How to Read Antidepressant Effect Sizes Without Overclaiming
How mean differences, standardized effects, response odds, placebo change, duration, and reporting bias shape antidepressant evidence.
Health & Evidence Library
Tools for reading studies, interpreting tests and effect estimates, recognizing uncertainty, and asking whether evidence applies.
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How mean differences, standardized effects, response odds, placebo change, duration, and reporting bias shape antidepressant evidence.
How repeated treatment periods, randomization, blinding, washout, outcomes, and analysis turn one person's treatment comparison into evidence.
How randomized rollout, secular trends, clustering, transition periods, and time-adjusted analysis determine a stepped-wedge result.
How Cochrane RoB 2 assesses bias in a specific randomized-trial result across randomization, deviations, missing data, measurement, and selective reporting.
Responder analyses turn continuous scores into yes or no. Learn what the threshold clarifies, what information it loses, and what to check.
A practical methods-section audit for checking whether a study's design, participants, outcomes, and analysis support its claims.
How crossover trials use within-person comparisons, when washout works, and how period effects, dropout, and analysis shape validity.
How group randomization changes sample size, analysis, recruitment bias, estimands, and interpretation in a cluster trial.
What an E-value quantifies, how to benchmark it, and why it cannot rule out bias or turn an observational association into causation.
A practical guide to the counterfactual assumptions, graphs, time trends, and modern checks behind two common quasi-experiments.
Why biomarker correlation is insufficient, how trial-level validation works, and how FDA distinguishes validated and reasonably likely surrogates.
EMPA-REG, DAPA-HF, EMPEROR, and DELIVER moved SGLT2 inhibitors from glucose lowering to heart failure care across ejection fraction.
Why overdiagnosis is a population estimate, how trials, cohorts, pathology studies, and models measure it, and why denominators matter.
A guide to the notices journals use to repair the scholarly record, what each status means, and how readers can verify the current version.
ICH E6(R3), ALCOA principles, metadata, and secure audit trails explain how a clinical result can be traced back to its source.
A guide to content validity, structure, reliability, error, construct validity, responsiveness, interpretability, and feasibility in PROM research.
How TRIPOD+AI and PROBAST+AI frame model reporting, validation, calibration, clinical utility, fairness, and transportability.
How GRADE judges whether uncertainty crosses a decision threshold, when optimal information size matters, and why significance is not enough.
How identifiers, metadata, standard protocols, vocabularies, licenses, and provenance make research data usable by people and machines.
Multiple endpoints, groups, time points, subgroups, and interim analyses raise false-positive risk unless a prespecified testing strategy controls it.
How causal diagrams distinguish confounders, mediators, colliders, and selection variables before statistical adjustment begins.
How diagnostic error is defined, why uncertainty is not the same as negligence, and how teams and patients can close safety gaps.
Outcome switching lets a result chosen after analysis appear prespecified. Registry histories, protocols, and analysis plans reveal what changed and when.
How sampling distinguishes cohort from case-control studies, what each estimates, and where confounding, selection, and measurement distort results.
Use ICH M15 to connect a drug-development question, context of use, model risk, evaluation criteria, reporting, and a bounded decision claim.
How to interpret p values, confidence intervals, priors, posterior probabilities, and credible intervals without mixing the frameworks.
Allocation concealment protects random assignment before it occurs; blinding limits biased behavior and assessment afterward.
ICEMAN helps readers judge whether an apparent treatment difference across patient groups is credible rather than a chance finding.
Living reviews use continual surveillance, explicit update triggers, and version control to keep high-priority evidence syntheses current.
The minimal clinically important difference connects a score change to patient importance, but its value depends on context, anchors, and uncertainty.
How pretest probability, likelihood ratios, and the Fagan nomogram show why one lab result can mean certainty in one patient and little in another
Exaggeration in health headlines usually starts in the university press release, not the newsroom. Here is how to trace any claim back to the study.
Why placebo response runs high in antidepressant trials, and how a strong placebo arm compresses the measured drug-placebo gap.
How newer randomized trials reshaped aspirin advice for healthy adults, weighing bleeding against benefit and why established disease is different.
Withdrawal-incidence estimates swing from about 15% to over 40%. Here is how study design, not biology, drives most of that gap.
Natural frequencies like '1 in 100' and icon arrays are read more accurately than percentages, because they keep the denominator in plain sight.
What a trial's data-sharing statement really promises, who can obtain individual participant data, and why reanalysis can confirm or overturn a result.
How systematic reviews and meta-analyses synthesize evidence, why they rank high in the evidence hierarchy, and where their limits lie.
Intention-to-treat preserves randomization and estimates a real-world effect. Per-protocol answers a narrower question and can let selection bias back in.
How to turn a statin trial's headline relative risk reduction into absolute benefit and number needed to treat, so one result stops sounding two ways.
How RECIST 1.1 turns serial scans into response categories, why immunotherapy defies those rules, and how iRECIST handles pseudoprogression.
How predictive and prognostic cancer biomarkers differ, why the interaction test matters, and what PD-L1 and TMB actually tell you.
What recent trials show about prebunking and inoculation theory for resisting health misinformation, and where the effects fade.
How undisclosed analysis choices manufacture statistical significance, and why disclosure and preregistration are the fix.
Number needed to treat counts how many people must take a treatment for one of them to benefit, turning a trial result into a figure you can picture.
Number needed to harm counts how many people are treated before one is harmed. Read it beside number needed to treat to weigh both sides.
What intention-to-treat analysis means, why it keeps randomized trial results honest, and how dropping participants can distort what a study appears to show.
Insulin sensitivity and insulin response are two different measurements, and diabetes risk lives in how they relate, not in either value alone.
A practical order for reading a systematic review: the question, the search, risk of bias, the forest plot, heterogeneity, and the studies that went missing.
Spin is the gap between what a study found and how it is sold. Read the methods, the named outcome, and the absolute numbers first.
Check a journal against DOAJ, COPE membership, and the Think. Check. Submit. list rather than trusting its site or a flattering invitation email.
A practical walkthrough of the PRISMA flow diagram, the numbers that make a systematic review auditable, and the patterns that should make you pause.
A Kaplan-Meier curve shows the share still event-free over time. Here is how to read its steps, gaps, and censoring marks honestly.
A four-part checklist for decoding a health headline: the study design, who was studied, absolute versus relative effect, and who paid.
A plain-language guide to reading the forest plot in a meta-analysis: the lines, the boxes, the diamond, and what they really show.
How to read an ICMJE conflict of interest disclosure, why sponsored studies tilt toward favorable results, and why naming a conflict does not cancel it.
A part-by-part guide to Cochrane plain-language summaries: where to find the question, the certainty rating, the search date, and the honest bottom line.
How to read ACC/AHA cardiology guidelines: what Class of Recommendation and Level of Evidence mean, and why the two labels are rated separately.
Five-year, relative, and net survival explained, plus why lead-time and length-time bias make survival a weak test of whether screening saves lives.
How the USPSTF reached its 2023 Grade B for anxiety screening, why it stopped short for adults 65 and older, and how to read a split verdict.