Some statistical memes which sound correct but aren't quite: Application to the analysis of observational databases used in learning health systems

Abstract We consider four memes, correct within the context of randomized trials but requiring modification for the analysis of the observational databases typically associated with learning health systems: (a) the right answer always requires randomization; (b) a bigger database is always a better...

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Main Author: Gregory P. Samsa
Format: Article
Language:English
Published: Wiley 2020-07-01
Series:Learning Health Systems
Subjects:
Online Access:https://doi.org/10.1002/lrh2.10219
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author Gregory P. Samsa
author_facet Gregory P. Samsa
author_sort Gregory P. Samsa
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description Abstract We consider four memes, correct within the context of randomized trials but requiring modification for the analysis of the observational databases typically associated with learning health systems: (a) the right answer always requires randomization; (b) a bigger database is always a better database; (c) statistical adjustment always works if based on a large enough database; and (d) always make a formal adjustment when testing multiple hypotheses. The rationale for these memes within the context of randomized trials is discussed, and the memes are restated in a fashion that is consistent with learning health systems.
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spelling doaj.art-0d1082550de6433c8351eaffe503703b2022-12-21T22:42:36ZengWileyLearning Health Systems2379-61462020-07-0143n/an/a10.1002/lrh2.10219Some statistical memes which sound correct but aren't quite: Application to the analysis of observational databases used in learning health systemsGregory P. Samsa0Department of Biostatistics and Bioinformatics Duke University Durham North CarolinaAbstract We consider four memes, correct within the context of randomized trials but requiring modification for the analysis of the observational databases typically associated with learning health systems: (a) the right answer always requires randomization; (b) a bigger database is always a better database; (c) statistical adjustment always works if based on a large enough database; and (d) always make a formal adjustment when testing multiple hypotheses. The rationale for these memes within the context of randomized trials is discussed, and the memes are restated in a fashion that is consistent with learning health systems.https://doi.org/10.1002/lrh2.10219learning health systemsobservational studiesrandomized trialsstatistics
spellingShingle Gregory P. Samsa
Some statistical memes which sound correct but aren't quite: Application to the analysis of observational databases used in learning health systems
Learning Health Systems
learning health systems
observational studies
randomized trials
statistics
title Some statistical memes which sound correct but aren't quite: Application to the analysis of observational databases used in learning health systems
title_full Some statistical memes which sound correct but aren't quite: Application to the analysis of observational databases used in learning health systems
title_fullStr Some statistical memes which sound correct but aren't quite: Application to the analysis of observational databases used in learning health systems
title_full_unstemmed Some statistical memes which sound correct but aren't quite: Application to the analysis of observational databases used in learning health systems
title_short Some statistical memes which sound correct but aren't quite: Application to the analysis of observational databases used in learning health systems
title_sort some statistical memes which sound correct but aren t quite application to the analysis of observational databases used in learning health systems
topic learning health systems
observational studies
randomized trials
statistics
url https://doi.org/10.1002/lrh2.10219
work_keys_str_mv AT gregorypsamsa somestatisticalmemeswhichsoundcorrectbutarentquiteapplicationtotheanalysisofobservationaldatabasesusedinlearninghealthsystems