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按显著性水平对临床试验进行总结。

The summarizing of clinical experiments by significance levels.

作者信息

Anscombe F J

机构信息

Department of Statistics, Yale University, New Haven, CT 06520-2179.

出版信息

Stat Med. 1990 Jun;9(6):703-8. doi: 10.1002/sim.4780090617.

Abstract

For a controlled clinical experiment in which two alternative treatments are compared, the statistical report often culminates in a significance test of the null hypothesis of no difference between the treatments, and significance at the 5 per cent level is taken as positive evidence of difference. It is argued that such an experiment serves primarily an inferential purpose; it is not a simple decision procedure, although its effect on practice may be considered in relation to ethical issues. Statistical inference should not be identified with testing this null hypothesis, despite the emphasis on such tests by R. A. Fisher in his work on design of experiments. This null hypothesis often has no interest or credibility.

摘要

对于一项比较两种替代治疗方法的对照临床试验,统计报告往往以对治疗方法之间无差异的零假设进行显著性检验而告终,5%水平的显著性被视为存在差异的积极证据。有人认为,这样的实验主要服务于推理目的;它不是一个简单的决策程序,尽管其对实践的影响可能会从伦理问题的角度加以考虑。尽管R. A. 费希尔在其关于实验设计的著作中强调了此类检验,但统计推断不应等同于对该零假设的检验。这个零假设往往没有意义或可信度。

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