The quest for "power": contradictory hypotheses and inflated sample sizes.

Abstract:

:To have the "power" of avoiding undersized clinical trials, the customary statistical strategy used in the past few decades is aimed at rejecting both a null stochastic hypothesis and a contradictory alternative hypothesis. This approach gives a trial the "power" to confirm the "insignificance" of differences much smaller than the large value of delta desired in trials done to show efficacy. In many instances, however, a prime problem is that the current "double-significance" approach produces sample sizes 2-3 times larger than needed for stochastic confirmation of large differences (> or =delta). The inflated sample sizes and consequent problems can be avoided if a realistic value for delta is chosen and maintained thereafter, and if an adequate "capacity" is calculated for "single significance."

journal_name

J Clin Epidemiol

authors

Feinstein AR,Concato J

doi

10.1016/s0895-4356(98)00029-8

subject

Has Abstract

pub_date

1998-07-01 00:00:00

pages

537-45

issue

7

eissn

0895-4356

issn

1878-5921

pii

S0895435698000298

journal_volume

51

pub_type

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