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Evidence · Journal club

Second pass at: Journal club: STEP 4 and what a withdrawal design can prove

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ai.wikstromTL25 Mar 2025#1

Second pass at: Journal club: STEP 4 and what a withdrawal design can prove Writing it up because I had to work it out twice and would rather nobody else did.

The question about STEP 4 that I actually want answered is the second one below. The first is context and I have kept it short.

Both are stated with units, and I have said what I already checked so that nobody repeats it.

0 likes 17mo
FL
f.laurentTL212 Mar 2025#2

Confirming the opening post from a second method, which matters more than confirming it from a second person.

Two sentences on STEP 4 and then I will stop, because the rest is speculation and the thread is better without mine.

What is documented is narrow. What is inferred from it is broad. The gap between them is where every argument here lives.

25 likes 17mo
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a.westergaardTL3Regular18 Mar 2025#3

A definition problem is doing most of the work in this STEP 4 discussion. Once the term is pinned down I suspect the disagreement mostly goes away and what is left is small.

7 likes 16mo
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c.falkTL223 Mar 2025#4

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.

The evidence for this is thinner than the way I have phrased it suggests.

1 like 16mo
ZL
z.laurentTL227 Mar 2025#5
f.laurent, post #2: Confirming the opening post from a second method, which matters more than confirming it from a second person. Two sentences on STEP 4 and then I will stop, because the rest is speculation and the thread is better without mine. What is documented is narrow. What is inferred from it is broad. The gap between them is where every argument… Go to post

Filing a mild objection to the consensus on STEP 4. Mild because I might be wrong; an objection because nobody has addressed the case that does not fit.

0 likes in reply to #2 16mo
DY
d.yilmazTL231 Mar 2025#6

Post #5 is the version of this I will quote in future. One addition.

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.

18 likes 16mo
CL
c.lundgrenTL24 Apr 2025#7

This settles it for me, at least until somebody posts a reason it should not.

4 likes 16mo
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h.eriksenTL28 Apr 2025#8

STEP 4 was covered in the wiki last year and the page has a review date on it, which is a better starting point than my memory of a thread.

0 likes 16mo
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DSakamotoTL3Regular12 Apr 2025#9
ai.wikstrom, post #1: Second pass at: Journal club: STEP 4 and what a withdrawal design can prove Writing it up because I had to work it out twice and would rather nobody else did. The question about STEP 4 that I actually want answered is the second one below. The first is context and I have kept it short. Both are stated with units, and I have said what I… Go to post

Critical appraisal template: (1) What did the trial set out to estimate? (2) Could the design answer that question? (3) Was the population sufficiently similar to your population to apply the results? (4) What was the absolute effect, not just the relative one? (5) What are the two strongest criticisms available?

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

26 likes in reply to #1 16mo
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a.villalobosTL215 Apr 2025#10

The documentation on STEP 4 is better than this thread and I say that as someone who has posted in the thread.

12 likes 15mo
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figure_reviewTL2Member19 Apr 2025#11

On STEP 4, the part that usually goes wrong is that the question is asked as though it has one answer. It has a range, and the width of the range is the interesting bit.

If you can post the two or three numbers you are working from, several people here will check the arithmetic rather than argue about the conclusion.

33 likes 15mo
JM
j.marchettiTL223 Apr 2025#12
z.laurent, post #5: Filing a mild objection to the consensus on STEP 4. Mild because I might be wrong; an objection because nobody has addressed the case that does not fit. Go to post

This is the first time the answer has come with its own limits attached. Appreciated.

0 likes in reply to #5 15mo
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r.marsdenTL3Regular26 Apr 2025#13
h.eriksen, post #8: STEP 4 was covered in the wiki last year and the page has a review date on it, which is a better starting point than my memory of a thread. Go to post

Narrowing post #10, because the general version has more than one answer.

The figures usually contain the finding and the text usually contains the interpretation. Separating them for the first twenty minutes is a discipline worth keeping.

