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A New Rule of Thumb for 2×2 Tables with Low Expected Counts Bruce Weaver Northern Health Research Conference June 4-5, 2010 NHRC 2010 1 Speaker Acceptance & Disclosure I have no affiliations, sponsorships, honoraria, monetary support or conflict of interest from any commercial source. However…it is only fair to caution you that this talk has not undergone ethical review of any sort. Therefore, you listen at your own peril. NHRC 2010 2 A Very Common Problem “One of the commonest problems in statistics is the analysis of a 2×2 contingency table.” Ian Campbell (Statist. Med. 2007; 26:3661–3675) NHRC 2010 3 What’s a contingency table? See the example on the next slide. NHRC 2010 4 Example: A 2×2 Contingency Table What the heck is malocclusion? Counts in the cells NHRC 2010 5 Normal Occlusion vs. Malocclusion Class I Occlusion. Normal occlusion. The upper teeth bite slightly ahead of the lowers. NHRC 2010 Class II Malocclusion. Upper teeth bite greatly ahead of the lower teeth—i.e., overbite. Class III Malocclusion. Upper front teeth bite behind the lower teeth—i.e., under-bite. 6 What statistical test can I use to analyze the data in my contingency table? It depends. NHRC 2010 7 The Most Commonly Used Test The most common statistical test for contingency tables is Pearson’s chisquared test of association. Karl Pearson Greek letter chi Observed count (O E ) E 2 2 NHRC 2010 Sum Expected count 8 A Shortcut for 2×2 Tables Only a c r b d s m n N N (ad bc) mnrs 2 2 NHRC 2010 9 But you can’t always use Pearson’s 2 It is well known (to those who know it well)* that Pearson’s chi-square is an approximate test The sampling distribution of the test statistic (under a true null hypothesis) is approximated by a chi-square distribution with df = (r-1)(c-1) A typical chisquare distribution The approximation becomes poor when the expected counts (assuming H0 is true) are too low * Robert Rankin, author of The Hollow Chocolate Bunnies of the Apocalypse. NHRC 2010 10 How low is too low for expected counts? It depends. Again, it depends! This guy is starting to get on my nerves. NHRC 2010 11 A Rule of Thumb for 2×2 Tables A common rule of thumb for when it’s OK to analyze a 2×2 table with Pearson’s chi-squared test of association says: 1) All expected counts should be 5 or greater 2) If any expected counts are < 5, another test should be used The most frequently recommended alternative test under point 2 above is Fisher’s exact test (aka the Fisher-Irwin test) NHRC 2010 12 Some History The standard rule of thumb for 2×2 tables dates back to Cochran (1952, 1954), or even earlier But, the minimum expected count of 5 appears to have been an arbitrary choice (probably by Fisher) Cochran (1952) suggested that it may need to be modified when new evidence became available. Computations by Ian Campbell (2007) have provided some new & relevant evidence. NHRC 2010 13 The Role of Research Design Three distinct research designs can give rise to 2×2 tables Barnard (1947) classified them as follows: G.A. Barnard Model I: Both row & column totals fixed in advance Model II: Row totals fixed, column totals free to vary Model III: Both row & column totals free to vary NHRC 2010 14 Campbell on Model I “Here, there is no dispute that the Fisher–Irwin test … should be used.” Ian Campbell “This last research design is rarely used and will not be discussed in detail.” (Statist. Med. 2007; 26:3661–3675, emphasis added) NHRC 2010 15 Review of Models II and III Model II Sometimes called the 2×2 comparative trial Row totals fixed, column totals free to vary E.g., researcher fixes group sizes for Treatment & Control groups, or for Males & Females Model III Also called a cross-sectional study Both row & column totals are free to vary Only the total N is fixed NHRC 2010 16 So what did Campbell do? “Computer-intensive techniques were used … to compare seven two-sided tests of two-by-two