Simon R
Ann Intern Med. 1986 Sep;105(3):429-35. doi: 10.7326/0003-4819-105-3-429.
Tests of statistical significance are often used by investigators in reporting the results of clinical research. Although such tests are useful tools, the significance levels are not appropriate indices of the size or importance of differences in outcome between treatments. Lack of "statistical significance" can be misinterpreted in small studies as evidence that no important difference exists. Confidence intervals are important but underused supplements to tests of significance for reporting the results of clinical investigations. Their usefulness is discussed here, and formulas are presented for calculating confidence intervals with types of data commonly found in clinical trials.
统计显著性检验经常被研究者用于报告临床研究结果。尽管此类检验是有用的工具,但显著性水平并非治疗间结局差异大小或重要性的合适指标。在小型研究中,“缺乏统计学显著性”可能被误解为不存在重要差异的证据。置信区间很重要,但在报告临床研究结果时,作为显著性检验的补充却未得到充分利用。本文讨论了它们的有用性,并给出了针对临床试验中常见数据类型计算置信区间的公式。