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Stephen J. Walters - Medical Statistics: A Textbook for the Health Sciences

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The 5th edition of this popular introduction to statistics for the medical and health sciences has undergone a significant revision, with several new chapters added and examples refreshed throughout the book. Yet it retains its central philosophy to explain medical statistics with as little technical detail as possible, making it accessible to a wide audience.

Helpful multi-choice exercises are included at the end of each chapter, with answers provided at the end of the book. Each analysis technique is carefully explained and the mathematics kept to minimum. Written in a style suitable for statisticians and clinicians alike, this edition features many real and original examples, taken from the authors combined many years experience of designing and analysing clinical trials and teaching statistics.

Students of the health sciences, such as medicine, nursing, dentistry, physiotherapy, occupational therapy, and radiography should find the book useful, with examples relevant to their disciplines. The aim of training courses in medical statistics pertinent to these areas is not to turn the students into medical statisticians but rather to help them interpret the published scientific literature and appreciate how to design studies and analyse data arising from their own projects. However, the reader who is about to design their own study and collect, analyse and report on their own data will benefit from a clearly written book on the subject which provides practical guidance to such issues.

The practical guidance provided by this book will be of use to professionals working in and/or managing clinical trials, in academic, public health, government and industry settings, particularly medical statisticians, clinicians, trial co-ordinators. Its practical approach will appeal to applied statisticians and biomedical researchers, in particular those in the biopharmaceutical industry, medical and public health organisations.

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Table of Contents List of Tables Chapter 2 Chapter 3 Chapter 4 Chapter - photo 1
Table of Contents
List of Tables
  1. Chapter 2
  2. Chapter 3
  3. Chapter 4
  4. Chapter 5
  5. Chapter 6
  6. Chapter 7
  7. Chapter 8
  8. Chapter 9
  9. Chapter 10
  10. Chapter 11
  11. Chapter 12
  12. Chapter 13
  13. Chapter 14
  14. Chapter 15
  15. Chapter 16
  16. Chapter 17
  17. Chapter 18
  18. Chapter 19
  19. Appendix
List of Illustrations
  1. Chapter 1
  2. Chapter 2
  3. Chapter 4
  4. Chapter 5
  5. Chapter 6
  6. Chapter 7
  7. Chapter 9
  8. Chapter 10
  9. Chapter 11
  10. Chapter 12
  11. Chapter 13
  12. Chapter 14
  13. Chapter 15
  14. Chapter 16
  15. Chapter 17
  16. Chapter 18
  17. Chapter 19
Guide
Pages
Medical Statistics
A Textbook for the Health Sciences

Fifth Edition

Stephen J. Walters

Medical Statistics Group
School of Health and Related Research
University of Sheffield
Sheffield, UK

Michael J. Campbell

Medical Statistics Group
School of Health and Related Research
University of Sheffield
Sheffield, UK

David Machin

Medical Statistics Group
School of Health and Related Research
University of Sheffield
Leicester Cancer Research Centre
University of Leicester
Leicester, UK

This edition first published 2021 2021 John Wiley Sons Ltd Edition History - photo 2

This edition first published 2021
2021 John Wiley & Sons Ltd

Edition History
John Wiley & Sons Ltd (4e, 2007)

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from this title is available at http://www.wiley.com/go/permissions.

The right of Stephen J. Walters, Michael J. Campbell, and David Machin to be identified as the authors of this work has been asserted in accordance with law.

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Limit of Liability/Disclaimer of Warranty
The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting scientific method, diagnosis, or treatment by physicians for any particular patient. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. While the publisher and authors have used their best efforts in preparing this work, they make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives, written sales materials or promotional statements for this work. The fact that an organization, website, or product is referred to in this work as a citation and/or potential source of further information does not mean that the publisher and authors endorse the information or services the organization, website, or product may provide or recommendations it may make. This work is sold with the understanding that the publisher is not engaged in rendering professional services. The advice and strategies contained herein may not be suitable for your situation. You should consult with a specialist where appropriate. Further, readers should be aware that websites listed in this work may have changed or disappeared between when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

Library of Congress CataloginginPublication Data

Names: Campbell, Michael J., 1950- author. | Walters, Stephen John, author. | Machin, David, 1939 author.
Title: Medical statistics : a textbook for the health sciences / Stephen J. Walters, Michael J. Campbell, David Machin.
Description: Fifth edition. | Hoboken, NJ : Wiley-Blackwell, 2021. | Michael J. Campbell's name appears first in earlier editions. | Includes bibliographical references and index.
Identifiers: LCCN 2020029691 (print) | LCCN 2020029692 (ebook) | ISBN 9781119423645 (paperback) | ISBN 9781119423669 (adobe pdf) | ISBN 9781119423652 (epub)
Subjects: MESH: Biometrymethods | Research Design | Statistics as Topic
Classification: LCC R853.S7 (print) | LCC R853.S7 (ebook) | NLM WA 950 | DDC 610.72/7dc23
LC record available at https://lccn.loc.gov/2020029691
LC ebook record available at https://lccn.loc.gov/2020029692

Cover Design: Wiley
Cover Images: Doctor taking patients blood pressure in examination room, Hero Images/Getty Images; Cardiogram of heart on paper, Shevchuk Boris/ Getty Images; Crowded Istiklal street in Istanbul, Todor Tsvetkov/Getty Images

Preface

It is more than 13 years since the last edition of Medical Statistics: A Textbook for the Health Sciences was published and it has proven to be popular. This preface outlines the major changes and updates made since that edition was published.

All the chapters have been revised and updated. With simpler statistical methods it is useful to be able to carry out an analysis for oneself, to help fully understand its usefulness and its limitations. However, with the advent of public domain software for the analysis of data, ever more complex statistical methods are available to the researcher. These advanced methods have been incorporated in many elementary medical statistics syllabuses. A student today needs to understand the application and limitations of these methods to be able to fully evaluate articles in many main stream medical journals. To this end we have introduced new chapters on diagnostic tests, linear modelling, logistic modelling and a further one covering briefly more advanced topics such as random effects modelling and Poisson regression. At all times the emphasis is on understanding why such techniques should be used, their limitations, and how the results of such analyses are to be displayed.

Since the last edition, medical statistics has faced a number of challenges. One of the main ones is the problem of replication. A study is published, with a significant Pvalue, but another study addressing the same research question fails to replicate this result. This can often cause consternation amongst among readers of research. We discuss this issue in .

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