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BMJ 2006;333 (29 July), doi:10.1136/bmj.333.7561.0-d
Significant P values for relative risks and odds ratios in abstracts of published studies should generally be disbelieved, says Gøtzsche on page 231. He compared the distribution of P values in abstracts of 260 randomised trials with that in 260 observational studies (130 cohort studies and 130 case control studies) and checked P values between 0.04 and 0.06. A high proportion of abstracts of randomised controlled trials and observational studies had significant results, although many of these results were derived from subgroup analyses or biased selection of results. Also, errors in analysis and reporting were common.
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