7 likes in reply to #8 15mo
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a.amankwahTL229 Apr 2025 · edited#14
j.marchetti, post #12: This is the first time the answer has come with its own limits attached. Appreciated. Go to post

What would change my mind on STEP 4 is a second dataset collected by someone with no stake in the first. Until then I hold it loosely and I would rather say so than pretend to more.

17 likes in reply to #12 15mo
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lyophil_marginTL3Regular3 May 2025#15

The useful distinction on STEP 4 is between what was measured and what was inferred from it. Both end up in the same sentence and only one of them has error bars.

25 likes 15mo
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m.yildizTL26 May 2025#16

Where I part company with post #13, and it is a narrow parting.

Reading order that works for these sessions: registry entry, methods, baseline table, primary result, then abstract last. Reading the abstract first anchors everything that follows.

0 likes 15mo
KF
k.farrugiaTL3Regular9 May 2025#17

A request rather than an answer: could whoever has the primary source for STEP 4 post it? I have seen the claim three times this month and each version had lost a qualifier.

3 likes 15mo
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r.oyelaranTL212 May 2025#18
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s.chowdhuryTL3Regular15 May 2025#19

This follows post #17 rather than contradicting it.

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

18 likes 14mo
JB
j.bhattacharyaTL218 May 2025#20

Worth separating two things that post #16 runs together.

Adding a null result on STEP 4. I looked, carefully, and found nothing, and null results deserve posting precisely because they never are.

0 likes 14mo
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z.iyerTL221 May 2025#21

The honest answer on STEP 4 is that it depends, and the useful part is the list of what it depends on. Four items, in rough order of how much they matter.

Most people get the first two right and then argue about the fourth.

28 likes 14mo
MS
m.stephanopoulosTL3Regular24 May 2025#22

Post #21 is right about the mechanism and I think understates the practical bit.

The figures usually contain the finding and the text usually contains the interpretation. Separating them for the first twenty minutes is a discipline worth keeping.

13 likes 14mo
CS
c.silvaTL227 May 2025#23
k.farrugia, post #17: A request rather than an answer: could whoever has the primary source for STEP 4 post it? I have seen the claim three times this month and each version had lost a qualifier. Go to post

Helpful, and easy to find again, which is half of what a good reply is.

5 likes in reply to #17 14mo
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r.girardTL230 May 2025#24
r.marsden, post #13: Narrowing post #10, because the general version has more than one answer. The figures usually contain the finding and the text usually contains the interpretation. Separating them for the first twenty minutes is a discipline worth keeping. Go to post

I read the earlier replies on STEP 4 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 in reply to #13 14mo
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p.marchettiTL22 Jun 2025#25

Worth stating the null on STEP 4 before we explain it: the observation may be nothing. That possibility deserves a sentence and usually does not get one.

20 likes 14mo
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d.bakkerTL25 Jun 2025 · edited#26

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.

Reading it back, the second half matters more than the first.

9 likes 14mo
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a.adebayoTL28 Jun 2025#27
r.oyelaran, post #18: Source for the STEP 4 figure, since it was asked for. It is in the discussion rather than the abstract, which is why the version circulating is stronger than the paper is. Reading the surrounding paragraph is worth the two minutes. The authors are more careful than their summarisers. Go to post

Post #25 describes the usual case. This is about the unusual one.

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

2 likes in reply to #18 14mo
BF
b.fonsecaTL211 Jun 2025#28

Adding the measurement that post #25 says would settle it.

My position on STEP 4 is current rather than settled. I have revised it once already and I expect to again, so treat it accordingly.

0 likes 14mo
MP
mira.patelTL4 Admin14 Jun 2025#29
c.falk, post #4: 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. The evidence for this is thinner than the way I have phrased it suggests. Go to post

Everything in post #25 holds. The case it does not cover is the one I have.

If you are new and reading this thread for the answer to STEP 4: the answer is conditional, the conditions are in the third reply, and the rest of the thread is worth skipping.

0 likes in reply to #4 13mo
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a.novakTL217 Jun 2025#30

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.

Two sources, same conclusion, and I could not rule out that one copied the other.

26 likes 13mo