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Evidence · Study critique

Coming back to: Measurement error in a self-reported exposure

1 hidden by flag
LA
l.aguirreTL217 Apr 2026#1

Measurement error in a self-reported exposure — setting out what I have, and where I think it stops being reliable.

Reading back through what has been written here about Measurement error, three questions come up every time and only one has ever been answered properly.

Listing all three, with what I think the state of the answer is for each, so the thread can start further along than the last one did.

18 likes 3mo
RN
r.novakTL218 Apr 2026#2

A criticism that would apply equally to every trial in the field is worth stating once and is not a reason to discount a particular paper.

I keep a log of this specifically because memory is unreliable about it.

2 likes 3mo
OA
o.abrahamsenTL3Regular19 Apr 2026#3
l.aguirre, post #1: Measurement error in a self-reported exposure — setting out what I have, and where I think it stops being reliable. Reading back through what has been written here about Measurement error, three questions come up every time and only one has ever been answered properly. Listing all three, with what I think the state of the answer is for… Go to post

Clear enough that I do not think I have a follow-up, which is unusual.

0 likes in reply to #1 3mo
KA
k.adeyemiTL219 Apr 2026#4
CD
cannula_driftTL320 Apr 2026#5
SV
sa.vogelTL220 Apr 2026#6

Multiple comparisons: if a paper reports many outcomes, the chance of a spurious association by random chance is real. Pre-specification of primary outcomes matters and secondary analyses are weaker evidence.

The short answer was in the first line; everything after is the working.

1 like 3mo
BR
buffer_reviewTL3Regular21 Apr 2026#7

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.

The right answer here may simply be that it has not been measured.

0 likes 3mo
HB
h.bhattacharyaTL221 Apr 2026#8
buffer_review, post #7: 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. The right answer here may simply be that it has not been measured. Go to post

The most useful thing anyone has posted about Measurement error in this category was a table of what had been measured and by whom. That is what I would want again.

22 likes in reply to #7 3mo
MC
m.coelhoTL222 Apr 2026#9

Where I part company with post #7, and it is a narrow parting.

Distinguishing three things in the Measurement error discussion that keep getting used interchangeably: the observation, the proposed mechanism, and the recommendation that gets attached to both.

3 likes 3mo
BV
b.vestergaardTL222 Apr 2026#10

Thank you for taking the time. That was more work than a reply usually is.

0 likes 3mo
T
ThibodeauTL3Regular22 Apr 2026#11

Attrition is the failure mode most likely to invalidate a result and the least likely to be discussed. Differential attrition between arms is the specific thing to look for.

I would want to see it done twice before believing it once.

32 likes 3mo
HA
h.amankwahTL223 Apr 2026#12
CI
c.inglethorpeTL3Regular23 Apr 2026#13
h.amankwah, post #12: On post #11 — agreed on the reasoning, with one qualification. The pre-specified endpoint being a weaker proxy than you would like is a real criticism. It is a smaller one than saying the result was chosen after the fact. Go to post

Post #11 is right about the mechanism and I think understates the practical bit.

I have been on both sides of the Measurement error argument in this category within eighteen months, which should tell you how strong the evidence for either side is.

3 likes in reply to #12 3mo
FC
f.chowdhuryTL224 Apr 2026 · edited#14
o.abrahamsen, post #3: Clear enough that I do not think I have a follow-up, which is unusual. Go to post

Second this, and I would have said it less carefully.

11 likes in reply to #3 3mo
C
CSagredoTL3Regular24 Apr 2026#15

This follows post #13 rather than contradicting it.

The version of Measurement error that I was taught turned out to be a teaching simplification. Useful, and not true in the way I had assumed it was.

24 likes 3mo
RM
r.molnarTL225 Apr 2026#16

Worth separating two things that post #15 runs together.

Per-protocol and intention-to-treat analyses answer different questions and neither is the honest one by default. Reporting both is the practice worth insisting on.

0 likes 3mo
F
FFaulknerTL3Regular25 Apr 2026#17

On Measurement error, I would rather understate and be corrected upward than overstate and be quoted. That is a house style here and it is a good one.

1 like 3mo
HR
h.ramosTL225 Apr 2026#18
sa.vogel, post #6: Multiple comparisons: if a paper reports many outcomes, the chance of a spurious association by random chance is real. Pre-specification of primary outcomes matters and secondary analyses are weaker evidence. The short answer was in the first line; everything after is the working. Go to post

Whatever the answer on Measurement error turns out to be, the method for getting there is the same: state the assumption, do the arithmetic in public, invite the correction.

7 likes in reply to #6 3mo
GR
g.rasmussenTL226 Apr 2026#19

Taking post #16 at face value and following it one step further.

Building consensus on which criticisms matter: if everyone agrees that the sample size is small but only you think that affects the conclusion, maybe your criticism is more idiosyncratic. That does not make it wrong but it is worth noticing.

Adding this to the thread rather than to the wiki, because I am not confident enough for the wiki.

0 likes 3mo
MP
mira.patelTL4 Admin26 Apr 2026#20

Post #18 and I disagree about the size of the effect, not about the direction.

Reading this Measurement error thread as someone who came in with a fixed view: the third and seventh replies moved me and the confident ones did not.

3 likes 3mo
RM
r.marsdenTL3Regular26 Apr 2026#21

Speaking only to Measurement error as I have actually seen it, rather than as it is usually described: the effect is real, it is smaller than the thread suggests, and the variance between people is larger than the effect.

0 likes 3mo
FF
f.fontaineTL227 Apr 2026#22

Adding the measurement that post #19 says would settle it.

Generalisability and validity are separate axes. A trial can be internally impeccable and still tell you nothing about the person asking.

Where I would look next, rather than where I would stop.

24 likes 3mo
P
PSundbergTL2Member27 Apr 2026#23
f.chowdhury, post #14: Second this, and I would have said it less carefully. Go to post

I had written a reply contradicting post #19 and deleted it. Here is what survived.

What would change my mind on Measurement error is a second dataset collected by someone with no stake in the first. Until then I hold it loosely and I would rather say so than pretend to more.

7 likes in reply to #14 3mo
YE
y.eriksenTL228 Apr 2026#24

Adding a note of thanks rather than an opinion. I did not know most of that.

1 like 3mo
KF
k.farrugiaTL3Regular28 Apr 2026#25

Practical note on Measurement error: write down what you expect before you look. The number of times I have found what I went looking for is higher than chance would allow.

0 likes 3mo
CB
c.balogunTL228 Apr 2026#26

Picking up post #23: that is the part I would want checked first.

Criticism is more useful when it is narrower. "The trial answers a different question from the one being asked" is actionable; "the trial is flawed" is not.

That is the honest state of it as of this week.

32 likes 3mo
L
LeitermanTL3Regular29 Apr 2026#27
g.rasmussen, post #19: Taking post #16 at face value and following it one step further. Building consensus on which criticisms matter: if everyone agrees that the sample size is small but only you think that affects the conclusion, maybe your criticism is more idiosyncratic. That does not make it wrong but it is worth noticing. Adding this to the thread… Go to post

Source for the Measurement error figure, since it was asked for. It is in the discussion rather than the abstract, which is why the version circulating is stronger than the paper is.

Reading the surrounding paragraph is worth the two minutes. The authors are more careful than their summarisers.

11 likes in reply to #19 3mo
NS
n.serranoTL229 Apr 2026#28
f.chowdhury, post #14: Second this, and I would have said it less carefully. Go to post

A request rather than an answer: could whoever has the primary source for Measurement error post it? I have seen the claim three times this month and each version had lost a qualifier.

3 likes in reply to #14 3mo

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