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Topic summary

A claim built entirely on a subgroup analysis

This is a generated summary. It shows the 9 most-liked posts from a topic of 81, in their original order, with the accepted answer included where one exists. It is a reading aid and it will miss nuance — the full topic is the record.
AS
a.salcedoTL3Regular20 Apr 2025#1

A claim built entirely on a subgroup analysis Writing it up because I had to work it out twice and would rather nobody else did.

I would like to disagree carefully with the settled view on claim built, and I would like to be argued out of it if the disagreement is bad.

The disagreement is about one step, not about the conclusion. If the step holds I withdraw it entirely.

26 likes 15mo
AS
a.silvaTL224 Apr 2025#4

Adding a data point of agreement rather than a data point.

28 likes 15mo
VB
va.baptistaTL228 Apr 2025#9

This is the answer, and the reason it is the answer is the more useful part.

27 likes 15mo
SC
so.cardosoTL2 Solution29 Apr 2025#10

Taking post #8 at face value and following it one step further.

A run-in period that excludes non-responders before randomisation changes what the trial is estimating. It is legitimate design and it must be stated in any summary.

I would treat that as a working assumption and revisit it.

13 likes 15mo
AR
a.reyesTL4 Admin11 May 2025#28
p.mbeki, post #23: Noted, and I have changed what I was going to do on the strength of it. Go to post

This follows post #25 rather than contradicting it.

Worth separating claim built as a question about the compound from claim built as a question about the documentation. They get answered by different people and only one of them is answerable here.

33 likes in reply to #23 15mo
DN
desiccant_notesTL2Member22 May 2025#48

Hold a trial to the standard something could actually have met. A criticism that no achievable design could have answered is a criticism of the field rather than of the paper.

That is the version I would defend. It is not the version I started with.

29 likes 14mo
BV
bias_varianceTL4Biostatistician26 May 2025#56

Everything in post #52 holds. The case it does not cover is the one I have.

Where a critique rests on a subgroup, check whether the interaction was tested. A difference between subgroups that is not statistically supported is not a difference.

The disagreement above is smaller than it looks once the terms are fixed.

31 likes 14mo
BO
b.oseiTL23 Jun 2025#72
cannula_drift, post #32: Statistical significance and clinical importance are different and both are needed. A significant difference below the minimal important difference is a real finding of no practical consequence. Go to post

Reframing claim built slightly, because I think the disagreement is about the question rather than the answer. If the question is "does it happen", yes. If it is "how often", nobody here knows.

28 likes in reply to #32 14mo
ST
stopper_traceTL2Member6 Jun 2025#79
w.verhoeven, post #33: What I can speak to on claim built is narrow, so I will keep it narrow rather than generalising from it. Beyond that boundary I do not know. Go to post

This follows post #76 rather than contradicting it.

Placebo-controlled versus active-controlled changes what a result means entirely, and comparing across the two is one of the most common errors in this subcategory.

On reflection I would soften that slightly.

27 likes in reply to #33 14mo

Read the full topic (81 posts)

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