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Analysis of Variance Is Easily Misapplied in the Analysis of Randomized Trials

A Critique and Discussion of Alternative Statistical Approaches

Bibliographic Data

ID19308117
AuthorsAndrew J Vickers (0000-0003-1525-6503, Memorial Sloan Kettering Cancer Center, corresponding author)
Year2005
Volume67
Issue4
Pages652-655
Publication date2005-07-01
Open AccessNo
TypeARTICLE
VenuePsychosomatic Medicine (JOURNAL)
Journal identifiersISSN: 0033-3174 • E-ISSN: 1534-7796
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/01.psy.0000172624.52957.a8
PMID16046383
OpenAlexW2060996098
LanguageEN
Citations received4
References cited6

Analysis of variance (ANOVA) is a statistical method that is widely used in the psychosomatic literature to analyze the results of randomized trials, yet ANOVA does not provide an estimate for the difference between groups, the key variable of interest in a randomized trial. Although the use of ANOVA is frequently justified on the grounds that a trial incorporates more than two groups, the hypothesis tested by ANOVA for these trials--"Are all groups equivalent?"--is often scientifically uninteresting. Regression methods are not only applicable to trials with many groups, but can be designed to address specific questions arising from the study design. ANOVA is also frequently used for trials with repeated measures, but the consequent reporting of "group effects," "time effects," and "time-by-group interactions" is a distraction from statistics of clinical and scientific value. Given that ANOVA is easily misapplied in the analysis of randomized trials, alternative approaches such as regression methods should be considered in preference

Analysis of variance · Clinical trial · Econometrics · Mixed-design analysis of variance · Preference · Randomized controlled trial · Repeated measures design · Statistical analysis · Statistics · Variance (accounting) · Advanced Statistical Modeling Techniques · Mathematics · Medicine · Mental Health Research Topics · Statistical Methods in Clinical Trials · Surgery

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Citations per year0.2
Citation span2006 - 2021 (16)
Highly citedNo

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