Safety, quality & education

Lowering the statistical significance threshold of randomized controlled trials in three major general anesthesiology journals

Can J AnaesthPublished Cross-sectional study

Authors' conclusion

Lowering a P value threshold of 0.05 to 0.005 would have altered one third of significance interpretations of RCTs in the surveyed anesthesiology literature.

Study context

Population
Randomized controlled trials (RCTs) published in 2020 in Anesthesiology, Anesthesia & Analgesia and the British Journal of Anaesthesia with a primary endpoint and a P value threshold99 primary endpoints
Participants
91 participants
Exposure
P value threshold 0.005 vs 0.05
Outcome
Effect of lowering the P value threshold from 0.05 to 0.005 on statistical significance of published RCTs
Methodological detailsmeta-research, masked duplicate screening and data extraction
  • Meta-research
  • Masked duplicate screening and data extraction

Main finding

As reported in the abstract

Primary endpoints significant at P < 0.05 reclassified at P < 0.005

Primary endpoints with P < 0.05

58

59%

Primary endpoints with P ≥ 0.05

41

41%

Previously significant endpoints maintaining significance at P < 0.005

21

36%

Previously significant endpoints reclassified as "suggestive"

37

64%

Observational data: associations, not effects.

Further findings

Most frequently studied intervention type

Drugs
44/91, 48%

Original publication

Lowering the statistical significance threshold of randomized controlled trials in three major general anesthesiology journals. Can J Anaesth. Published 10 August 2023. doi:10.1007/s12630-023-02529-9

Composed by AI from the published abstract and checked against it. How Briefs are made →

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