Week 10 Practice Problems

Author
Affiliation

Alex Kaizer

University of Colorado-Anschutz Medical Campus

This page includes optional practice problems, many of which are structured to assist you on the homework with Solutions provided on a separate page. Data sets, if needed, are provided on the BIOS 6618 Canvas page for students registered for the course.

This week’s extra practice exercises focus on ANOVA and categorical variables.

Dataset Background

The following code can load the Licorice_Gargle.csv file into R:

Code
dat <- read.csv('../../.data/Licorice_Gargle.csv')

The dataset represents a randomized control trial of 236 adult patients undergoing elective thoracic surgery requiring a double-lumen endotracheal tube comparing if licorice vs. sugar-water gargle prevents postoperative sore throat. For our exercises below we will focus on the following variables:

  • preOp_age: age (in years)
  • preOp_asa: ASA status (1=normal healthy patient, 2=patient with mild systemic disease, 3=patient with severe systemic disease)
  • intraOp_surgerySize: surgery size (1=small, 2=medium, 3=large)

For this dataset, our summary of the mean age and SD by group is:

Code
library(kableExtra)
library(doBy)

mean_sd <- function(x){ paste0(round(mean(x),1), ' (',round(sd(x),1),')') } # function to return mean (SD) for "x"

t1 <- summaryBy( preOp_age ~ preOp_asa, data=dat, FUN=mean_sd)
t2 <- summaryBy( preOp_age ~ intraOp_surgerySize, data=dat, FUN=mean_sd)

mean_tab <- rbind(ASA = t1[,2], Size= t2[,2])

kbl(mean_tab, col.names=c('1','2','3'), align='ccc', escape=F) %>%
      kable_styling(bootstrap_options = "striped", full_width = F, position = "left")
1 2 3
ASA 42.2 (15) 60.5 (13.9) 60.8 (12.9)
Size 53.9 (19.4) 58.1 (14.3) 61 (10.2)

Exercise 1: One-Way ANOVA

For this exercise, we will compare age as our outcome against surgery size with a one-way ANOVA.

1a: Testing Homogeneity of the Variances Assumption

Use both Levene’s test and Bartlett’s test to evaluate if the variances are homogeneous (i.e., equal) across our three surgery size groups. Write the null and alternative hypothesis being tested.

1b: One-Way ANOVA with Equal Variances

Assume that the variances are equal across groups and test the hypothesis that the mean age between groups is equal across the three surgery size groups. State the null and alternative hypothesis being tested.

1c: One-Way ANOVA with Unequal Variances

Assume that the variances are unequal across groups and test the hypothesis that the mean age between groups is equal across the three surgery size groups. State the null and alternative hypothesis being tested.

1d: Nonparametric Kruskal-Wallis ANOVA

Assume that we think our normality assumption for one-way ANOVA is violated. Implement the nonparametric Kruskal-Wallis test and interpret our result. State the null and alternative hypothesis being tested.

1e: Post-Hoc Testing

Regardless of our earlier results in 1b, compare the means of each pair of groups with the Tukey HSD method and summarize the results. Was post-hoc testing necessary in this case?

Exercise 2: Categorical Variables

For this exercise, we will use age our continuous outcome and consider both ASA status and surgery size as predictors.

2a: Reference Cell Model

The reference cell model is our more common approach to regression modeling in many biostatistics applications. Write down the true regression equation and any assumptions for a model where ASA status 1 and surgery size small are the reference categories.

2b: Partial \(F\)-test for ASA Status

Evaluate if ASA status contributes significantly to the model from 2a. Write the null and alternative hypotheses, test the null hypothesis, and state your conclusion.

2c: Partial \(F\)-test for Surgery Size

Evaluate if surgery size contributes significantly to the model from 2a. Write the null and alternative hypotheses, test the null hypothesis, and state your conclusion.

2d: Overall \(F\)-test

Evaluate if ASA status and surgery size contribute significantly to the prediction of \(Y\). Write the null and alternative hypotheses, test the null hypothesis, and state your conclusion.

2e: ASA Status III Significance

Evaluate the significance of an ASA status of III and provide an interpretation for the beta coefficient.

2f: ASA Status III Removal

Regardless of your conclusion in 2e, if \(p>0.05\) and we failed to reject the null hypothesis that our beta coefficient was equal to 0, should we consider removing just ASA III from our regression model and refitting (i.e., still have ASA II in the model)?