Regression toward the mean – a detection method for unknown population mean based on Mee and Chua's algorithm

<p>Abstract</p> <p>Background</p> <p>Regression to the mean (RTM) occurs in situations of repeated measurements when extreme values are followed by measurements in the same subjects that are closer to the mean of the basic population. In uncontrolled studies such change...

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Main Authors: Lüdtke Rainer, Willich Stefan N, Ostermann Thomas
Format: Article
Language:English
Published: BMC 2008-08-01
Series:BMC Medical Research Methodology
Online Access:http://www.biomedcentral.com/1471-2288/8/52
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author Lüdtke Rainer
Willich Stefan N
Ostermann Thomas
author_facet Lüdtke Rainer
Willich Stefan N
Ostermann Thomas
author_sort Lüdtke Rainer
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Regression to the mean (RTM) occurs in situations of repeated measurements when extreme values are followed by measurements in the same subjects that are closer to the mean of the basic population. In uncontrolled studies such changes are likely to be interpreted as a real treatment effect.</p> <p>Methods</p> <p>Several statistical approaches have been developed to analyse such situations, including the algorithm of Mee and Chua which assumes a known population mean <it>μ</it>. We extend this approach to a situation where <it>μ </it>is unknown and suggest to vary it systematically over a range of reasonable values. Using differential calculus we provide formulas to estimate the range of <it>μ </it>where treatment effects are likely to occur when RTM is present.</p> <p>Results</p> <p>We successfully applied our method to three real world examples denoting situations when (a) no treatment effect can be confirmed regardless which <it>μ </it>is true, (b) when a treatment effect must be assumed independent from the true <it>μ </it>and (c) in the appraisal of results of uncontrolled studies.</p> <p>Conclusion</p> <p>Our method can be used to separate the wheat from the chaff in situations, when one has to interpret the results of uncontrolled studies. In meta-analysis, health-technology reports or systematic reviews this approach may be helpful to clarify the evidence given from uncontrolled observational studies.</p>
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spelling doaj.art-e0b3bcdc3e674bf1acbfcf44102c68e62022-12-21T21:05:04ZengBMCBMC Medical Research Methodology1471-22882008-08-01815210.1186/1471-2288-8-52Regression toward the mean – a detection method for unknown population mean based on Mee and Chua's algorithmLüdtke RainerWillich Stefan NOstermann Thomas<p>Abstract</p> <p>Background</p> <p>Regression to the mean (RTM) occurs in situations of repeated measurements when extreme values are followed by measurements in the same subjects that are closer to the mean of the basic population. In uncontrolled studies such changes are likely to be interpreted as a real treatment effect.</p> <p>Methods</p> <p>Several statistical approaches have been developed to analyse such situations, including the algorithm of Mee and Chua which assumes a known population mean <it>μ</it>. We extend this approach to a situation where <it>μ </it>is unknown and suggest to vary it systematically over a range of reasonable values. Using differential calculus we provide formulas to estimate the range of <it>μ </it>where treatment effects are likely to occur when RTM is present.</p> <p>Results</p> <p>We successfully applied our method to three real world examples denoting situations when (a) no treatment effect can be confirmed regardless which <it>μ </it>is true, (b) when a treatment effect must be assumed independent from the true <it>μ </it>and (c) in the appraisal of results of uncontrolled studies.</p> <p>Conclusion</p> <p>Our method can be used to separate the wheat from the chaff in situations, when one has to interpret the results of uncontrolled studies. In meta-analysis, health-technology reports or systematic reviews this approach may be helpful to clarify the evidence given from uncontrolled observational studies.</p>http://www.biomedcentral.com/1471-2288/8/52
spellingShingle Lüdtke Rainer
Willich Stefan N
Ostermann Thomas
Regression toward the mean – a detection method for unknown population mean based on Mee and Chua's algorithm
BMC Medical Research Methodology
title Regression toward the mean – a detection method for unknown population mean based on Mee and Chua's algorithm
title_full Regression toward the mean – a detection method for unknown population mean based on Mee and Chua's algorithm
title_fullStr Regression toward the mean – a detection method for unknown population mean based on Mee and Chua's algorithm
title_full_unstemmed Regression toward the mean – a detection method for unknown population mean based on Mee and Chua's algorithm
title_short Regression toward the mean – a detection method for unknown population mean based on Mee and Chua's algorithm
title_sort regression toward the mean a detection method for unknown population mean based on mee and chua s algorithm
url http://www.biomedcentral.com/1471-2288/8/52
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AT ostermannthomas regressiontowardthemeanadetectionmethodforunknownpopulationmeanbasedonmeeandchuasalgorithm