Question
In a study of children with osteosarcoma (a type of bone cancer), the patients' tumors were checked for the presence of the HER2 receptor, and
- In a study of children with osteosarcoma (a type of bone cancer), the patients' tumors were checked for the presence of the HER2 receptor, and those that had HER2+ tumors had the drug trastuzumab added to their chemotherapy regimens. There were concerns that this extra drug might make the therapy less tolerable and therefore fewer patients would successfully complete protocol therapy. The data from the trial are below.
Completed protocol therapy Yes No Total HER2 status Positive 27 12 39 Negative 22 29 51 Total 49 41 90
Completed protocol therapy | ||||
Yes | No | Total | ||
HER2 status | Positive | 27 | 12 | 39 |
Negative | 22 | 29 | 51 | |
Total | 49 | 41 | 90 |
a)Write your hypotheses, perform an appropriate statistical test, and write your conclusion.
b)What is the observed odds ratio?
c) Take this result as a pilot study and calculate the sample size needed to have a 90% chance of detecting a similar difference at a two-sided = 0.05, assuming you can enroll equal numbers of children with HER2 positive and negative tumors.
2. A group of 180 students were interviewed to see how many follow a prudent diet. They were then given a 90-day series of in-depth lectures, including clinical evaluations on nutrition and its association with heart disease and cancer. One year later, the students were re-interviewed and assessed for the type of diet they followed, yielding the following data:
Diet at follow-up prudent | ||||
Yes | No | Total | ||
Initial diet prudent | Yes | 21 | 17 | 38 |
No | 37 | 105 | 142 | |
Total | 58 | 122 | 180 |
a) Explain why McNemar's test is appropriate here.
b) Define the population parameters of interest and state the null and alternative hypotheses in terms of these parameters.
c) Perform the test and write out your conclusion.
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