<?xml version="1.0" encoding="utf-8"?><!DOCTYPE article  PUBLIC '-//OASIS//DTD DocBook XML V4.4//EN'  'http://www.docbook.org/xml/4.4/docbookx.dtd'><article><articleinfo><title>FAQ/JonckheereTrendTest</title><revhistory><revision><revnumber>22</revnumber><date>2014-10-02 10:55:51</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>21</revnumber><date>2014-10-02 10:55:32</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>20</revnumber><date>2014-10-02 10:54:50</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>19</revnumber><date>2014-10-02 10:54:25</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>18</revnumber><date>2014-10-02 10:54:06</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>17</revnumber><date>2014-10-02 10:51:44</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>16</revnumber><date>2014-10-02 10:50:28</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>15</revnumber><date>2013-04-11 16:14:16</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>14</revnumber><date>2013-04-11 16:12:56</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>13</revnumber><date>2013-04-11 16:11:50</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>12</revnumber><date>2013-04-11 16:11:32</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>11</revnumber><date>2013-04-11 16:10:54</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>10</revnumber><date>2013-04-11 16:08:17</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>9</revnumber><date>2013-04-11 16:04:36</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>8</revnumber><date>2013-04-11 15:57:33</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>7</revnumber><date>2013-04-11 15:51:34</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>6</revnumber><date>2013-03-08 10:17:25</date><authorinitials>localhost</authorinitials><revremark>converted to 1.6 markup</revremark></revision><revision><revnumber>5</revnumber><date>2011-03-16 16:28:15</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>4</revnumber><date>2011-03-09 16:36:59</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>3</revnumber><date>2010-04-23 13:05:54</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>2</revnumber><date>2010-04-23 13:01:37</date><authorinitials>PeterWatson</authorinitials></revision><revision><revnumber>1</revnumber><date>2010-04-23 12:58:04</date><authorinitials>PeterWatson</authorinitials></revision></revhistory></articleinfo><section><title>Jonckheere's Trend Test</title><para>(Hacked from <ulink url="http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=468904#B4">here.</ulink>) </para><para>The Jonckheere–Terpstra test </para><para>There are situations in which treatments are ordered in some way, for example the increasing dosages of a drug. In these cases a test with the more specific alternative hypothesis that the population medians are ordered in a particular direction may be required. For example, the alternative hypothesis could be as follows: population median1 ≤ population median2 ≤ population median3. This is a one-tail test, and reversing the inequalities gives an analagous test in the opposite tail. Here, the Jonckheere–Terpstra test can be used for k groups, with test statistic TJT calculated as: </para><para>$$\sum U(xy)$$  - 1/4 (  $$N<superscript>2 </superscript>$$ -  $$ \sum $$ [j=1 to k]  n(j)<superscript>2 </superscript>)  </para><para>divided by the square root of </para><para>(1/72)(N<superscript>2 </superscript> (2N+3)-  $$\sum $$ [j=1 to k] n(j)<superscript>2 </superscript> (2n(j)+3)) </para><para>Where U(xy) is the number of observations in group y that are greater than each observation in group x and n(j) is the size of group j. This is compared with a standard Normal distribution. </para><para>This test will be illustrated using the data in Table 1 with the alternative hypothesis that time spent by patients in the three ICUs increases in the order cardiothoracic (ICU 1), medical (ICU 2) and neurosurgical (ICU 3). </para><para>U(12) compares the observations in ICU 1 with ICU 2. It is calculated as follows. The first value in sample 1 is 7; in sample 2 there are three higher values and a tied value, giving 7 the score of 3.5. The second value in sample 1 is 1; in sample 2 there are 5 higher values giving 1 the score of 5. U(12) is given by the total scores for each value in sample 1: 3.5 + 5 + 5 + 4 + 2.5 + 3 = 23. In the same way U(13) is calculated as 6 + 6 + 6 + 6 + 4.5 + 6 = 34.5 and U(23) as 6 + 6 + 2 + 4.5 + 1 = 19.5. Comparisons are made between all combinations of ordered pairs of groups. For the data in Table 1 the test statistic is calculated as follows: </para><para><emphasis role="strong">formula to be inserted</emphasis> </para><para>Comparing this with a standard Normal distribution gives a P value of 0.005, indicating that the increase in length of stay with ICU is significant, in the order cardiothoracic, medical and neurosurgical. </para><para><ulink url="https://lsr-wiki-01.mrc-cbu.cam.ac.uk/statswiki/FAQ/JonckheereTrendTest/statswiki/FAQ/pagesL#">Page's L test</ulink> is a nonparametric trend test for <emphasis>repeated measures</emphasis> data where, for example, we wish to see if cognitive tests form a trend where each person has a score on each test. It is available for use in R but is not in SPSS. </para></section></article>