br />

be <strong>in</strong>f<strong>in</strong>ite. This results <strong>in</strong> a prior that is flat and, as such, can be thought of as<br />

represent<strong>in</strong>g an extreme version of prior ignorance, all values be<strong>in</strong>g equally<br />

likely. Such a limit cannot be taken too literally, as the constant value achieved<br />

is zero. Nevertheless, if the posterior is taken to be proportional to the likelihood,<br />

i.e. p…ujx† ˆCp…xju†, then the prior has effectively been taken to be a<br />

constant. Of course, a prior that is constant over the whole real l<strong>in</strong>e is not a<br />

genu<strong>in</strong>e probability distribution, because it does not <strong>in</strong>tegrate to 1, and is known<br />

as an improper prior. Whether or not the posterior is improper depends on<br />

whether or not the <strong>in</strong>tegral of the likelihood with respect to u is f<strong>in</strong>ite; <strong>in</strong> many<br />

cases it is, so a proper posterior can emerge from an improper prior and this<br />

approach is widely used. However, the analyst must be vigilant because, if an

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