Estimating the false discovery risk of (randomized) clinical trials in medical journals based on published p-values

The influential claim that most published results are false raised concerns about the trustworthiness and integrity of science. Since then, there have been numerous attempts to examine the rate of false-positive results that have failed to settle this question empirically. Here we propose a new way...

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Main Authors: Ulrich Schimmack, František Bartoš
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10468063/?tool=EBI
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author Ulrich Schimmack
František Bartoš
author_facet Ulrich Schimmack
František Bartoš
author_sort Ulrich Schimmack
collection DOAJ
description The influential claim that most published results are false raised concerns about the trustworthiness and integrity of science. Since then, there have been numerous attempts to examine the rate of false-positive results that have failed to settle this question empirically. Here we propose a new way to estimate the false positive risk and apply the method to the results of (randomized) clinical trials in top medical journals. Contrary to claims that most published results are false, we find that the traditional significance criterion of α = .05 produces a false positive risk of 13%. Adjusting α to.01 lowers the false positive risk to less than 5%. However, our method does provide clear evidence of publication bias that leads to inflated effect size estimates. These results provide a solid empirical foundation for evaluations of the trustworthiness of medical research.
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spelling doaj.art-0aa40a211afb41e2bd334050defe42232023-09-05T05:31:41ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01188Estimating the false discovery risk of (randomized) clinical trials in medical journals based on published p-valuesUlrich SchimmackFrantišek BartošThe influential claim that most published results are false raised concerns about the trustworthiness and integrity of science. Since then, there have been numerous attempts to examine the rate of false-positive results that have failed to settle this question empirically. Here we propose a new way to estimate the false positive risk and apply the method to the results of (randomized) clinical trials in top medical journals. Contrary to claims that most published results are false, we find that the traditional significance criterion of α = .05 produces a false positive risk of 13%. Adjusting α to.01 lowers the false positive risk to less than 5%. However, our method does provide clear evidence of publication bias that leads to inflated effect size estimates. These results provide a solid empirical foundation for evaluations of the trustworthiness of medical research.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10468063/?tool=EBI
spellingShingle Ulrich Schimmack
František Bartoš
Estimating the false discovery risk of (randomized) clinical trials in medical journals based on published p-values
PLoS ONE
title Estimating the false discovery risk of (randomized) clinical trials in medical journals based on published p-values
title_full Estimating the false discovery risk of (randomized) clinical trials in medical journals based on published p-values
title_fullStr Estimating the false discovery risk of (randomized) clinical trials in medical journals based on published p-values
title_full_unstemmed Estimating the false discovery risk of (randomized) clinical trials in medical journals based on published p-values
title_short Estimating the false discovery risk of (randomized) clinical trials in medical journals based on published p-values
title_sort estimating the false discovery risk of randomized clinical trials in medical journals based on published p values
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10468063/?tool=EBI
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