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Retire statistical significance

Authors:

Abstract

Valentin Amrhein, Sander Greenland, Blake McShane and more than 800 signatories call for an end to hyped claims and the dismissal of possibly crucial effects.
EVOLUTION Cooperation
and conflict from ants
and chimps to us p.308
HISTORY To fight denial,
study Galileo and
Arendt p.309
CHEMISTRY Three more unsung
women — of astatine
discovery p.311
PUBLISHING As well as ORCID
ID and English, list authors
in their own script p.311
W
hen was the last time you heard
a seminar speaker claim there
was ‘no difference’ between
two groups because the difference was
‘statistically non-significant’?
If your experience matches ours, there’s
a good chance that this happened at the
last talk you attended. We hope that at least
someone in the audience was perplexed if, as
frequently happens, a plot or table showed
that there actually was a difference.
How do statistics so often lead scientists to
deny differences that those not educated in
statistics can plainly see? For several genera-
tions, researchers have been warned that a
statistically non-significant result does not
‘prove’ the null hypothesis (the hypothesis
that there is no difference between groups or
no effect of a treatment on some measured
outcome)1. Nor do statistically significant
results ‘prove’ some other hypothesis. Such
misconceptions have famously warped the
literature with overstated claims and, less
famously, led to claims of conflicts between
studies where none exists.
We have some proposals to keep scientists
from falling prey to these misconceptions.
PERVASIVE PROBLEM
Let’s be clear about what must stop: we
should never conclude there is ‘no differ-
ence’ or ‘no association’ just because a P value
is larger than a threshold such as 0.05
Retire statistical significance
Valentin Amrhein, Sander Greenland, Blake McShane and more than 800 signatories
call for an end to hyped claims and the dismissal of possibly crucial effects.
ILLUSTRATION BY DAVID PARKINS
21 MARCH 2019 | VOL 567 | NATURE | 305
COMMENT
or, equivalently, because a confidence
interval includes zero. Neither should we
conclude that two studies conflict because
one had a statistically significant result and
the other did not. These errors waste research
efforts and misinform policy decisions.
For example, consider a series of analyses
of unintended effects of anti-inflammatory
drugs2. Because their results were statistically
non-significant, one set of researchers con-
cluded that exposure to the drugs was “not
associated” with new-onset atrial fibrillation
(the most common disturbance to heart
rhythm) and that the results stood in con-
trast to those from an earlier study with a
statistically significant outcome.
Now, let’s look at the actual data. The
researchers describing their statistically
non-significant results found a risk ratio
of 1.2 (that is, a 20% greater risk in exposed
patients relative to unexposed ones). They
also found a 95% confidence interval
that spanned everything from a trifling
risk decrease of 3% to a considerable risk
increase of 48% (P = 0.091; our calcula-
tion). The researchers from the earlier, sta
-
tistically significant, study found the exact
same risk ratio of 1.2. That study was sim-
ply more precise, with an interval spanning
from 9% to 33% greater risk (P = 0.0003; our
calculation).
It is ludicrous to conclude that the
statistically non-significant results showed
“no association, when the interval estimate
included serious risk increases; it is equally
absurd to claim these results were in contrast
with the earlier results showing an identical
observed effect. Yet these common practices
show how reliance on thresholds of statisti-
cal significance can mislead us (see ‘Beware
false conclusions’).
These and similar errors are widespread.
Surveys of hundreds of articles have found
that statistically non-significant results are
interpreted as indicating ‘no difference’ or
‘no effect’ in around half (see ‘Wrong inter-
pretations’ and Supplementary Information).
In 2016, the American Statistical
Association released a statement in The
American Statistician warning against the
misuse of statistical significance and Pval-
ues. The issue also included many commen-
taries on the subject. This month, a special
issue in the same journal attempts to push
these reforms further. It presents more than
40 papers on ‘Statistical inference in the 21st
century: a world beyond P < 0.05’. The edi-
tors introduce the collection with the cau-
tion “don’t say ‘statistically significant’3.
