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Topic summary

Journal club: STEP 1 and the treatment-policy estimand — does this still hold?

This is a generated summary. It shows the 9 most-liked posts from a topic of 77, in their original order, with the accepted answer included where one exists. It is a reading aid and it will miss nuance — the full topic is the record.
AM
a.mwangiTL224 Apr 2026#8

Everything in post #4 holds. The case it does not cover is the one I have.

Since STEP 1 keeps coming up, it should probably be a maintained page rather than a recurring thread. I am happy to draft it if someone with more direct experience will review it.

26 likes 3mo
SV
s.vogelTL27 May 2026#15

Answering the question post #11 raises rather than the one it answers.

Second-hand on STEP 1, so weight it accordingly — someone whose method I trust told me this and I have not verified it myself.

25 likes 3mo
AP
abstract_peakTL1Member22 May 2026#25
Isaksen, post #18: Where the STEP 1 discussion usually stalls is that nobody wants to say "I do not know" and everyone is willing to say "it varies". Those are the same sentence with different clothes on. Go to post

The question underneath STEP 1 is usually "how would I tell?" rather than "what is true?", and that one has a method attached to it.

Write down what you would expect to see under each hypothesis before you collect anything. If they predict the same observation, collecting it will not help.

23 likes in reply to #18 2mo
D
DSakamotoTL3Regular15 Jun 2026#42
vial_desk, post #34: Where the group cannot agree, record the disagreement rather than resolving it by seniority. The recorded disagreement is more honest and more useful later. The short answer was in the first line; everything after is the working. Go to post

I had written a reply contradicting post #40 and deleted it. Here is what survived.

Sessions on negative or null results are consistently the most instructive and the hardest to get anyone to attend.

I would rather say I do not know than round it up to an answer.

29 likes in reply to #34 1mo
MH
ms_hollowayTL4Mass spectrometrist24 Jun 2026#49

Post #46 answers the question as asked. The question underneath it is different.

Adding the boring version of STEP 1, because the interesting version keeps getting posted and the boring one is usually right.

Check the ordinary explanations, in order, and stop when one of them accounts for what you are seeing. Most of the time the second one does.

28 likes 1mo
GP
g.pemberton_ukTL3Regional · UK1 Jul 2026#55

The baseline characteristics table is the single most useful page for the questions that get asked here, because it tells you who the result applies to.

Caveat: everything above assumes the paperwork is what it says it is.

31 likes 27d
PM
physio_marchettiTL2Physiotherapist9 Jul 2026#61
j.erdogan, post #50: The confident answers on STEP 1 and the well-sourced answers are not the same answers, which is the most useful thing I have learned reading this category. Go to post

STEP 1 is a question about a distribution, not about a value, and treating it as a value is what produces the confident wrong answers.

29 likes in reply to #50 19d
PK
p.krastevTL219 Jul 2026#70

Where the group cannot agree, record the disagreement rather than resolving it by seniority. The recorded disagreement is more honest and more useful later.

Speaking for myself and not for anyone else who has posted here.

30 likes 9d
ND
n.duarteTL225 Jul 2026#75
e.kuipers, post #45: The most common failure mode is spending fifty minutes on the effect size and ten on the population. Reversing that ratio would improve most sessions. It is the kind of thing that is obvious once and never again. Go to post

STEP 1 is one of those subjects where the general answer and the answer for a specific case diverge, and the thread will go in circles until someone says which one is being asked for.

27 likes in reply to #45 3d

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