tables in terms of their Type I errors.” Ian Campbell (Statist. Med. 2007; 26:3661–3675 NHRC 2010 17 Let’s try that again… Null hypothesis was always true – i.e., there was no association between the row & column variables Therefore, statistically significant results were Type I errors For values of N ranging from 4-80, Campbell computed the maximum probability of Type I error (with alpha set to .05) He also examined all possible values of π The proportion of subjects (in the population) having the binary characteristic(s) of interest—e.g., the proportion of males, or the proportion of smokers, etc NHRC 2010 18 The statistical tests of interest Campbell examined 7 different statistical tests I will focus on only 2 of those tests today: Pearson’s chi-square The ‘N-1’ chi-square NHRC 2010 19 Yoo-hoo! What’s the ‘N-1’ chi-square? NHRC 2010 20 The ‘N-1’ chi-square Pearson’s chi-square (shortcut for 2×2 tables only) N (ad bc) mnrs 2 a c r 2 b d s m n N The ‘N-1’ chi-square (for 2×2 tables only) ( N 1)(ad bc) mnrs 2 2 NHRC 2010 21 Whence the ‘N-1’ chi-square? First derived by E.S. Pearson (1947) Egon Sharpe Pearson, son of Karl Derived again by Kendall & Stuart (1967) Richardson (1994) asserted that it is “the appropriate chi-square statistic to use in analysing all 2×2 contingency tables” (p. 116, emphasis added) Campbell summarizes the theoretical argument for preferring the N-1 chi-square on his website: www.iancampbell.co.uk/twobytwo/n-1_theory.htm NHRC 2010 22 Campbell’s Procedure Campbell computed the maximum Type I error probability for: N ranging from 4 to 80 Over all values of π For minimum expected count = 0, 1, 3, and 5 He did all of that using both: Pearson’s chi-squared test of association The N-1 chi-squared test Compared the actual Type I error rate to the nominal alpha All of the above done for Models II and III separately NHRC 2010 23 An Ideal Test For an ideal test, the actual proportion of Type I errors is equal to the nominal alpha level E.g., if you set alpha at .05, Type I errors occur 5% of the time (when the null hypothesis is true) NHRC 2010 24 A Conservative Test A test is if the actual Type I error rate is lower than the nominal alpha Conservative tests have low power – they don’t reject H0 as often as they should (i.e., too many Type II errors) NHRC 2010 25 A Liberal Test A test is if the actual Type I error rate is higher than the nominal alpha Liberal tests reject H0 too easily, or too frequently (i.e., too many Type I errors) NHRC 2010 26 Cochran’s Criterion for Acceptable Test Performance With discrete data (like counts) and small sample sizes, the actual Type I error rate is generally not exactly equal to the nominal alpha Cochran (1942) suggested allowing a 20% error in the actual Type I error rate—e.g., for nominal alpha = .05, an actual Type I error rate between .04 and .06 is acceptable Cochran’s criterion is admittedly arbitrary, but other authors have generally followed it (or a similar criterion) – and Campbell (2007) uses it. NHRC 2010 27 Figure 2A: Pearson chi-square (Model II) with minimum E = 0, 1, 3, and 5 Minimum value of E Maximum over all values of π .05 ± 20% (from Cochran) For Model II, Pearson’s chi-squared test meets Cochran’s criterion only if the minimum E ≥ 5 (the blue line). NHRC 2010 28 Figure 2B: N-1 chi-square (Model II) with minimum E = 0, 1, 3, and 5 Minimum value of E For Model II, the N-1 chi-squared test meets Cochran’s criterion quite well for expected counts as low as 1. NHRC 2010 29 Figure 4A: Pearson chi-square (Model III) with minimum E = 0, 1, 3, and 5 Minimum value of E For Model III, Pearson’s chisquared test meets Cochran’s criterion fairly well for E as low as 3. NHRC 2010 30 Figure 4B: N-1 chi-square (Model III) with minimum E = 0, 1, 3, and 5 Minimum value of E For Model III, the N-1 chi-squared test meets Cochran’s criterion very well for expected counts as low as 1. NHRC 2010 31 Campbell’s New Rule of Thumb for 2×2 