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Related Experiment Videos

Exploring the order of odds ratios using the bootstrap.

J A Schwartzbaum1, J G Hirschberg

  • 1Department of Biostatistics and Epidemiology, University of Tennessee, Memphis 38163.

Statistics in Medicine
|August 1, 1991
PubMed
Summary
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Bootstrap resampling helps analyze odds ratio rankings in medical ethics. This statistical method estimates the likelihood of observing similar patient category rankings in future studies.

Area of Science:

  • Medical Ethics
  • Biostatistics
  • Health Services Research

Background:

  • Physician decision-making in patient confidentiality is complex.
  • Ethical dilemmas involve balancing patient privacy with public health reporting.
  • Understanding factors influencing these decisions is crucial for medical practice.

Purpose of the Study:

  • To apply bootstrap resampling for analyzing odds ratio rankings.
  • To estimate the probability of observing specific patient category rankings in future samples.
  • To investigate potential influences of patient demographics on physician reporting decisions.

Main Methods:

  • Utilized bootstrap resampling with 1000 samples.
  • Modeled responses of 77 white male physicians to an ethical dilemma.

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  • Assessed patient categories based on sex, race, and sexual preference.
  • Main Results:

    • Black heterosexual males were ranked high (1st/2nd in 92.2% of samples).
    • Black homosexual males ranked high (1st-3rd in 88.6% of samples).
    • White homosexual females were ranked low (6th/7th in 82.9% of samples).

    Conclusions:

    • Bootstrap resampling effectively estimates the stability of odds ratio rankings.
    • Observed patient category rankings are likely to be replicated in future independent samples.
    • Physician decisions in HIV status reporting may be influenced by patient race and sexual orientation.