Connecting Simple and Precise P-values to Complex and Ambiguous Realities
Sander Greenland

TL;DR
This paper critiques the reliance on traditional P-values and confidence intervals in statistical inference, emphasizing their limited meaning without explicit causal context and valid assumptions, and advocates for more transparent, mechanism-based interpretations.
Contribution
It highlights the limitations of conventional statistical measures and argues for contextually grounded, causal interpretations to improve reliability and transparency in data analysis.
Findings
P-values and confidence intervals do not inherently test hypotheses or measure significance.
Traditional interpretations often rely on misleading terminology and assumptions.
Causal stories and physical mechanisms are essential for meaningful statistical inference.
Abstract
Mathematics is a limited component of solutions to real-world problems, as it expresses only what is expected to be true if all our assumptions are correct, including implicit assumptions that are omnipresent and often incorrect. Statistical methods are rife with implicit assumptions whose violation can be life-threatening when results from them are used to set policy. Among them are that there is human equipoise or unbiasedness in data generation, management, analysis, and reporting. These assumptions correspond to levels of cooperation, competence, neutrality, and integrity that are absent more often than we would like to believe. Given this harsh reality, we should ask what meaning, if any, we can assign to the P-values, 'statistical significance' declarations, 'confidence' intervals, and posterior probabilities that are used to decide what and how to present (or spin) discussions…
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Taxonomy
TopicsMental Health Research Topics · Bayesian Modeling and Causal Inference · Computational Drug Discovery Methods