Another article
4
with dozens of signatories
also calls on authors and journal editors to
disavow those terms.
We agree, and call for the entire concept
of statistical significance to be abandoned.
We are far from
alone. When we
invited others to
read a draft of this
comment and sign
their names if they
concurred with our
message, 250 did so
within the first 24
hours. A week later,
we had more than
800 signatories—all
checked for an aca-
demic affiliation or
other indication of
present or past work
in a field that depends on statistical model-
ling (see the list and final count of signatories
in the Supplementary Information). These
include statisticians, clinical and medical
researchers, biologists and psychologists
from more than 50 countries and across all
continents except Antarctica. One advocate
called it a “surgical strike against thought-
less testing of statistical significance” and “an
opportunity to register your voice in favour
of better scientific practices”.
We are not calling for a ban on P values.
Nor are we saying they cannot be used as
a decision criterion in certain special-
ized applications (such as determining
whether a manufacturing process meets
some quality-control standard). And we
are also not advocating for an anything-
goes situation, in which weak evidence
suddenly becomes credible. Rather, and in
line with many others over the decades, we
are calling for a stop to the use of Pvalues
in the conventional, dichotomous way — to
decide whether a result refutes or supports a
scientific hypothesis5.
QUIT CATEGORIZING
The trouble is human and cognitive more
than it is statistical: bucketing results into
‘statistically significant’ and ‘statistically
non-significant’ makes people think that the
items assigned in that way are categorically
different6–8. The same problems are likely to
arise under any proposed statistical alterna-
tive that involves dichotomization, whether
frequentist, Bayesian or otherwise.
Unfortunately, the false belief that
crossing the threshold of statistical sig-
nificance is enough to show that a result is
‘real’ has led scientists and journal editors to
privilege such results, thereby distorting the
literature. Statistically significant estimates
are biased upwards in magnitude and poten-
tially to a large degree, whereas statistically
non-significant estimates are biased down-
wards in magnitude. Consequently, any dis
-
cussion that focuses on estimates chosen for
their significance will be biased. On top of
this, the rigid focus on statistical significance
encourages researchers to choose data and
methods that yield statistical significance for
some desired (or simply publishable) result,
or that yield statistical non-significance for
an undesired result, such as potential side
effects of drugs—thereby invalidating
conclusions.
The pre-registration of studies and a
commitment to publish all results of all
analyses can do much to mitigate these
issues. However, even results from pre-reg-
istered studies can be biased by decisions
invariably left open in the analysis plan9.
This occurs even with the best of intentions.
Again, we are not advocating a ban on
Pvalues, confidence intervals or other sta-
tistical measures — only that we should
not treat them categorically. This includes
dichotomization as statistically significant or
not, as well as categorization based on other
statistical measures such as Bayes factors.
One reason to avoid such ‘dichotomania
is that all statistics, including Pvalues and
confidence intervals, naturally vary from
study to study, and often do so to a sur-
prising degree. In fact, random variation
alone can easily lead to large disparities in
Pvalues, far beyond falling just to either side
of the 0.05 threshold. For example, even if
researchers could conduct two perfect
replication studies of some genuine effect,
each with 80% power (chance) of achieving
P < 0.05, it would not be very surprising for
one to obtain P < 0.01 and the other P > 0.30.
BEWARE FALSE CONCLUSIONS
Studies currently dubbed ‘statistically signicant’ and ‘statistically non-signicant’ need not be
contradictory, and such designations might cause genuine eects to be dismissed.
‘Signicant’ study
(low P value)
Increased eectDecreased eect
‘Non-signicant’ study
(high P value)
No eect
The observed eect (or
point estimate) is the
same in both studies, so
they are not in conict,
even if one is ‘signicant’
and the other is not.
SOURCE: V. AMRHEIN ET AL.
“Eradicating
categorization
will help to halt
overconfident
claims,
unwarranted
declarations of
‘no difference’
and absurd
statements
about
‘replication
failure’.”
