Evidence map›Paper›PMID 39687418›Full record

ArticlePlastic and reconstructive surgery. Global open2024

Bayesian Reanalysis of Statistically Nonsignificant Outcomes in Plastic Surgery Clinical Trials.

Gordon C Wong, Cynthia Huang, Joseph N Fahmy, Casey Zhang, Teun Teunis, Kevin C Chung

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Statistical Reporting in Plastic Surgery Research.Plastic and reconstructive surgery. Global open · 2026
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Gordon C WongFrom the Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MI.
Cynthia HuangFrom the Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MI.
Joseph N FahmyFrom the Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MI.
Casey ZhangDepartment of Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.
Teun TeunisDepartment of Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.
Kevin C ChungFrom the Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MI.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Statistically nonsignificant randomized clinical trial (RCT) results are challenging to interpret, as they are unable to prove the absence of a difference between treatment groups. Bayesian analysis offers an alternative statistical framework capable of providing a comprehensive understanding of nonsignificant results. Methods: This cross-sectional study conducted a post hoc Bayesian analysis of statistically nonsignificant outcomes from RCTs published in Results: In 73 studies with 176 statistically nonsignificant outcomes, 160 (91%) indicated evidence for the absence of a difference (Bayes factor > 1). For 110 (63%) of these, the Bayes factor was between 1 and 3, indicating weak evidence for the absence of a difference; 16 (9.1%) results supported the presence of a difference (Bayes factor < 1). A greater Conclusions: Nearly two-thirds of nonsignificant RCT outcomes provided only weak evidence supporting the absence of a difference. This uncertainty poses challenges for clinical decision-making and highlights the inefficiency in resource utilization. Integrating Bayesian statistics into future trial design and analysis could overcome these challenges, enhancing result interpretability and guiding medical practice and research.

Identifiers

PMID39687418
PMCPMC11649286

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.