RECOGNIZING AND REPORTING BIASES

Very few studies can avoid bias at some point in sample selection, study conduct, and results interpretation. We focus on the wrong end points, participants and co-investigators see through our blinding schemes, or the effects of neglected and unobserved confounding factors overwhelm and outweigh the effects of our variables of interest. With careful and prolonged planning, we may reduce or eliminate many potential sources of bias, but seldom will we be able to eliminate all of them. Accept bias as inevitable and then endeavor to recognize and report all exceptions that do slip through the cracks.

Most biases occur during data collection, often as a result of taking observations from an unrepresentative subset of the population rather than from the population as a whole. The example of the erroneous forecast of Dewey over Truman was cited in Chapter 3. In Chapter 6, we considered a study that was flawed because of a failure to include planes that did not return from combat.

When analyzing extended time series in seismological and neurological investigations, investigators typically select specific cuts (a set of consecutive observations in time) for detailed analysis, rather than trying to examine all the data (a near impossibility). Not surprisingly, such “cuts” usually possess one or more intriguing features not to be found in run-of-the-mill samples. Too often, theories evolve from these very biased selections. We expand on this point in Chapter ...

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