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Dictionary of Evidence-based Medicine.pdf

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F<br />

Factor cost (see under Gross domestic product)<br />

Fail-safe number<br />

For a variety <strong>of</strong> reasons, notably the preference <strong>of</strong> authors to submit studies<br />

with positive results rather than negative results for publication, studies in<br />

the former group are more likely to be published. Therefore estimates <strong>of</strong><br />

effect <strong>based</strong> on the results <strong>of</strong> studies in the public domain may be biased.<br />

Therefore when undertaking meta-analyses, a critical assessment <strong>of</strong> the<br />

potential threats to the validity <strong>of</strong> the estimates <strong>of</strong> effect is necessary.<br />

Rosenthal suggested calculating the number <strong>of</strong> studies needed to nullify<br />

any effect observed (Rosenthal R (1979) The 'file drawer problem' and<br />

tolerance <strong>of</strong> null results. Psychological Bulletin. 86: 638-41) and Cooper<br />

suggested calling this number the 'fail-safe sample size' (Cooper H (1979)<br />

Statistically combining independent studies: a meta-analysis <strong>of</strong> sex differences<br />

in conformity research. Journal <strong>of</strong> Personality and Social Psychology. 37:<br />

131^46). This number, which is now generally referred to as the fail-safe<br />

number, is calculated as follows:<br />

Suppose that there are k published studies and the significance level for<br />

these studies are p v p v py-,p^ Postulate the null hypothesis that the mean<br />

effect is zero and that each p i is uniformly distributed on [0,1]. Let Z ; be the<br />

standard normal variate associated with each p { . Z { is then given by Z ; = O" 1<br />

(1 - p.) where O is the standard normal cumulative distribution function.<br />

Let S k = Zj + Z 2 + ... + Z n and z a be the critical value for a one-sided test at<br />

a significance level <strong>of</strong> a for a normally distributed mean effect. The failsafe<br />

N is then calculated by solving the following equation.<br />

Fallacy <strong>of</strong> composition<br />

The fallacy <strong>of</strong> composition is the error made by wrongly generalizing to<br />

groups the results which apply to individuals. In economic theory, two

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