Control arm consists of 22+2 = 24 people.
Therapy arm consists of 20+1=21 people.
How many people is that, altogether?
Nothing in life is that easy.
Think again.
NOW, how many people were randomized?
Don't rush to judgement.
Try this.
Third time lucky:
How many people were randomized?
Glad I've made you skeptical.
Now the arithmetic puzzle of the day. No need for 13 times table this time , as I can't bear being humiliated by my own PhD students (have a demotion @mshunshin).
Calculate the mean increase in EF in the active arm.
What is the mean increase in EF in the cell therapy arm? (Ignore the other arm for the purpose of this question)
Suppose 10 staff of ORBITA HQ drink different amounts of orange juice at Rasha's (and PCI's) 40th birthday party.
5 glasses 6.5 glasses
8 glasses
Etc.
Suppose the MEAN amount drunk is 7.0 glasses.
If i listed the individual number of glasses drunk, what would the mean be?
Look at the coloured bars on the right (ignore the black ones on the left).
Imagine they are the number of glasses of orange juice drunk by ORBITA HQ revellers.
The company providing the bar give Rasha a bill saying "the mean number of glasses drunk was 7, so hand over the £"
What will she say?
Well, now let me tell you that those were in fact the individual patient EF changes in the cell therapy arm.
Is there any (any, ANY, A N Y) possibility that their mean is 7.0?
Review of pic without red line:
If the graph is correct, is there any chance that the statement in the abstract, of a 7.0 unit mean increase in EF in the cell arm is true?
But actually it has to be true because this information was used to bring in investors.
The prospectus to the investors says a 25% improvement in ejection fraction.
I guess they are arguing a 7 percentage point increase from about 27 points is about 25%.
Cheeky but defensible.
But not if even the 7 is a lie.
Sergio good question.
It's not the fault of the journal or the peer reviewers.
It's the fault of the authors for submitting incorrect stuff.
And the fault of the journal for not resolving the situation once pointed out.
When the research was redone properly, the treatment was of course found totally ineffective.
The company kept the investors money though, and changed its name.
If anyone wants to know how incorrect causal inference arises in cardiology, there's no need to do a PhD on it.
It's encapsulated in this thread. Unlike most of my threads it has a happy ending though !
First, a whole load of unsuspecting patients have PCI.
Then a bunch of cardiologists who are normally ultracompetitive decide to do something constructive for a change, instead of just doing each other down in cross-London acrimony.
How to make your
correlations correlate.
Even if they don't.
==============
A practical tweetorial for aspiring research fraudsters, cardiology fellows doing research, and others in need of a strong association when there isn't one.
Joel Giblett @joelgiblett brings up a very important question.
Where does scientific integrity come from? What makes me think I can trust papers written by him? I've never heard of him before this tweet, and I have no idea of his background.
Well, first of all, he seems genuinely curious about integrity. This is a good sign.
Second, he is scared of R&D and MHRA. This is a good sign that he tries to toe the line, pays his taxes, doesn't park in the disabled spots (unless entitled) and doesn't drop litter.
But it is not non-littering, or trembling when the R&D office sends an email, that CAUSES his research to be non-fake.
It is his own personal attitude, those of his colleagues, and the lack of tremendous incentives to fiddle.
* Some fears are one-and-done:
I get a cold which progresses to pneumonia. Will I die, or recover?
* Other things hang over us for much longer, perhaps all your life.
Will you get hit by a bus?
Get a heart attack?
There's no "sell by" date on the fear.
Practice Qs
You are walking through Hyde park, minding your own business.
Hardly causing any trouble at all.
Perhaps the odd humorous tweet.
You get a Direct Message:
"Enough of ur abuse!
You will be hearing form my agent shortly.
kthxbai
AJ Kirtane"