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Evidence · Trials · continued

Reading a supplementary appendix and finding the interesting part posts 61–90

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

OV
o.vukovicTL26 Jan 2025#61

Post #59 describes the usual case. This is about the unusual one.

My position on reading a supplementary appendix is current rather than settled. I have revised it once already and I expect to again, so treat it accordingly.

0 likes 19mo
SK
s.karlsen_rphTL3Pharmacist8 Jan 2025#62

Adding the measurement that post #59 says would settle it.

Worth stating the null on reading a supplementary appendix before we explain it: the observation may be nothing. That possibility deserves a sentence and usually does not get one.

31 likes 19mo
MP
m.perrinTL29 Jan 2025#63
sa.vogel, post #58: Post #54 and I disagree about the size of the effect, not about the direction. Reading the supplementary appendix is where most of the real information is, and it is where almost nobody goes. The baseline table alone answers half the generalisability questions asked here. Written from notes rather than memory, which is why the numbers… Go to post

A treatment-policy estimand asks what happens to people assigned to a strategy, including those who abandon it. A hypothetical estimand asks what would have happened had everyone continued. Both are legitimate and they give different numbers.

That is a description of practice, not a recommendation of it.

10 likes in reply to #58 19mo
DO
dr_okonkwoTL4 Moderator10 Jan 2025 · edited#64
compounding_ruth, post #45: What I would tell a new member reading about reading a supplementary appendix for the first time: the confident posts are not the reliable ones, and the reliable ones are longer. Go to post

Reading a supplementary appendix came up in a thread eighteen months ago and was answered well. I cannot find it, which is itself the problem, so here is the reconstruction.

3 likes in reply to #45 19mo
IB
i.bakkenTL211 Jan 2025#65

I read the earlier replies on reading a supplementary appendix twice before writing this, because I had assumed the opposite and wanted to be sure I was disagreeing with what was said rather than what I expected.

0 likes 19mo
DF
d.fontaineTL213 Jan 2025#66

The arithmetic in post #63 is right; the assumption feeding it is the part to check.

Absolute and relative effects answer different questions. Write down the event rate in each arm and the difference between them; everything quotable is derived from those two numbers.

23 likes 18mo
KS
k.salinasTL214 Jan 2025#67
cannula_drift, post #55: Absolute and relative effects answer different questions. Write down the event rate in each arm and the difference between them; everything quotable is derived from those two numbers. Go to post

Checked the reading a supplementary appendix claim against the primary source this morning. It survives, with a narrower scope than the version quoted here. Posting the narrower scope.

6 likes in reply to #55 18mo
ME
me.eriksenTL215 Jan 2025#68

Acknowledging rather than arguing. The reasoning holds as far as I can follow it.

1 like 18mo
CC
c.correiaTL216 Jan 2025 · edited#69

Something worth flagging about reading a supplementary appendix: the strongest-sounding claims in this thread are the ones with no source attached, which is the usual pattern and not a coincidence.

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AA
a.almeidaTL218 Jan 2025#70

Composite endpoints should be read component by component. A composite driven entirely by its softest component is a different finding from one where the components move together.

I have left out the parts I could not verify.

16 likes 18mo
ID
integrator_draftTL319 Jan 2025#71
YR
y.ramosTL220 Jan 2025#72
r.bruun, post #6: Risk of bias: structured appraisal of internal validity. Key things to assess: randomisation method (was it truly random or could someone predict the next assignment), concealment (could randomisation be subverted), blinding (who was blinded and why or why not), completeness of outcome reporting. For what it is worth, the same held on… Go to post

Post #69 describes the usual case. This is about the unusual one.

Posting my reading a supplementary appendix numbers with the method attached so they can be discounted properly. Uncontrolled, unblinded, and collected by someone who wanted a particular answer.

0 likes in reply to #6 18mo
VK
v.klausenTL3Regular21 Jan 2025#73
c.cardoso, post #22: This follows post #19 rather than contradicting it. Genuine question rather than a rhetorical one: has anyone here actually observed reading a supplementary appendix, as opposed to read about it? The thread is long and I cannot tell. Go to post

That is a fair summary of where the discussion has got to.

2 likes in reply to #22 18mo
SS
s.solbergTL223 Jan 2025#74

Risk of bias: structured appraisal of internal validity. Key things to assess: randomisation method (was it truly random or could someone predict the next assignment), concealment (could randomisation be subverted), blinding (who was blinded and why or why not), completeness of outcome reporting.

It cost nothing to check and would have cost something not to.

9 likes 18mo
AS
a.stephanopoulosTL3Regular24 Jan 2025#75

A treatment-policy estimand asks what happens to people assigned to a strategy, including those who abandon it. A hypothetical estimand asks what would have happened had everyone continued. Both are legitimate and they give different numbers.

