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EBM Guidebook

Table of Contents

    Title Page
  1. Introduction
  2. STEP 1: Formulating the Question
    1. POEM
    2. PICO
  3. STEP 2: Finding the Best Evidence
  4. STEP 3: Appraising the Evidence
    1. CAMeL General Steps
    2. CAMeL Critical Appraisal Protocols
      1. Therapy
      2. Diagnostic Tests
      3. Review Articles
      4. Screening Tests
      5. Prognosis
      6. Causation
  5. STEP 4: Preparing an EBM Presentation
    1. Protocol for the Presentation
    2. Sample Presentation
  6. Overview of Statistics
    1. Statistics Without Statistics
    2. Ten Ways to Cheat
  7. Glossary of Terms
    Terms marked with an asterisk (*)
    are defined in the Glossary.
  8. References
Back to Informatics & EBM Instruction page  Back to Evidence-Based Instruction page

VI.  Overview of Statistics  (continued)

  1. Ten Ways to Cheat on Statistical Tests When Writing Up Results  (continued)
  1. The authors used the r-value to claim causation when it only suggested association.
  2. The authors used outliers to their advantage: assumed that the ones which helped them were real and the ones which hurt them were mistakes.
  3. The authors left out the confidence intervals if they overlapped "0".
  4. The authors found that the difference between 2 groups became significant 4 months into a 6-month trial. They stopped the trial arbitrarily at that point. On the other hand, if they couldn’t make statistical significance at 6 months, they extended the trial a few more weeks.
  5. If their results proved uninteresting, they went back and looked for more subgroups. Chinese females between 15 and 37 might prove interesting.
  6. If their first tests didn't work, they found some weird test no one knew anything about and couldn't challenge.
 
  Other important questions
 
  1. Did the authors state what their original protocol was?
  2. Did they define subgroups in advance and calculate how large their study needed to be to account for all the subgroups?
  3. Or, did they sift through the results afterwards to see if they could find something interesting?
  4. Did they stop the study when they said they were going to or did they stop it when things became interesting and "significant"?
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