ArticleGlobal epidemiology2026
Statistically significant results from low-power analyses: A comedy of errors.
Article in Global epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Applications of virtual reality technology throughout the perioperative period in breast cancer patients: a scoping review.Frontiers in oncology · 2026Pooled it
- Low statistical power creates two symmetrical problems, not one.Global epidemiology · 2026Article
- From screens to live interactions: Considerations for naturalistic EEG paradigms in social and affective neuroscience.Developmental cognitive neuroscience · 2026Article
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Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: When low-power analyses yield statistically significant results, they likely overestimate the true effect. Although sample estimates are symmetrically distributed around the true value, those that are by chance very high are more likely to achieve statistical significance. The bias induced by the significance filter increases as power decreases. Here we sought to quantify the estimation bias associated with low power and to contrast it with the type M error, which assesses the same phenomenon from a different perspective. Methods: We used simulations to quantify estimation bias in relation to power among statistically significant results. We computed the type M error, relative bias (ratio of the estimated mean differences and the true value), and proportions of results with various levels of over- and under-estimation. Results: For a medium effect size (Cohen's d of 0.5), overestimation of the mean difference was moderate at high power (≥80%): relative bias was <1.13, about 65% of estimates were roughly accurate (between 0.75 and 1.25 of the true value), and sign errors were virtually absent. In contrast, at low power (<30%), overestimation was strong (relative bias >1.78), and almost no estimates were roughly accurate. Sign errors became noticeably prevalent only at very low levels of power (<10%). In all situations, the relative bias had a lower magnitude than the type M error. Conclusion: Low-power statistically significant results may consist entirely of magnitude errors, sign errors, and type 1 errors with high risk of strong overestimation (double effect). Readers should beware positive results from low-power analyses.
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Registered trials
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.