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Statistical Methods in Medical Research 4ed

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patternless way. We are putt<strong>in</strong>g forward a model, or conceptual framework, for<br />

the random variation, and propose to make whatever statements we can about<br />

the relevant features of this model, just as we wish to make statements about the<br />

relevant features of a population <strong>in</strong> a strict sampl<strong>in</strong>g situation. Sometimes, of<br />

course, the supposition that the data behave like a simple random sample is<br />

blatantly unrealistic. There may, for <strong>in</strong>stance, be a systematic tendency for the<br />

earliest observations to be greater <strong>in</strong> magnitude than those made later. Such<br />

trends, and other systematic features, can be allowed for by <strong>in</strong>creas<strong>in</strong>g the<br />

complexity of the model. When such modifications have been made, there will<br />

still rema<strong>in</strong> some degree of apparently random variation, the underly<strong>in</strong>g probability<br />

distribution of which is a legitimate object of study.<br />

The estimation of the population mean by the sample mean is an example of<br />

the type of <strong>in</strong>ference known as po<strong>in</strong>t estimation. It is of limited value unless<br />

supplemented by other devices. A s<strong>in</strong>gle value quoted as an estimate of a<br />

population parameter is of little use unless it is accompanied by some <strong>in</strong>dication<br />

of its precision. In the follow<strong>in</strong>g parts of this section we shall describe<br />

various ways of enhanc<strong>in</strong>g the value of po<strong>in</strong>t estimates. However, it will be<br />

useful here to summarize some important attributes that may be required for<br />

an estimator:<br />

1 A statistic is an unbiased estimator of a parameter if, <strong>in</strong> repeated sampl<strong>in</strong>g, its<br />

expectation (i.e. mean value) equals the parameter. This is useful, but not<br />

essential: it may for <strong>in</strong>stance be more convenient to use an estimator whose<br />

median, rather than mean, is the parameter value.<br />

2 An estimator is consistent if it gives the value of the parameter when applied<br />

to the whole population, i.e. <strong>in</strong> very large samples. This is a more important<br />

criterion than 1. It would be very undesirable if, <strong>in</strong> large samples, where the<br />

estimator is expected to be very precise, it po<strong>in</strong>ted mislead<strong>in</strong>gly to the wrong<br />

answer.<br />

3 The estimator should preferably have as little sampl<strong>in</strong>g error as possible. A<br />

consistent estimator which has m<strong>in</strong>imum sampl<strong>in</strong>g error is called efficient.<br />

4 A statistic is sufficient if it captures all the <strong>in</strong>formation that the sample can<br />

provide about a particular parameter. This is an important criterion, but its<br />

implications are somewhat outside the scope of this book.<br />

Likelihood<br />

4.1 <strong>Statistical</strong> <strong>in</strong>ference: tests and estimation 85<br />

In discuss<strong>in</strong>g Bayes' theorem <strong>in</strong> §3.3, we def<strong>in</strong>ed the likelihood of a hypothesis as<br />

the probability of observ<strong>in</strong>g the given data if the hypothesis were true. In other<br />

words, the likelihood function for a parameter expresses the probability (or<br />

probability density) of the data for different values of the parameter. Consider<br />

a simple example. Suppose we make one observation on a random variable, x,<br />

which follows a normal distribution with mean m and variance 1, where m is

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