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First Aid for the USMLE Step 1 (2019)
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Common Statistical Tests

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Common Statistical Tests

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Common Statistical Tests

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6 KEY FACTS
Determine If Comparing Numerical Or Categorical Variables
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One of the first steps in selecting the appropriate statistical analysis method is determining if the variables to be compared are numerical or categorical. For example, if a study were to be done on blood pressure and patients were defined as having either high or low blood pressures, they are being evaluated according to categorical variables. If instead patients were defined by specific blood pressure ranges (systolic BP 100-109, 110-119, 120-129 etc), they would be evaluated according to numerical variables.

NUMERICAL VARIABLES
T-Test For Comparing Means Of Two Groups
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A t-test is ideal for comparing mean values (or averages) between two groups to determine if there is a significant difference between the two groups. One example of this would be to compare the numerical mean systolic blood pressure in men versus women. Importantly, the t-test can only be applied when the test statistic follows a normal bell-curve distribution.

ANOVA For Comparing Means In Greater Than Three Groups
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ANOVA, which is short for analysis of variance, is a statistical model used to analyze the numerical differences among greater than three groups in a study. One application of this would be comparing the mean blood pressure between members of three or more ethnic groups.

Comparing Mean Values On Normal/Bell Distribution
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When selecting a statistical test to compare numerical variables, it is important to remember that these tests are only useful when comparing mean values between groups, in which the numerical outcomes result in a normal bell-curve distribution.

CATEGORICAL VARIABLES
Chi-Squared Test For Comparing Categorical Outcomes In Large Sample Sizes
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The chi-squared test is used to determine if there is a statistically significant difference between frequencies or proportions of outcomes in one or more categories. For example, the chi-squared test would be appropriate to use to compare what percentage of multiple ethnic groups have high blood pressure. It is important to note that although percentage and proportion are numerical values, the variable actually being studied, in this example blood pressure, is defined as high or not high and is therefore categorical.

Fisher's Exact Test For Comparing Categorical Outcomes In Small Sample Sizes
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Fisher's exact test is a statistical test used to analyze differences in percentages of categorical outcomes between groups and is specifically used for small sample sizes, as opposed to the chi-squared test which is used to analyze differences in categorical outcomes between large groups. One example of this would be comparing the percentage of individuals with hypertension in a group of 20 women versus a group of 20 men.

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