Tables For Model I – row & column totals both fixed Use the two-sided Fisher Exact Test (as computed by SPSS) Aka the Fisher-Irwin Test “by Irwin’s rule” For Models II and III – comparative trials & cross-sectional If all E ≥ 1, use the ‘N − 1’ chi-squared test Otherwise, use the Fisher–Irwin Test by Irwin’s rule NHRC 2010 32 Increased Power Campbell’s new rule of thumb “extends the use of the chisquared test to smaller samples … with a resultant increase in the power to detect real differences.” (Campbell, 2007, p. 3674, emphasis added) And as everyone knows, the more power, the better! Tim “the Stats-Man” Taylor & Al NHRC 2010 33 Campbell’s Online Calculator http://www.iancampbell.co.uk/twobytwo/calculator.htm NHRC 2010 34 Computing the N-1 chi-square with SPSS I have written 2 SPSS syntax files to compute the N-1 chisquare Ian Campbell provides a link to them beside his online calculator A link to my two SPSS syntax files NHRC 2010 35 Questions? Yeah, I have a question. Did you have to include that picture? Severe Malocclusion NHRC 2010 36 References Barnard GA. Significance tests for 2×2 tables. Biometrika 1947; 34:123–138. Campbell I. Chi-squared and Fisher–Irwin tests of two-by-two tables with small sample recommendations. Statist. Med. 2007; 26:3661–3675. [See also: http://www.iancampbell.co.uk/twobytwo/twobytwo.htm] Cochran WG. The χ2 test of goodness of fit. Annals of Mathematical Statistics 1952; 25:315– 345. Cochran WG. Some methods for strengthening the common χ2 tests. Biometrics 1954; 10:417– 451. Kempthorne O. In dispraise of the exact test: reactions. Journal of Statistical Planning and Inference 1979;3:199–213. Kendall MG, Stuart A. The advanced theory of statistics, Vol. 2, 2nd Ed. London: Griffin, 1967. Pearson ES. The choice of statistical tests illustrated on the interpretation of data classed in a 2×2 table. Biometrika 1947; 34:139–167. Rankin R. The Hollow Chocolate Bunnies of the Apocalypse. Gollancz (August 1, 2003). Richardson JTE. The analysis of 2x1 and 2x2 contingency tables: A historical review. Statistical Methods in Medical Research 1994; 3:107-133. NHRC 2010 37 The Cutting Room Floor NHRC 2010 38 Etymology of rule of thumb Some have claimed that the expression rule of thumb derives an old legal ruling in England that allowed men to beat their wives with a stick, provided it was no thicker than their thumb However, there is no solid evidence to support that claim http://www.phrases.org.uk/meanings/rule-of-thumb.html http://www.canlaw.com/rights/thumbrul.htm http://womenshistory.about.com/od/mythsofwomenshistory/a/rule_of_thumb.htm http://www.straightdope.com/columns/read/2550/does-rule-of-thumb-refer-to-an-old-lawpermitting-wife-beating NHRC 2010 39 An Important Topic "The importance of the topic cannot be stressed too heavily." "2×2 contingency tables are the most elemental structures leading to ideas of association.... The comparison of two binomial parameters runs through all sciences." Dr. Oscar Kempthorne (J Stat Planning and Inf 1979;3:199–213, emphasis added) NHRC 2010 40 Oscar Kempthorne (1919-2000) Farm boy from Cornwall who became a Cambridge-trained statistician In 1941, he joined Rothamsted Experiment Station, where he met Ronald Fisher and Frank Yates Strongly influenced by Fisher—e.g., areas of interest were experimental design, genetic statistics, and statistical inference NHRC 2010 Kempthorne & Fisher 41 J.O. Irwin (1898-1982) “J. O. Irwin was a soft spoken kind soul who took a tremendous interest in his students and their achievements.... He was a lovable absent-minded kind of professor who smoked more matches than he did tobacco in his ever-present pipe while he was deeply involved in thinking about other important matters.” Major Greenwood “His old boss Pearson and his new boss R. A. Fisher were bitter enemies but Irwin's conciliatory nature allowed him to remain on good terms with both men.” From http://en.wikipedia.org/wiki/Joseph_Oscar_Irwin NHRC 2010 42 A Variation on the Rule A variation on that rule of thumb says that: 1) All expected counts should be 10 or greater. 