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Dictionary of Evidence-based Medicine.pdf

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104 <strong>Dictionary</strong> <strong>of</strong> <strong>Evidence</strong>-<strong>based</strong> <strong>Medicine</strong><br />

ABSTINENCE<br />

BrThorSoc(1983)<br />

BrThorSoc(1983)<br />

Russell (1983)<br />

Russell (1983)<br />

Fagerstrom (1984)<br />

Hjalmarson (1984)<br />

Killen (1984)<br />

Clavel (1985)<br />

Hall (1985)<br />

Campbell (1987)<br />

Campbell (1987)<br />

Sutton (1987)<br />

Harackiewicz (1988)<br />

Llvina (1988)<br />

Sutton (1988)<br />

Tonnesen(1988b)<br />

Blondal (1989)<br />

Gilbert (1989)<br />

Hughes (1989)<br />

Campbell (1991)<br />

Segnan(1991)<br />

Pirie (1992)<br />

Pirie (1992)<br />

Zeiman (1992)<br />

Herrera(1995)<br />

TOTAL<br />

POINT<br />

PREVALENCE<br />

Fee (1982)<br />

Jarvis (1982)<br />

Schneider (1983)<br />

Jarvik(1984)<br />

Hall (1987)<br />

Tonnesen (1988a)<br />

Killen (1990)<br />

Killen (1990)<br />

Richmond (1990)<br />

McGovern (1992)<br />

Nebot(1992)<br />

Niaura(1994)<br />

Fortmann (1995)<br />

TOTAL<br />

Figure 17 Meta-analysis: Comparison <strong>of</strong> conventional meta-analysis (left) and cumulative<br />

meta-analysis (right) <strong>of</strong> nicotine chewing gum in smoking cessation at 12 months. Odds<br />

ratios and associated 95% confidence intervals are shown<br />

Model assessment<br />

Model assessment refers to the validation <strong>of</strong> a mathematical model, in<br />

which the focus is on how well the model predicts the observations rather<br />

than how well it fits the data. In such an assessment, it is usual to replicate<br />

design points to estimate pure error and then estimate lack <strong>of</strong> fit by adding<br />

additional design points within the domain <strong>of</strong> the predictor (X) variables.<br />

Consider a simple straight line model <strong>of</strong> the form Y = a X + b where Y is<br />

the response variable and a and b are the intercept and slope respectively.<br />

In estimating the coefficients <strong>of</strong> the model, Y values will be obtained for<br />

various X values. Replicates (repeat observations <strong>of</strong> Y at the same X value)<br />

are obtained to estimate the pure error. Y values corresponding to new X<br />

values, within the domain <strong>of</strong> the original X values, are obtained to test for<br />

lack <strong>of</strong> fit.

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