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A publication  of the UC Davis Cancer Center
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  D E P A R T M E N T S
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"" Biostatisticians defeat cancer with math
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Current Issue: Fall/Winter 2003
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  DEPARTMENTS
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REFEREEING THE GAME: BIOSTATISTICIANS DEFEAT CANCER WITH MATH

Biostatistics plays an essential role in today’s medical research

 "" PHOTO -- Laurel Beckett
 
Laurel Beckett
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When East Bay veterinarians started to suspect that neighborhood cats might be catching leukemia from one another, they called on researchers at the State Health Department in Berkeley to investigate.

Enter Laurel Beckett, then 17 years old with a single statistics class under her belt. As part of an undergraduate internship through the National Institutes of Health, she joined the state statistician assigned to study the problem.

"It was before we knew that feline lymphomas and leukemias were contagious, and it was a challenge just to figure out the incidence of the illness in cats," Beckett says today, several decades later. Like a detective story, the investigation offered mystery, a chance to neutralize a killer — and a lot of plodding legwork. "Were cats even regularly distributed throughout the city? We didn't know," she recalls.

Growing up, Beckett always liked math. But she thought a career in abstract equations would be "deadly dull." The summer studying cats hooked her on biostatistics, however. The field combines mathematics with medical research, and has become essential to scientific studies.

Beckett majored in mathematics at Pomona College in Claremont and spent every summer as an undergraduate pursuing NIH-sponsored research projects. She later earned her doctorate in statistics from Stanford.

PHOTO -- Laurel Beckett’s passion for biostatistics helped earn her the Dean’s Award for Excellence in Mentoring in Medical School  ""

Laurel Beckett’s passion for biostatistics helped earn her the Dean’s Award for Excellence in Mentoring in Medical School.
 
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She has since held faculty positions at Harvard Medical School and Rush School of Medicine in Chicago, among other institutions. Three years ago she was recruited by the UC Davis School of Medicine to build a new division of biostatistics in the Department of Epidemiology and Preventive Medicine.

Under her leadership, the division has grown from two people, including Beckett, to five full-time biostatisticians plus support staff and graduate students. And as more grants flow in with the division's assistance, she hopes to further expand the program.

Marc Schenker, professor and chair of the Department of Epidemiology and Preventive Medicine, says establishment of a biostatistics program has been invaluable to the cancer research program at UC Davis.

"Any serious comprehensive cancer center requires biostatistics support for a whole range of studies, dealing with everything from prevention to clinical trials," he says.

One of the division's primary responsibilities is to provide statistical assistance for every research study conducted under the auspices of the UC Davis Cancer Center. Beckett likens her role to that of the referee in a football game.

"We're not the quarterbacks," she says. "We're not the glamour players. Instead, we keep people playing by the rules. We're essential to the game."

Ideally, biostatisticians are involved from a study's inception. After learning as much as possible about the problem to be solved, biostatisticians help design the study to ensure the hypothesis is tested in a rigorously scientific way.

"A good statistician is rather like Perry Mason in the climactic courtroom scene, where he asks the key question and suddenly the answer to the entire crime unfolds before your eyes," Beckett says.

Among other things, biostatisticians make certain researchers enroll sufficient numbers of people or laboratory animals in a study. These research referees also determine how long a study needs to last. And they set up randomization plans for double-blind studies, in which subjects are randomly assigned to two or more study groups. Neither the researchers nor the study subjects know which group a subject is in until the study ends.

Later, biostatisticians use their expertise to analyze study results. They can distinguish real differences from chance variation. If results become clear sooner than expected, they may recommend a study be halted early.

 "" PHOTO -- Judy Butts, a melanoma patient, receives an investigational chemotherapy treatment through a clinical trial refereed by biostatisticians
 
Judy Butts, a melanoma patient, receives an investigational chemotherapy treatment through a clinical trial refereed by biostatisticians.
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Beckett says she thrives on the diverse nature of her work. One week she may be analyzing a study of barriers that prevent cancer patients from participating in clinical trials. The next week she may be figuring out the best way to identify biomarkers in cancer cells.

She also loves to share her passion with others. Her teaching responsibilities give her the chance to expose young researchers and junior faculty members to real-life experience with biostatistics.

Last spring Beckett taught a course in clinical trials to graduate students. At the time, Gerald DeNardo, director of the radiodiagnosis and therapy program at UC Davis, approached her with a problem. He was trying to treat tumors in lab mice with a new antibody technique. The tumors varied tremendously in their growth patterns. How could he tell if the treatment was working?

Beckett immediately assigned the challenge to her class. One student came up with a particularly good analysis and interpretation, continued to work on it after the course was finished, and will be named as a collaborator when the paper is published. She thinks she just may have this student hooked — the way she was with cats.

Beckett's infectious enthusiasm has not gone unnoticed. Last year she received the Dean's Award for Excellence in Mentoring in Medical School. The $2,000 award recognizes medical school scholars who excel at helping junior faculty succeed in the clinical, research and teaching arenas.

It comes as no surprise. Beckett's students — indeed anyone who spends more than five minutes with her — knows that statistics is not only important, but also far from deadly dull.

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  "We keep people playing by the rules. We’re essential to the game." — Laurel Beckett  
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UC DAVIS CANCER CENTER
4501 X Street
Sacramento, CA 95817

cancer.center@ucdmc.ucdavis.edu

© 2003 UC Regents. All rights reserved.

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