306 | NATURE | VOL 567 | 21 MARCH 2019
COMMENT
Whether a Pvalue is small or large, caution
is warranted.
We must learn to embrace uncertainty.
One practical way to do so is to rename con-
fidence intervals as ‘compatibility intervals
and interpret them in a way that avoids over-
confidence. Specifically, we recommend that
authors describe the practical implications
of all values inside the interval, especially
the observed effect (or point estimate) and
the limits. In doing so, they should remem-
ber that all the values between the interval’s
limits are reasonably compatible with the
data, given the statistical assumptions used
to compute the interval7,10. Therefore, sin-
gling out one particular value (such as the
null value) in the interval as ‘shown’ makes
no sense.
We’re frankly sick of seeing such non-
sensical ‘proofs of the null’ and claims of
non-association in presentations, research
articles, reviews and instructional materials.
An interval that contains the null value will
often also contain non-null values of high
practical importance. That said, if you deem
all of the values inside the interval to be prac-
tically unimportant, you might then be able
to say something like ‘our results are most
compatible with no important effect’.
When talking about compatibility inter-
vals, bear in mind four things. First, just
because the interval gives the values most
compatible with the data, given the assump-
tions, it doesn’t mean values outside it are
incompatible; they are just less compatible.
In fact, values just outside the interval do not
differ substantively from those just inside
the interval. It is thus wrong to claim that an
interval shows all possible values.
Second, not all values inside are equally
compatible with the data, given the assump-
tions. The point estimate is the most compat-
ible, and values near it are more compatible
than those near the limits. This is why we
urge authors to discuss the point estimate,
even when they have a large Pvalue or a wide
interval, as well as discussing the limits of
that interval. For example, the authors above
could have written: ‘Like a previous study,
our results suggest a 20% increase in risk
of new-onset atrial fibrillation in patients
given the anti-inflammatory drugs. None-
theless, a risk difference ranging from a 3%
decrease, a small negative association, to a
48% increase, a substantial positive associa-
tion, is also reasonably compatible with our
data, given our assumptions.’ Interpreting
the point estimate, while acknowledging
its uncertainty, will keep you from making
false declarations of ‘no difference’, and from
making overconfident claims.
Third, like the 0.05 threshold from which
it came, the default 95% used to compute
intervals is itself an arbitrary convention. It
is based on the false idea that there is a 95%
chance that the computed interval itself con-
tains the true value, coupled with the vague
feeling that this is a basis for a confident
decision. A different level can be justified,
depending on the application. And, as in the
anti-inflammatory-drugs example, interval
estimates can perpetuate the problems of
statistical significance when the dichotomi-
zation they impose is treated as a scientific
standard.
Last, and most important of all, be
humble: compatibility assessments hinge
on the correctness of the statistical assump-
tions used to compute the interval. In prac-
tice, these assumptions are at best subject to
considerable uncertainty7,8,10. Make these
assumptions as clear as possible and test the
ones you can, for example by plotting your
data and by fitting alternative models, and
then reporting all results.
Whatever the statistics show, it is fine to
suggest reasons for your results, but discuss
a range of potential explanations, not just
favoured ones. Inferences should be scien-
tific, and that goes far beyond the merely
statistical. Factors such as background
evidence, study design, data quality and
understanding of underlying mechanisms
are often more important than statistical
measures such as Pvalues or intervals.
The objection we hear most against
retiring statistical significance is that it is
needed to make yes-or-no decisions. But
for the choices often required in regula-
tory, policy and business environments,
decisions based on the costs, benefits and
likelihoods of all potential consequences
always beat those made based solely on
statistical significance. Moreover, for deci
-
sions about whether to pursue a research
idea further, there is no simple connection
between a Pvalue and the probable results
of subsequent studies.
What will retiring statistical significance
look like? We hope that methods sections
and data tabulation will be more detailed
and nuanced. Authors will emphasize their
estimates and the uncertainty in them — for
example, by explicitly discussing the lower
and upper limits of their intervals. They will
not rely on significance tests. When P values
are reported, they will be given with sensible
precision (for example, P = 0.021 or P = 0.13)
— without adornments such as stars or let-
ters to denote statistical significance and not
as binary inequalities (P
< 0.05 or P > 0.05).
