| Abstract: | Life table analysis techniques in epidemiology depend upon the asymptotic properties of the statistical test methods employed. In some instances, the statistical procedures indicate highly significant results which are, in reality, unjustified. The phenomenon may occur when the asymptotic methods are applied in situations where the cases of interest are few in number. This situation is illustrated by the 20 multiple myeloma deaths observed in the RERF Life Span Study cohort. A permutation test is applied to the life table data, although the test requires the false assumption that the censoring distribution is independent of the radiation dose. A simulation test is developed which does not require equal censoring, which has the same asymptotics as the usual test methods, and which is less likely to overestimate significance in small samples. It is found that both of these small-sample tests provide reasonable numerical solutions. In addition, the simulation test is recommended in general for analyzing life table data with unequal censoring. Finally, by using the small-sample tests, the frequency of death from multiple myeloma is shown to be positively associated with radiation dose (P<0.01). |
