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In [[statistics]], '''Fieller's theorem''' allows the calculation of a [[confidence interval]] for the ratio of two [[arithmetic mean|means]].
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==Approximate confidence interval==
Variables ''a'' and ''b'' may be measured in different units, so there is no way to directly combine the [[standard error]]s as they may also be in different units. The most complete discussion of this is given by Fieller (1954).<ref>{{cite journal |author=Fieller, EC. |title=Some problems in interval estimation. |journal=[[Journal of the Royal Statistical Society, Series B]] |volume=16 |issue= 2|pages=175–185 |year=1954 |jstor=2984043 }}</ref>
 
Fieller showed that if ''a'' and ''b'' are (possibly [[correlation|correlated]]) [[sample mean|means of two samples]] with [[expected value|expectations]] <math>\mu_a</math> and <math>\mu_b</math>, and variances <math>\nu_{11}\sigma^2</math> and <math>\nu_{22}\sigma^2</math> and covariance <math>\nu_{12}\sigma^2</math>, and if <math>\nu_{11}, \nu_{12}, \nu_{22} </math> are all known, then a (1&nbsp;&minus;&nbsp;''α'') confidence interval (''m''<sub>L</sub>,&nbsp;''m''<sub>U</sub>) for <math>a/b</math> is given by
 
: <math>(m_L, m_{U}) = \frac{1}{(1-g)} \left[\frac{a}{b} - \frac{g\nu_{12}}{\nu_{22}} \mp \frac{t_{r,\alpha}s}{b} \sqrt{\nu_{11} - 2\frac{a}{b}\nu_{12} + \frac{a^2}{b^2} \nu_{22} - g\left(\nu_{11} - \frac{\nu_{12}^2}{\nu_{22}}\right)} \right]</math>
 
where
:<math>g=\frac{t^{2}_{r,\alpha}s^2\nu_{22}}{b^2}.</math>
Here <math>s^2</math> is an [[bias of an estimator|unbiased estimator]] of <math>\sigma^2</math> based on r degrees of freedom, and <math>t_{r,\alpha}</math> is the <math>\alpha</math>-level deviate from the [[Student's t-distribution]] based on ''r'' degrees of freedom.
 
Three features of this formula are important in this context:
 
a) The expression inside the square root has to be positive, or else the resulting interval will be imaginary.
 
b) When ''g'' is very close to 1, the confidence interval is infinite.
 
c) When ''g'' is greater than 1, the overall divisor outside the square brackets is negative and the confidence interval is exclusive.
 
== Approximate formulae ==
These equations approximation to the full formula, and are obtained via a Taylor series expansion of a function of two variables and then taking the variance (i.e. a generalisation to two variables of the formula for the approximate standard error for a function of an estimate).
 
=== Case 1 ===
Assume that ''a'' and ''b'' are [[multivariate normal distribution|jointly]] [[normal distribution|normally distributed]], and that ''b'' is not too near zero (i.e. more specifically, that the standard error of ''b'' is small compared to ''b''),
 
: <math>\operatorname{Var} \left( \frac{a}{b} \right) = \left( \frac{a}{b} \right)^{2} \left( \frac{\operatorname{Var}(a)}{a^2} + \frac{\operatorname{Var}(b)}{b^2}\right).</math>
 
From this a 95% confidence interval can be constructed in the usual way (degrees of freedom for ''t''<sup>&nbsp;*</sup> is equal to the total number of values in the numerator and denominator minus 2).
 
This can be expressed in a more useful form for when (as is usually the case) logged data is used, using the following relation for a function of ''x'' and ''y'', say ƒ(''x'',&nbsp;''y''):
 
: <math>\operatorname{Var}(f) = \left(\frac{\partial f}{\partial x}\right)^2 \operatorname{Var}(x) + \left(\frac{\partial f}{\partial y}\right)^2 \operatorname{Var}(y) + 2\frac{\partial f}{\partial x}.\frac{\partial f}{\partial y} \operatorname{Cov}(x,y)</math>
 
to obtain either,
 
: <math>\operatorname{Var}\left(\log_e \frac{a}{b}\right) = \frac{\operatorname{Var}(a)}{a^2} + \frac{\operatorname{Var}(b)}{b^2}</math>
 
or
 
: <math>\operatorname{Var}\left(\log_{10} \frac{a}{b}\right) = \left(\log_{10}e\right)^2 \left( \frac{\operatorname{Var}(a)}{a^2} + \frac{\operatorname{Var}(b)}{b^2}\right).</math>
 
===Case 2===
Assume that ''a'' and ''b'' are jointly [[multivariate normal distribution|normally distributed]], and that b is near zero (i.e. SE(''b'') is ''not'' small compared to ''b'').
 
