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Clinical Trial of Lipitor Lipitor is the trade name of the drug atorvastatin, which is used to reduce cholesterol in patients. (Until its patent expired in 2011, this was the largest-selling drug in the world, with annual sales of $13 billion.) Adverse reactions have been studied in clinical trials, and the table below summarizes results for infections in patients from different treatment groups (based on data from Parke-Davis). Use a 0.01 significance level to test the claim that getting an infection is independent of the treatment. Does the atorvastatin (Lipitor) treatment appear to have an effect on infections?


Placebo

Atorvastatin 10 mg

Atorvastatin 40 mg

Atorvastatin 80 mg

Infection

27

89

8

7

No Infection

243

774

71

87

Short Answer

Expert verified

There is not enough evidence to conclude thatgetting an infection is not independent of the treatment.

No, atorvastatin treatment does not have an effect on infection because getting infected does not depend on the type of treatment administered.

Step by step solution

01

Given information

A contingency table is constructed that shows that the number of patients that get/not get an infection when different treatments to reduce cholesterol are administered to them.

02

Hypotheses

The null hypothesis is as follows:

Getting an infection is independent of the treatment.

The alternative hypothesis is as follows:

Getting an infection is not independent of the treatment.

It is considered a right-tailed test.

If the test statistic value is greater than the critical value, then the null hypothesis is rejected, otherwise not.

03

Observed and expected frequencies

Observed Frequency:

The frequencies provided in the table are the observed frequencies. They are denoted by\(O\).

The following contingency table shows the observed frequency for each cell:


Placebo

Atorvastatin 10 mg

Atorvastatin 40 mg

Atorvastatin 80 mg

Infection

\({O_1}\)=27

\({O_2}\)=89

\({O_3}\)=8

\({O_4}\)=7

No Infection

\({O_5}\)=243

\({O_6}\)=774

\({O_7}\)=71

\({O_8}\)=87

Expected Frequency:

The formula for computing the expected frequency for each cell is shown below:

\(E = \frac{{\left( {row\;total} \right)\left( {column\;total} \right)}}{{\left( {grand\;total} \right)}}\)

The row total for the first row is computed below:

\(\begin{aligned}{c}Row\;Tota{l_1} = 27 + 89 + 8 + 7\\ = 131\end{aligned}\)

The row total for the second row is computed below:

\(\begin{aligned}{c}Row\;Tota{l_2} = 243 + 774 + 71 + 87\\ = 1175\end{aligned}\)

The column total for the first column is computed below:

\(\begin{aligned}{c}Column\;Tota{l_1} = 27 + 243\\ = 270\end{aligned}\)

The column total for the second column is computed below:

\(\begin{aligned}{c}Column\;Tota{l_2} = 89 + 774\\ = 863\end{aligned}\)

The column total for the third column is computed below:

\(\begin{aligned}{c}Column\;Tota{l_3} = 8 + 71\\ = 79\end{aligned}\)

The column total for the fourth column is computed below:

\(\begin{aligned}{c}Column\;Tota{l_4} = 7 + 87\\ = 94\end{aligned}\)

The grand total can be computed as follows:

\(\begin{aligned}{c}Grand\;Total = \left( {131 + 1175} \right)\\ = \left( {270 + 863 + 79 + 94} \right)\\ = 1306\end{aligned}\)

Thus, the following table shows the expected frequencies for each of the corresponding observed frequencies:


Placebo

Atorvastatin

10 mg

Atorvastatin

40 mg

Atorvastatin

80 mg

Infection

\[\begin{aligned}{c}{E_1} = \frac{{\left( {131} \right)\left( {270} \right)}}{{1306}}\\ = 27.083\end{aligned}\]

\[\begin{aligned}{c}{E_2} = \frac{{\left( {131} \right)\left( {863} \right)}}{{1306}}\\ = 86.564\end{aligned}\]

\[\begin{aligned}{c}{E_3} = \frac{{\left( {131} \right)\left( {79} \right)}}{{1306}}\\ = 7.924\end{aligned}\]

\[\begin{aligned}{c}{E_4} = \frac{{\left( {131} \right)\left( {94} \right)}}{{1306}}\\ = 9.429\end{aligned}\]

No Infection

\[\begin{aligned}{c}{E_5} = \frac{{\left( {1175} \right)\left( {270} \right)}}{{1306}}\\ = 242.917\end{aligned}\]

\[\begin{aligned}{c}{E_6} = \frac{{\left( {1175} \right)\left( {863} \right)}}{{1306}}\\ = 776.436\end{aligned}\]

\[\begin{aligned}{c}{E_7} = \frac{{\left( {1175} \right)\left( {79} \right)}}{{1306}}\\ = 71.076\end{aligned}\]

\[\begin{aligned}{c}{E_8} = \frac{{\left( {1175} \right)\left( {94} \right)}}{{1306}}\\ = 84.571\end{aligned}\]

