Andrew Althouse Profile picture
Statistician @Medtronic, studying novel statistical methods to do more efficient clinical trials; enjoy kettlebells, deadlifts, whiskey, craft beer & food
Anil Gopinath Profile picture 1 subscribed
Oct 4, 2018 26 tweets 6 min read
(THREAD)

By @rwyeh request, I bring you this brief introduction of joint frailty models and their application in the #COAPT trial... Please be advised that @graemeleehickey and others are more expert than I am in the direct, real-world application of such models, but here I am, so whatever. Read it, or don’t.
Sep 26, 2018 31 tweets 5 min read
(THREAD) As requested/discussed yesterday, here are a few thoughts on post-hoc power It is not uncommon for reviewers to ask for a “post hoc power” calculation. The most common reasons people ask about this are:
Sep 21, 2018 48 tweets 9 min read
I've been a mere spectator to the Wansink scandal, but I think the cautionary tale is worth amplifying across the fields of statistics, medicine & the entire research community. Thus far, the discussion *seems* mostly confined to psychology researchers & some statisticians. I think it’s important to spread this story across all research for those who may not be aware i) what has happened and ii) why it’s a big deal.
Sep 13, 2018 50 tweets 7 min read
(THREAD)

A few months ago, the Annals of Medicine published a controversial piece titled “Why all randomized controlled trials produce biased results.” Topic: not a bad idea - we should examine trials carefully. Execution: left something to be desired. We have penned a reply that covered some of the most problematic misstatements, with helpful input from @coachabebe, @GSCollins, and @f2harrell
Sep 12, 2018 5 tweets 1 min read
While I am generally a fan of Ioannidis' & believe he raises valid points here & elsewhere, this piece is more than a little ironic. As of September 12, 2018, he has authored 58 papers published this year (and it's no fluke - 2017: 64, 2016: 78, 2015: 74, etc...) I do think the article raises some valid points about authorship, and I have certainly seen abuses (in both directions: undeserved authorships granted to people barely involved in the work, and screwjobs that denied people who deserved an authorship their appropriate credit)
Sep 4, 2018 28 tweets 4 min read
More problems with logistic regression in the medical literature: annalsthoracicsurgery.org/article/S0003-…
Jun 14, 2018 7 tweets 2 min read
(THREAD) There seems to be some...I'll call it tension between trialists and critics that occasionally burbles up on Twitter. As someone that kinda-sorta sits on both side of this fence, I have a few thoughts. 1) I agree with the statement that you don't have to be a trialist to critique a trial. You do need to know what you're talking about, but you don't have to "be a trialist" to have methods/statistical knowledge that allows you to comment on trials.
May 24, 2018 29 tweets 7 min read
This article calls for a TWEETORIAL (h/t to the clever @boback and @ihtanboga for catching this and posting about it) Each of them independently noticed a curiosity: this trial was stopped early for futility despite early results suggesting a (possible) strong benefit of the treatment.
Apr 30, 2018 76 tweets 12 min read
OK, folks. Let’s all sit down for a quick chat about this article the “Annals of Medicine” coughed up a few weeks ago about RCT’s: tandfonline.com/doi/full/10.10… This will be my longest TWEETORIAL yet, but that’s because we have a LOT to talk about here
Apr 17, 2018 43 tweets 8 min read
Going to attempt my first TWEETORIAL (h/t @ProfDFrancis, @venkmurthy, @VinayPrasad82 and others) about an innovative clinical trial & how it may be useful in making RCT’s pragmatic, fleet & adaptable Some shiny objects to get everyone’s attention: Bayesian adaptive-enrichment design and how it might help resolve the #RCT4Impella controversy