Decisions to interpret or to publish results
will not be based on statistical thresholds.
People will spend less time with statistical
software, and more time thinking.
Our call to retire statistical significance
and to use confidence intervals as compat-
ibility intervals is not a panacea. Although it
will eliminate many bad practices, it could
well introduce new ones. Thus, monitoring
the literature for statistical abuses should be
an ongoing priority for the scientific com-
munity. But eradicating categorization will
help to halt overconfident claims, unwar-
ranted declarations of ‘no difference’ and
absurd statements about ‘replication failure
when the results from the original and rep-
lication studies are highly compatible. The
misuse of statistical significance has done
much harm to the scientific community and
those who rely on scientific advice. P values,
intervals and other statistical measures all
have their place, but it’s time for statistical
significance to go.
Valentin Amrhein is a professor of zoolog y
at the University of Basel, Switzerland.
Sander Greenland is a professor of
epidemiology and statistics at the
University of California, Los Angeles. Blake
McShane is a statistical methodologist and
professor of marketing at Northwestern
University in Evanston, Illinois. For a full
list of co-signatories, see Supplementary
Information.
e-mail: v.amrhein@unibas.ch
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Supplementary information accompanies this
article; see go.nature.com/2tc5nkm
WRONG INTERPRETATIONS
An analysis of 791 articles across 5 journals*
found that around half mistakenly assume
non-signicance means no eect.
Wrongly
interpreted
51%
Appropriately
interpreted
49%
*Data taken from: P. Schatz et al. Arch. Clin. Neuropsychol. 20,
1053–1059 (2005); F. Fidler et al. Conserv. Biol. 20, 1539–1544
(2006); R. Hoekstra et al. Psychon. Bull. Rev. 13, 1033–1037 (2006);
F. Bernardi et al. Eur. Sociol. Rev. 33, 1–15 (2017).
ARTICLES
791
SOURCE: V. AMRHEIN ET AL.
21 MARCH 2019 | VOL 567 | NATURE | 307
COMMENT
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... The p-value is at the heart of the statistical significance testing (Sun, 2016;Zhang, 2022c). In recent years, however, the statistical significance testing have been questioned, mainly because the paradigm of significance tests is wrong, p-value is too sensitive, p-value is a dichotomous subjective index, and statistical significance is related to sample size, etc (Sellke et al., 2001;Trafimow and Marks, 2015;Baker, 2016;Wasserstein and Lazar, 2016;McShane and David, 2017;Amrhein et al., 2019;Tong, 2019;Wasserstein et al., 2019;Zhang, 2022a-c). Statistical significance testing has been one of the sources of false conclusions and research reproducibility crisis (Ioannidis, 2005;Open Science Collaboration, 2015;Errington et al., 2021;Huang, 2021aHuang, -b, 2023Kafdar, 2021;Nature Editorial, 2021;Vrieze, 2021;Zhang, 2022c). ...
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Many controversies in statistics are due primarily or solely to poor quality control in journals, bad statistical textbooks, bad teaching, unclear writing, and lack of knowledge of the historical literature. One way to improve the practice of statistics and resolve these issues is to do what initiators of the 2016 ASA statement did: take one issue at a time, have extensive discussions about the issue among statisticians of diverse backgrounds and perspectives and eventually develop and publish a broadly supported consensus on that issue. Upon completion of this task, we then move on to deal with another core issue in the same way. We propose as the next project a process that might lead quickly to a strong consensus that the term “statistically significant” and all its cognates and symbolic adjuncts be disallowed in the scientific literature except where focus is on the history of statistics and its philosophies and methodologies. Calculation and presentation of accurate p-values will often remain highly desirable though not obligatory. Supplementary materials for this article are available online in the form of an appendix listing the names and institutions of 48 other statisticians and scientists who endorse the principal propositions put forward here. © 2019, © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
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