That’s the premise put forth
by John P.A. Ioannidis, a medical
researcher in Greece and adjunct
professor at Tufts University
School of Medicine. Ioannidis has
modeled what can happen when
unconscious biases creep into hypothesis
testing. The field he had
in mind was medical research, but
others commenting on his work
see parallels in areas ranging from
brain mapping to parapsychology.
Some of Ioannidis’ findings
sound like common sense about
relationships claimed to be statistically
significant. For example,
studies with small sample sizes are
less likely to yield correct results,
as are studies of observable effects
that are relatively small. And studies
confirming consequences for
which there is already a lot of solid
evidence are probably valid.
But some problems are not as
obvious. For example, too much
flexibility in defining or analyzing
outcomes can potentially transform
negative results into positive
ones. And it’s a good idea to question
graded scales that researchers
invent themselves. Of course,
fuzzy definitions are less of an issue
where the outcome is inarguable
(such as death).
There are similar difficulties
in new fields where analysis techniques
are still being hammered
out. Researchers can be tempted
to report only their “best” results
rather than a sea of data that is inconclusive.
Ioannidis says there’s
evidence that researchers manipulate
outcomes and only report
them selectively even in randomized
trials.
Two of Ioannidis’ conclusions
are interesting because they have
implications beyond
medicine.
He says the
greater the
financial interests and prejudices
in a scientific field, the less likely
research findings are true. In the
same regard, hot fields chased
by numerous scientific teams are
less likely to yield correct research
findings.
His explanation for these effects
is that prestigious investigators
can have their own biases
that prejudice their actions. For
example, they can have financial
or other interests that may lead
them to shoot down peer reviews
of findings that refute their own.
And there can be a bandwagon
effect when many teams of investigators
pursue the same field. The
imperative is to publish ahead of
the competition, with a priority
put on disseminating the most
impressive “positive” results. So
researchers can be predisposed
to confirm the initial idea rather
than to find the truth.
Clearly, hot fields are not confined
just to medical research.
Two other areas that immediately
come to mind are global warming
and alternative energy. Cheerleaders
on both sides of these issues
tend to haul out peer-reviewed research
findings and wave them at
each other as though warding off
vampires with a crucifix.
Those tempted to use peer-reviewed
research this way would
do well to realize the scientific
ground on which they are standing
may not be as solid as they
think. As Ioannidis has said, “It
is impossible to know with 100%
certainty what the truth is in any
research question.”
Leland Teschler, Editor