2) If any expected counts are less than 10, but greater than or equal to 5, Yates' Correction for continuity should be applied. (However, the use of Yates' correction is controversial, and is not recommended by all authors). 3) If any expected counts are less than 5, then some other test should be used. Again, the most frequently recommended alternative test under point 3 has been Fisher’s exact test. NHRC 2010 43 Figure 1: Maximum Type I error probability for comparative trials (Model II) Maximum over all values of π Cochran’s range: ± 20% of .05 Far too liberal if we impose no restrictions on minimum value of E Arguably too conservative for smaller values of N NHRC 2010 44 Figure 3: Maximum Type I error probability for cross-sectional studies (Model III) Too liberal if we impose no restrictions on minimum value of E Again, the FET is too conservative NHRC 2010 45 Pearson’s chi-square (O E ) E 2 2 General formula for contingency tables of any size O = observed count E = expected count (assuming a true null hypothesis) Σ = Greek letter sigma & means to sum across all cells NHRC 2010 46 I don’t remember what expected counts are—can you explain that? Of course. See the next slide. NHRC 2010 47 Example: A 5×2 Table E = row total × column total / grand total NHRC 2010 48 How low is too low for expected counts? It depends. If I had a dollar for every time I heard a statistician say that, I’d be rich. NHRC 2010 49 It depends on the table dimensions For contingency tables larger than 2×2, the chisquare approximation is pretty good if: “…no more than 20% of the expected counts are less than 5 and all individual expected counts are 1 or greater." (Yates, Moore & McCabe, 1999, p. 734) Many people do not know this, and mistakenly assume that all expected counts must be 5 or more for tables of any size NHRC 2010 50 Example 1: A 5×2 Contingency Table Each person is classified on 2 different categorical variables Each person appears in only one cell of the table NHRC 2010 51 Expected Counts for the 5×2 Table Two of 10 cells (20%) have E < 5; but all E >= 1 NHRC 2010 52 La-la-la-la-la … MAJOR NHRC 2010 53 Fisher’s Exact Test Fisher’s formula for working out the exact probability of an observed set of counts (and of more extreme sets under H0): (a b)!(c d )!(a c)!(b d )! p N !a !b !c !d ! m !n !r ! s ! N !a !b !c !d ! NHRC 2010 a c r b d s m n N 54 Kendall & Stuart’s Derivation of the ‘N-1’ Chi-square For Model I, if a is known, b, c, and d can be worked out using the fixed row & column totals Kendall & Stuart demonstrated that under a true null hypothesis, a is asymptotically normal with: (a b)(a c) Mean N i.e., row total × column total divided by grand total (a b)(c d )(a c)(b d ) Variance 2 N ( N 1) NHRC 2010 55 Therefore… z (a b)(a c) a N (a b)(c d )(a c)(b d ) 2 N ( N 1) N-1 chi-square z 2 NHRC 2010 ( N 1)(ad bc) (a b)(c d )(a c)(b d ) 2 2 df 1 56 END OF MAJOR NERD ALERT NHRC 2010 57 J.T.E. Richardson on the N-1 chi-square “It will become clear later that [the N-1 chi-square] rather than [Pearson’s chi-square] is in fact the appropriate chi-square statistic to use in analysing all 2×2 contingency tables regardless of the underlying model.” (Richardson, 1994, p. 116, emphasis added) J.T.E. Richardson NHRC 2010 58 What is the Purpose of Research? “The purpose of most research is to discover relations—relations between or among variables or between treatment interventions and outcomes.” Dr. David Streiner NHRC 2010 (Can J Psychiatry 2002;47:262–266) 59 What is the Role of Statistical Tests? They test the null hypothesis that in the population from which you have sampled, there is no association between the variables. So when you reject the null hypothesis, you infer that there is an association between the variables (in the population). Yours truly NHRC 2010 60