The case for balanced hypothesis tests and equal-tailed confidence intervals
Andr\'e Gillibert (1, 2), Jacques B\'enichou (2, 3), Bruno, Falissard (1) ((1) Universit\'e Paris Sud, Maison de Solenn, Paris, France, (2) Department of Biostatistics, Clinical Research, CHU Rouen, Rouen,, France (3) Normandie University, Rouen, France)

TL;DR
This paper advocates for the use of balanced hypothesis tests and equal-tailed confidence intervals to improve the reliability of directional inference, highlighting issues with current methods and proposing new assessment criteria.
Contribution
It introduces new criteria for evaluating two-sided confidence intervals and hypothesis tests, emphasizing the importance of balanced, equal-tailed approaches for accurate directional interpretation.
Findings
Directional interpretation of some tests can lead to high error rates.
Equal-tailed confidence intervals are preferable to shortest intervals.
Proposed new assessment criteria improve reliability of inference.
Abstract
Introduction: there is an ongoing debate about directional inference of two-sided hypothesis tests for which some authors argue that rejecting does not allow to conclude that or but only that , while others argue that this is a minor error without practical consequence. Discussion: new elements are brought to the debate. It is shown that the directional interpretation of some non-directional hypothesis tests about Receiver Operating Characteristic (ROC) and survival curves may lead to inflated type III error rates with a probability of concluding that a difference exists in the opposite side of the actual difference that can reach 50% in the worst case. Some of the issues of directional tests also apply to two-sided confidence intervals (CIs). It is shown that equal-tailed CIs should be preferred to…
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Taxonomy
TopicsStatistical Methods in Clinical Trials · Statistical Methods and Inference · Advanced Statistical Methods and Models