04

Test Statistic

The test statistic is computed as shown below:

\[\begin{aligned}{c}{\chi ^2} = \sum {\frac{{{{\left( {O - E} \right)}^2}}}{E}\;\;\; \sim } {\chi ^2}_{\left( {r - 1} \right)\left( {c - 1} \right)}\\ = \frac{{{{\left( {27 - 27.083} \right)}^2}}}{{27.083}} + \frac{{{{\left( {89 - 86.564} \right)}^2}}}{{86.564}} + ..... + \frac{{{{\left( {87 - 84.571} \right)}^2}}}{{84.571}}\\ = 0.773\end{aligned}\]

Thus, \({\chi ^2} = 0.773\).

05

Obtain the critical value, p-value and determine the conclusion of the test

Let r denote the number of rows in the contingency table.

Let c denote the number of columns in the contingency table.

The degrees of freedom are computed below:

\(\begin{aligned}{c}df = \left( {r - 1} \right)\left( {c - 1} \right)\\ = \left( {2 - 1} \right)\left( {4 - 1} \right)\\ = 3\end{aligned}\)

The critical value of\({\chi ^2}\)for 3 degrees of freedom at 0.01 level of significance for a right-tailed test is equal to 11.3449.

The corresponding p-value is approximately equal to 0.855914.

Since the value of the test statistic is less than the critical value and the p-value is greater than 0.05, the null hypothesis is failed to reject.

There is not enough evidence to warrant rejection of the claim thatgetting an infection is independent of the treatment.

No, atorvastatin treatment does not have an effect on infection because getting infected does not depend on the type of treatment administered.

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Most popular questions from this chapter

Benford鈥檚 Law. According to Benford鈥檚 law, a variety of different data sets include numbers with leading (first) digits that follow the distribution shown in the table below. In Exercises 21鈥24, test for goodness-of-fit with the distribution described by Benford鈥檚 law.

Leading Digits

Benford's Law: Distributuon of leading digits

1

30.10%

2

17.60%

3

12.50%

4

9.70%

5

7.90%

6

6.70%

7

5.80%

8

5.10%

9

4.60%

Author鈥檚 Check Amounts Exercise 21 lists the observed frequencies of leading digits from amounts on checks from seven suspect companies. Here are the observed frequencies of the leading digits from the amounts on the most recent checks written by the author at the time this exercise was created: 83, 58, 27, 21, 21, 21, 6, 4, 9. (Those observed frequencies correspond to the leading digits of 1, 2, 3, 4, 5, 6, 7, 8, and 9, respectively.) Using a 0.01 significance level, test the claim that these leading digits are from a population of leading digits that conform to Benford鈥檚 law. Does the conclusion change if the significance level is 0.05?

In Exercises 5鈥20, conduct the hypothesis test and provide the test statistic and the P-value and, or critical value, and state the conclusion.

Police Calls Repeat Exercise 11 using these observed frequencies for police calls received during the month of March: Monday (208); Tuesday (224); Wednesday (246); Thursday (173); Friday (210); Saturday (236); Sunday (154). What is a fundamental error with this analysis?

Probability Refer to the results from the 150 subjects in Cumulative Review Exercise 5.

a.Find the probability that if 1 of the 150 subjects is randomly selected, the result is a woman who spent the money.

b.Find the probability that if 1 of the 150 subjects is randomly selected, the result is a woman who spent the money or was given a single 100-yuan bill.

c.If two different women are randomly selected, find the probability that they both spent the money.

Exercises 1鈥5 refer to the sample data in the following table, which summarizes the last digits of the heights (cm) of 300 randomly selected subjects (from Data Set 1 鈥淏ody Data鈥 in Appendix B). Assume that we want to use a 0.05 significance level to test the claim that the data are from a population having the property that the last digits are all equally likely.

Last Digit

0

1

2

3

4

5

6

7

8

9

Frequency

30

35

24

25

35

36

37

27

27

24

If using a 0.05 significance level to test the stated claim, find the number of degrees of freedom.

Mendelian Genetics Experiments are conducted with hybrids of two types of peas. If the offspring follow Mendel鈥檚 theory of inheritance, the seeds that are produced are yellow smooth, green smooth, yellow wrinkled, and green wrinkled, and they should occur in the ratio of 9:3:3:1, respectively. An experiment is designed to test Mendel鈥檚 theory, with the result that the offspring seeds consist of 307 that are yellow smooth, 77 that are green smooth, 98 that are yellow wrinkled, and 18 that are green wrinkled. Use a 0.05 significance level to test the claim that the results contradict Mendel鈥檚 theory.

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