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paviva | 4 years ago

Garbage statistics will not get better if you insist on some arbitrary fragility index threshold (and no accepted threshold of an "acceptable" fragility index does exist to the best of my knowledge). Also, using a lower alpha will automatically give you a larger sample size, without invoking a completely superfluous fragility index.

Nobody should interpret clinical studies in isolation; they only have meaning in a "qualitative" Bayesian framework which integrates physiological plausibility, other available trials, and risk/benefit ratio. The fragility index only muddies waters, as clinicians misinterpret it even more frequently than the much maligned p-value, all while not delivering any more information than the p-value itself.

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esyir|4 years ago

Yeah, Full agreement on the arbitrary fragility index. One of the main issues with the more squishy sciences is the cargo-culting around specific breakpoints, which happens due to a lack of statistical chops to begin with.

At least at the labs I've been at, the vast majority have no clue what those p-values they get mean, nor do they realize that the 0.05 cutoff that they so often target is entirely arbitrary.