ABSTRACT

I. Introduction.......................................................................................... 422

II. Description and Taxonomy of Multiple Comparison

Procedures............................................................................................ 422

A. Terms............................................................................................. 422

B. Descriptions of Multiple Comparison Procedures ....................... 427

1. The Least Significant Difference and Multiple

t Test Procedures ................................................................... 427

2. S Method ............................................................................... 428

3. T Method ............................................................................... 428

4. Orthogonal Contrasts............................................................. 429

5. Comparisons with a Control or Standard ............................. 429

6. Stepwise (Step-down and Step-up) Tests ............................. 430

7. Multiple Range Tests ............................................................ 431

8. Confidence Intervals.............................................................. 432

9. Comparisons with the Best ................................................... 432

10. Nonparametric Procedures .................................................... 433

11. Multiple Comparisons between Dose Levels and

a Zero Dose ........................................................................... 434

12. Multiple Comparisons of Proportions (0-1 Data) ............... 434

13. Other Methods....................................................................... 435

14. Allocation of Observations among the Treatment

Groups ................................................................................... 435

C. Summary Taxonomy..................................................................... 436

D. Common Sources of Tables.......................................................... 436

III. Multiple Comparison Tests in Practice............................................... 437

A. Is a Multiple Comparison Procedure Needed? ............................ 437

1. Testing a Selected Contrast .................................................... 438

2. Comparisons Between a New Drug and Active and

Placebo Controls ..................................................................... 440

3. Combination Drugs ................................................................. 442

4. Data Dredging......................................................................... 443

5. Drug Screening ....................................................................... 444

B. Analysis of a Randomized Trial................................................... 446

References........................................................................................................ 449

In many of the drug experiments performed in the pharmaceutical industry, at

least two drugs or at least two levels of one drug are considered. As a

consequence of these experiments, questions related to picking out drugs or dose

levels which are different from others are often generated. However, it is rare that

some overall test of a null hypothesis provides researchers with specific details to

answer the questions of interest. Because overall tests tend to average out real

effects with negligible effects, they may fail to detect important features. Even if

an overall test is significant, further analyses may be necessary to determine

which specific differences among the treatments are clinically important. These

“further analyses” constitute performing multiple comparisons among the

treatments to detect those effects which are of prime interest to the researchers.

Suppose we have a drug trial with k distinct treatments (different dosage levels,

for example) that are randomly allocated to distinct experimental units

(rats, patients, baboons, etc.). Suppose y