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Suppose a doctor telephones those patients who are in the highest \(10 \%\) with regard to their recently recorded blood pressure and asks them to return for a clinical review. When she retakes their blood pressures, will those new blood pressures, as a group (that is, on average), tend to be higher than, lower than, or the same as the earlier blood pressures, and why?

Short Answer

Expert verified
On the second check, the blood pressures of this group will tend to be lower than the earlier, not due to improvement in health conditions, but because of the statistical phenomenon known as 'regression toward the mean'.

Step by step solution

01

Understanding the General Concept

The scenario involves a phenomenon known as 'regression to the mean'. This statistical concept describes how, if a variable is extreme on its first measurement, it will tend to be closer to the average on its second measurement. This is not due to any specific cause, but simply a statistic probability. It occurs because of the random variations that naturally happen.
02

Applying the Concept to the Exercise

Since the doctor is only calling back the highest 10% of patients with regard to their blood pressure, their initial readings were relatively extreme. There is no specific medical intervention suggested between the two readings that might lower the patients' blood pressure. Therefore, it can be expected that when these patients return for a clinical review, their new blood pressure readings will, on average, be closer to the mean, or lower, than the previous ones.
03

Explaining the Outcome

This doesn't mean that the patients' health conditions have improved. The statistical phenomenon of regression toward the mean suggests that if you select a group based on extreme measurement, on follow-up measurement they are likely to appear less extreme due to natural variation. It's important to note that regression to the mean does not occur if the readings are not initially extreme or if there is significant consistency between measurements.

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Most popular questions from this chapter

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