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为什么贝叶斯临床试验如此之少?医学研究人员对贝叶斯统计和传统统计的解读能力。

Why are There not More Bayesian Clinical Trials? Ability to Interpret Bayesian and Conventional Statistics Among Medical Researchers.

作者信息

Bray Ross, Hartley Andrew, Wenkert Deborah, Muehlemann Natalia, Natanegara Fanni, Harrell Frank E, Wang Fei, Clark Jennifer

机构信息

Eli Lilly and Company, Indianapolis, IN, 46285, USA.

PPD, Inc., Part of Thermo Fisher, Wilmington, NC, USA.

出版信息

Ther Innov Regul Sci. 2023 May;57(3):426-435. doi: 10.1007/s43441-022-00482-1. Epub 2022 Dec 10.

Abstract

OBJECTIVE AND BACKGROUND

We assessed current understandings in interpretation of Bayesian and traditional statistical results within the clinical researcher (non-statistician) community.

METHODS

Within a 22-question survey, including demographics and experience and comfort levels with Bayesian analyses, we included questions on how to interpret both Bayesian and traditional statistical outputs. We also assessed whether Bayesian or traditional interpretations are considered more useful.

RESULTS

Among the 323 respondent clinicians, 42.4% and 36.5% chose the correct interpretations of the posterior probability and 95% credible interval, respectively. Only 11.5% of respondents interpreted the p-value correctly and 23.5% interpreted the 95% confidence interval correctly.

CONCLUSIONS

Based on these survey results, we conclude that most of these clinicians face uncertainty when attempting to interpret results from both Bayesian and traditional statistical outputs. When presented with accurate interpretations, clinicians generally conclude that Bayesian results are more useful than conventional ones. We believe there is a need for education of clinicians in statistical interpretation in ways that are customized to this audience.

摘要

目的与背景

我们评估了临床研究人员(非统计学家)群体对贝叶斯统计结果和传统统计结果解读的当前理解情况。

方法

在一项包含22个问题的调查中,涵盖人口统计学信息、经验以及对贝叶斯分析的熟悉程度和舒适度,我们纳入了关于如何解读贝叶斯统计输出和传统统计输出的问题。我们还评估了贝叶斯解读或传统解读是否被认为更有用。

结果

在323名参与调查的临床医生中,分别有42.4%和36.5%的人正确选择了后验概率和95%可信区间的解读。只有11.5%的受访者正确解读了p值,23.5%的人正确解读了95%置信区间。

结论

基于这些调查结果,我们得出结论,大多数临床医生在尝试解读贝叶斯统计输出和传统统计输出的结果时面临不确定性。当给出准确解读时,临床医生通常得出结论,贝叶斯结果比传统结果更有用。我们认为有必要以针对该受众定制的方式对临床医生进行统计解读方面的教育。

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