1) Missing specifications and hidden assumptions in Medical Statistical hypotheses tests.

In this paper, we analyse the implicit hypotheses used in Medical Statistical  Hypotheses Tests, that are not usually  experimentally tested and we bring them to the surface. We suggest new formulations and specifications for many familiar tests.We speculate on the development of methods that could be classified as non-parametric forecasting, non-parametric regression, and non-parametric disciminant analysis. The next table gives some examples:

 

Name of The test

Used for

Distribution used

Assumptions

not tested,

Additional test required

Vague specifications

 

New formulae or specifications required witch is not the size of the sample for the power or significance level

Z-test, variance known

Comparison of means

Normal

Normal Population

Test for the Normality of Population ,

Test for the equality of variance in the two samples version

"Large sample"

Minimum size of the sample according to the accuracy level of normality

Z-test, Variance unknown

Comparison of means

Normal

Normal Population

Test   for theNormality of Population  

Test for the equality of variance in the two samples version

"Small Sample"

Minimum size of the sample according to the accuracy level of normality

T-tests

Comparison of means

Student

Normal Population

Test  for the Normality of Population  

Test for the equality of variance if it is assumed in the two samples version

"Small Sample"

Minimum size of the sample according to the accuracy level of normality

Yate's corrected X^2 independence test

Comparison of proportions

X^2

Normal Approximation

 

"Sufficient large sample to apply normal approximation"

Minimum size of the sample so as to have no error up to the accuracy level of normality approximation

Signed rank (Wilcoxon) Test

Comparison of medians

Non-parametric

  The two samples come from the same distribution

 Test, that the distribution is symmetric and if it is of two samples, that they  follow the same distribution.

"Sufficient Large sample to make use of the normal approximation in the central limit theorem"

"Small sample",

"Large sample"

Minimum size of the sample according to the accuracy level for the central limit theorem to apply without error

McNeamars Test

Comparison of proportions

X^2

Normal Approximation

 

"Sufficient large sample to apply normal approximation"

 

Minimum size of the sample according to the accuracy level of normality approximation

Woolf's test

Comparison of proportions

X^2

Normal Approximation

 

"Sufficient large sample to apply normal approximation"

Minimum size of the sample according to the accuracy level of normality approximation

Log-rank test

Comparison of proportions

X^2

Normal Approximation

 

"Sufficient large sample to apply normal approximation"

Minimum size of the sample according to the accuracy level of normality approximation

Sign-test

Comparison of proportions

Non-parametric

 

Test for the equality of distributions in the two samples version 

"Sufficient Large sample to make use of the normal approximation in the central limit theorem"

"Small sample",

"Large sample"

Minimum size of the sample according to the accuracy level for the central limit theorem to apply without error

Anova's F-test

Comparison of means

F

Normal Population, equality of variances

Test   for the Normality of the Population.

Test fo the equality of variances in the two samples if it is assumed

 

Minimum size of the sample according to the accuracy level of normality

 

 

 

 

 

 

 

 

Speculations about a preventive treatment for cancer