First, calculate the intermediate quantity:
 
: <math>g=\left(\frac{t^{*}}{b}\right)^{2}\operatorname{Var}(b).</math>
 
You cannot calculate the confidence interval of the quotient if <math>g\ge 1</math>, as the CI for the denominator ''μ''<sub>''b''</sub> will include zero.
 
However if <math>g<1</math> then we can obtain
 
: <math> \operatorname{Var} \left( \frac{a}{b} \right) = \left( \frac{a}{b(1-g)} \right)^{2} \left((1-g)\frac{\operatorname{Var}(a)}{a^2} + \frac{\operatorname{Var}(b)}{b^2} \right).</math>
 
=== Other ===
 
One problem is that, when g is not small, CIs can blow up when using Fieller's theorem. Andy Grieve has provided a Bayesian solution where the CIs are still sensible, albeit wide.<ref>{{cite journal |author=O'Hagan, A., Stevens, JW. and Montmartin, J. | title=Inference for the cost-effectiveness acceptability curve and cost-effectiveness ratio. |journal=[[PharmacoEconomics (journal)|Pharmacoeconomics]] |volume=17|issue=4 |pages=339–49 |year=2000 |doi=10.2165/00019053-200017040-00004 |pmid=10947489}}</ref> [[Bootstrapping]] provides another alternative that that does not require the assumption of normality.<ref>{{cite journal|last=Campbell|first=M. K.|coauthors=Torgerson, D. J.|journal=[[QJM: an International Journal of Medicine]]|year=1999|volume=92|issue=3|pages=177–182|doi=10.1093/qjmed/92.3.177|title=Bootstrapping: estimating confidence intervals for cost-effectiveness ratios}}</ref>
 
== History ==
Edgar C. Fieller (1907&ndash;1960) first started working on this problem while in [[Karl Pearson]]'s group at [[University College London]], where he was employed for five years after graduating in Mathematics from [[King's College, Cambridge]]. He then worked for the [[Boots UK|Boots Pure Drug Company]] as a statistician and [[operational research]]er before becoming deputy head of operational research at [[RAF Fighter Command]] during the [[Second World War]], after which he was appointed the first head of the Statistics Section at the [[National Physical Laboratory (United Kingdom)|National Physical Laboratory]].<ref>{{cite journal |author=Irwin, J. O. and Rest, E. D. Van | title=Edgar Charles Fieller, 1907-1960 |journal=Journal of the Royal Statistical Society, Series A |volume=124 |issue=2 |pages=275–277 |year=1961 | jstor=2984155 |publisher=Blackwell Publishing}}</ref>
 
==See also==
*[[Ratio_distribution#Gaussian_ratio_distribution|Gaussian ratio distribution]]
 
== Notes ==
{{reflist}}
 
== Further reading ==
* Iris Pigeot, Juliane Schafer, Joachim Rohmel and Dieter Hauschke (2003) "Assessing non-inferiority of a new treatment in a three-arm clinical trial including a placebo". ''[[Statistics in Medicine (journal)|Statistics in Medicine]]'', 22:883–899, {{doi| 10.1002/sim.1450}}
* Fieller, EC. (1932) "The distribution of the index in a bivariate Normal distribution". ''[[Biometrika]]'', 24(3&ndash;4):428&ndash;440. {{doi| 10.1093/biomet/24.3-4.428}}
* Fieller, EC. (1940) "The biological standardisation of insulin". ''[[Journal of the Royal Statistical Society]] (Supplement)''. 1:1&ndash;54. {{jstor|2983630}}
* Fieller, EC. (1944) "A fundamental formula in the statistics of biological assay, and some applications". ''Quarterly Journal of Pharmacy and Pharmacology''. 17: 117-123.
* Motulsky, Harvey (1995) ''Intuitive Biostatistics''. Oxford University Press. ISBN 0-19-508607-4
* Senn, Steven (2007) ''Statistical Issues in Drug Development''. Second Edition. Wiley. ISBN 0-471-97488-9
*{{cite doi|10.1198/tast.2010.08130}}
 
{{DEFAULTSORT:Fieller's Theorem}}
[[Category:Statistical theorems]]
[[Category:Statistical approximations]]
[[Category:Normal distribution]]

Latest revision as of 07:59, 28 August 2014

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