The widespread use of 'statistical significance' as a license for making a claim of a scientific finding leads to considerable distortion of the scientific process (American Statistical Association, Wasserstein & Lazar 2016). We review why degrading p-values into 'significant' and 'nonsignificant' contributes to making studies irreproducible, or to making them seem irreproducible. A major problem is that we tend to take small p-values at face value, but mistrust results with larger p-values. In either case, p-values can tell little about reliability of research, because they are hardly replicable even if an alternative hypothesis is true. Also significance (p≤0.05) is hardly replicable: at a realistic statistical power of 40%, given that there is a true effect, only one in six studies will significantly replicate the significant result of another study. Even at a good power of 80%, results from two studies will be conflicting, in terms of significance, in one third of the cases if there is a true effect. This means that a replication cannot be interpreted as having failed only because it is nonsignificant. Many apparent replication failures may thus reflect faulty judgement based on significance thresholds rather than a crisis of unreplicable research. Reliable conclusions on replicability and practical importance of a finding can only be drawn using cumulative evidence from multiple independent studies. However, applying significance thresholds makes cumulative knowledge unreliable. One reason is that with anything but ideal statistical power, significant effect sizes will be biased upwards. Interpreting inflated significant results while ignoring nonsignificant results will thus lead to wrong conclusions. But current incentives to hunt for significance lead to publication bias against nonsignificant findings. Data dredging, p-hacking and publication bias should be addressed by removing fixed significance thresholds. Consistent with the recommendations of the late Ronald Fisher, p-values should be interpreted as graded measures of the strength of evidence against the null hypothesis. Also larger p-values offer some evidence against the null hypothesis, and they cannot be interpreted as supporting the null hypothesis, falsely concluding that 'there is no effect'. Information on possible true effect sizes that are compatible with the data must be obtained from the observed effect size, e.g., from a sample average, and from a measure of uncertainty, such as a confidence interval. We review how confusion about interpretation of larger p-values can be traced back to historical disputes among the founders of modern statistics. We further discuss potential arguments against removing significance thresholds, such as 'we need more stringent decision rules', 'sample sizes will decrease' or 'we need to get rid of p-values'.
Examination of CIs in health and medical journals from 1976 to 2019: an observational study
