CardioSource WorldNews Interventions May/June 2016 | Page 14

CLINICAL NEWS IN FOCUS Editor's note: If you've ever wondered whether the p < 0.05 was a fair marker of statistical significance, be sure to check out the May cover story in our sister publication, CardioSource WorldNews, for an interesting look at p values. An excerpt of the piece is printed below. The Fading Bright Line of p < 0.05 By Debra L. Beck T he innocent p value has been abused to within an inch of its life. It’s been misused, misinterpreted, miscommunicated, and misunderstood. But missing it’s not, as researchers, journal editors, journalists, and readers become ever more dependent on using a simple p value to make snap judgments of good or bad. Yet, using the p-value, as it has been in traditional research, fundamentally miscasts the metric and undermines the validity and reproducibility of the science it’s trying to prove. In an effort to shed light on the plight of the poor p value and the damage its misuse appears to be doing to the scientific endeavor, the American Statistical Association (ASA), for the first time in its 177-year history, released a position statement on a specific matter of statistical practice.1 “We are really looking to have a conversation […] with lots of people about how to take what we know about what is good using p values and what is not,” said ASA executive director Ronald L. Wasserstein, PhD, in an interview with CardioSource WorldNews. What they want, he added, is to “more effectively pass that along to scientists everywhere so that we can do a better job of making inferences using statistics.” After months of debate among a group of experts representing a wide variety of viewpoints, the ASA released their statement in March 2016, conceding that the hard-fought ‘agreement’ among the experts breaks no new ground but rather frames some of the issues that have been debated for years. The statement is comprised of six guiding principles with accompanying explanations that seek to bring clarity to the issue. Ironically, the p value was never meant to determine good from bad or true from false. 12 CardioSource WorldNews: Interventions 1. P values can indicate how incompatible the data are with a specified statistical model. 2. P values do not measure the probability that the studied hypothesis is true, or the probability that the data were produced by random chance alone. 3. Scientific conclusions and business or policy decisions should not be based only on whether a p value passes a specific threshold. 4. Proper inference requires full reporting and transparency. 5. A p value, or statistical significance, does not measure the size of an effect or the importance of a result. 6. By itself, a p value does not provide a good measure of evidence regarding a model or hypothesis. According to the ASA, “The issues touched on here affect not only research, but research funding, journal practices, career advancement, scientific education, public policy, journalism, and law.” The question (and we don’t mean hypothesis-generating): how c