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gidmk.bsky.social
Health Nerd
@gidmk.bsky.social
Epidemiologist. Research Fellow. Doctor of Spreadsheets. Writer (Slate, TIME, Guardian, etc). PhD, MPH. Host of senscipod Email [email protected] he/him. Find my writing on Substack and Medium.
One of the biggest reasons is also meta-analyses. One study can have an outsized impact on the literature if it has a low SE and therefore a big effect size, which ends up polluting all recommendations from that point on.
November 27, 2025 at 9:31 PM
I found a partial explanation, but from my understanding you can't possibly randomize a 3:2 study with block sizes of 4

bsky.app/profile/gidm...
Ok, I have partially solved the problem! The authors ran an imbalanced 3:2 randomization.

But, uh, how? Can you randomize 3:2 with blocks of 4?
November 27, 2025 at 1:33 AM
Ok, I have partially solved the problem! The authors ran an imbalanced 3:2 randomization.

But, uh, how? Can you randomize 3:2 with blocks of 4?
November 27, 2025 at 1:27 AM
Nope the study specifies that this was the allocation before dropout.
November 27, 2025 at 1:26 AM
They said permutated, which implies that they are balanced but I suppose they could've done something really odd whereby each block could be entirely made up of one group. But that seems deeply bizarre. They would've had to have 5 full blocks allocating to only 1 group!
November 27, 2025 at 1:26 AM
I would guess that most peer reviewers, particularly in 2009, never check pre-registrations and are so not aware that researchers have switched their outcomes.
November 26, 2025 at 11:36 PM
There are also lots of other errors in the paper, but honestly who cares that much.

And this isn't some nothing of a study. Here it is being cited in the Endocrine Society guidelines which currently recommend vitamin D supplements for children to reduce the risk of respiratory disease.
November 26, 2025 at 9:15 PM
There were 18/167 Influenza A infections in the intervention and 31/167 in the control. There were 39/167 influenza B infections in intervention and 28/167 in the control.

Overall lab-confirmed influenza was 57/167 vs 59/167. About as null an effect as you can imagine.
November 26, 2025 at 9:15 PM
Problem is, the researchers didn't pre-register influenza A as their outcome. They registered doctor-diagnosed influenza, and didn't specify the type.

Is that important? Well...
November 26, 2025 at 9:15 PM
The paper is here: www.sciencedirect.com/science/arti...

It's in pretty much every SR/MA on the topic. Japanese researchers randomized 430 kids to either get vitamin D or a placebo in 2008. There was a massive reduction in influenza A infections in the intervention group.
Randomized trial of vitamin D supplementation to prevent seasonal influenza A in schoolchildren
Background: To our knowledge, no rigorously designed clinical trials have evaluated the relation between vitamin D and physician-diagnosed seasonal in…
www.sciencedirect.com
November 26, 2025 at 9:15 PM
Ok, two main things I noticed:

1. Most of the p-values are wrong.
2. The all means of Ct values are not the weighted means of the two groups in many cases even with potential rounding.
November 26, 2025 at 4:24 AM
The averages are actually correct as far as I can tell! They're just row averages for some bizarre reason.

The ct averages though...are they even simple averages?
November 25, 2025 at 7:05 AM
This is the sort of critique that makes sense, but it's not an ~error~ as such. Think more mathematical mistakes and the like.
November 25, 2025 at 5:08 AM
No one got the main thing, which is that the menopause durations are both remarkably homogenous (pretty much everyone in this study hit menopause at age 49-51), impossible (they are all GRIM errors), and also impossible (SDs are too low given the range)
November 25, 2025 at 4:37 AM
Yes, the menopause regularity is...remarkable. It's not quite proof of anything, but it is to my understanding very unusual!

The 2 d.p. is an average. I would say that these values are odd, because they do imply that the data was COLLECTED in non-integer form, but that's also not quite an issue.
November 25, 2025 at 4:35 AM
Reporting to 2 d.p. for means is not suspicious - certainly the vitamin D values are possible.

But tell me more about menopause onset. Are these timelines believable?
November 25, 2025 at 4:24 AM