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Problems Resulting from Multiple Tests

Published online by Cambridge University Press:  21 March 2023

Leon F. Burmeister*
Affiliation:
Department of Preventive Medicine, The University of Iowa Hospitals and Clinics, Iowa City, Iowa
*
Preventive Medicine, 2825 SB, Iowa City, IA 52242

Extract

The consequences of multiple tests within a study have received much attention in recent years. In spite of many detailed considerations, there remains controversy concerning the seriousness of these consequences.

To appreciate fully the arguments that abound in this controversy, it is necessary to be aware of several different definitions of errors that can occur in hypothesis testing. The definitions of Type I error (rejection of a true null hypothesis) and Type II error (failure to reject a false null hypothesis) remain basic. Consider initially the Type I error, which receives the major emphasis of arguments concerning the effects of multiple testing. Its usual definition is based on the fact that for a single variable and a single comparison, there is a probability (α) that the hypothesis of no effect erroneously can be rejected. If all studies consisted of only one variable and if only one comparison were of interest (for example, only two treatments or two groups were studied), there would be no multiple testing controversy. Of course, few, if any, studies are so limited in their intent. Thus, the consequences of multiple testing apply to nearly all studies.

Type
Statistics for Hospital Epidemiology
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1991

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