That is the practical version. The rigorous version is longer and says the same thing.

28 likes 18mo
FP
f.petrovTL225 Jan 2025 · edited#76
v.klausen, post #73: That is a fair summary of where the discussion has got to. Go to post

On post #72 — agreed on the reasoning, with one qualification.

Reading a supplementary appendix is a good example of a question where the honest answer is boring and the interesting answers are unsupported. I would go with boring.

0 likes in reply to #73 18mo
VM
v.milanoviTL3Regular26 Jan 2025#77
s.adebayo, post #15: Two claims get bundled together under reading a supplementary appendix and they need separating. The descriptive one — this is what was observed — is usually well supported. The causal one — this is why — usually is not. Almost every disagreement in threads like this one dissolves once you say which of the two you are making. Go to post

Adding a small correction to the reading a supplementary appendix summary above rather than a disagreement with it. The substance holds; one of the figures is out by a factor that matters.

5 likes in reply to #15 18mo
PF
p.friskTL228 Jan 2025#78

Reading the supplementary appendix is where most of the real information is, and it is where almost nobody goes. The baseline table alone answers half the generalisability questions asked here.

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F
FairweatherTL2Member29 Jan 2025#79
LJankowiak, post #51: Answering the reading a supplementary appendix question as asked, then the question I think is meant. As asked: yes, with the qualification below. As meant: it depends on how the first measurement was taken. Go to post

Reading a supplementary appendix looks different depending on whether you are reading the primary literature or the summaries of it, and the difference is not in our favour.

0 likes in reply to #51 18mo
KB
ka.batistaTL230 Jan 2025#80
CS
c.serranoTL231 Jan 2025 · edited#81
j.fonseca, post #27: Absolute and relative effects answer different questions. Write down the event rate in each arm and the difference between them; everything quotable is derived from those two numbers. I would treat that as a working assumption and revisit it. Go to post

Absolute and relative effects answer different questions. Write down the event rate in each arm and the difference between them; everything quotable is derived from those two numbers.

I would put the burden of proof on the interesting explanation, not the dull one.

0 likes in reply to #27 18mo
TN
t.nardoneTL3Regular1 Feb 2025#82

Reading this reading a supplementary appendix thread as someone who came in with a fixed view: the third and seventh replies moved me and the confident ones did not.

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AE
a.eriksenTL23 Feb 2025#83

The version of reading a supplementary appendix that I was taught turned out to be a teaching simplification. Useful, and not true in the way I had assumed it was.

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RA
r.arbuthnotTL1Member4 Feb 2025#84
impurity_table, post #47: Clear enough that I do not think I have a follow-up, which is unusual. Go to post

Building on post #81 rather than restating it.

Absolute numbers, not just relative: a 30% relative reduction tells you the ratio but not the practical magnitude. The event rate in each arm and the difference between them tells you how many people benefit.

7 likes in reply to #47 18mo
MA
m.adebayoTL25 Feb 2025#85
DKwiatkowski, post #20: Absolute numbers, not just relative: a 30% relative reduction tells you the ratio but not the practical magnitude. The event rate in each arm and the difference between them tells you how many people benefit. The rule of thumb is fine; the edge cases are where it earns its keep. Go to post

Post #81 describes the usual case. This is about the unusual one.

A treatment-policy estimand asks what happens to people assigned to a strategy, including those who abandon it. A hypothetical estimand asks what would have happened had everyone continued. Both are legitimate and they give different numbers.

That is the honest state of it as of this week.

0 likes in reply to #20 18mo
VD
vial_deskTL3Regular6 Feb 2025#86

Discontinuation handling is the methodological detail that most changes a result and gets the least attention. Read how missing data was imputed before reading the effect size.

The reasoning is more useful than the number, which is why I have shown it.

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TV
t.verhoevenTL27 Feb 2025#87

What I want from this reading a supplementary appendix thread is the list of things that would need to be true for the claim to hold. If we can write that list, we can check it.

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LC
l.chevalierTL3Regular9 Feb 2025#88

Reading a supplementary appendix: I have looked for the primary source twice and failed twice. Either it does not exist or it is somewhere I do not know to look, and I would like to know which.

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SV
s.vanheckeTL210 Feb 2025#89

Absolute and relative effects answer different questions. Write down the event rate in each arm and the difference between them; everything quotable is derived from those two numbers.

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TT
taper_tableTL3Regular11 Feb 2025#90

Post #89 answers the question as asked. The question underneath it is different.

Risk of bias: structured appraisal of internal validity. Key things to assess: randomisation method (was it truly random or could someone predict the next assignment), concealment (could randomisation be subverted), blinding (who was blinded and why or why not), completeness of outcome reporting.

That is the version I use. It may not be the version that is correct.

19 likes 18mo