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Influence of the Way Results Are Presented on Research Interpretation and Medical Decision Making: The PRIMER Collaboration Randomized Studies

Thomas Philip Shakespeare, Val Gebski, Johann Tang, Keith Lim, Jiade Jay Lu, Xiaojian Zhang and Guoliang Jiang
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Thomas Philip Shakespeare: North Coast Cancer Institute, Coffs Harbour Health Campus, New South Wales, Australia, thomasshakespeare@gmail.com., PRIMER Collaboration, New South Wales, Australia
Val Gebski: PRIMER Collaboration, New South Wales, Australia, National Health and Medical Council Clinical Trials Centre, University of Sydney, New South Wales, Australia
Johann Tang: Radiotherapy Centre, The Cancer Institute, National University Hospital, Singapore
Keith Lim: Radiotherapy Centre, The Cancer Institute, National University Hospital, Singapore
Jiade Jay Lu: PRIMER Collaboration, New South Wales, Australia, Radiotherapy Centre, The Cancer Institute, National University Hospital, Singapore
Xiaojian Zhang: PRIMER Collaboration, New South Wales, Australia, Shanghai Tumour Hospital, Shanghai, China
Guoliang Jiang: Shanghai Tumour Hospital, Shanghai, China

Medical Decision Making, 2008, vol. 28, issue 1, 127-137

Abstract: Background. The manner of presentation of research results may affect how clinicians interpret research and make clinical decisions. The authors evaluate whether the use of confidence levels improve research interpretation and decision making compared with P values and 95% confidence intervals. Methods. The 2 Presentation and Interpretation of Medical Research (PRIMER) studies were 3-arm randomized trials. PRIMER 1 presented results of 5 fictitious scenarios with P values (P), P plus 95% confidence intervals (P + CI), or P, CI, and confidence levels (P + CI + CL); PRIMER 2 compared P + CI + CL, P + CI, and P + CL. Clinicians were asked to identify the correct interpretation of scenarios in terms of statistical and clinical significance and then indicate the intended decision making in terms of treatment recommendation. Results. Seventy-five and 246 clinicians participated in PRIMER 1 and PRIMER 2, respectively. In PRIMER 1, P+CI+CL was superior to P + CI and P (P

Keywords: confidence intervals; P values; confidence levels; research interpretation; decision making; randomized controlled trial; questionnaire; data interpretation; statistics; epidemiologic methods; statistical significance; clinical relevance; statistical precision. (Med Decis Making 2008; 28:127—137) (search for similar items in EconPapers)
Date: 2008
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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:28:y:2008:i:1:p:127-137

DOI: 10.1177/0272989X07309640

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